Hand / Wrist

Carpal tunnel syndrome (CTS) is the pressure of the median nerve in the wrist. It causes tingling, numbness and pain in the hand and fingers and is usually getting worse by the time.

Sometimes clears up by itself in a few months. In early stages the use of a wrist splint, painkillers and cutting down on things that may be causing it may relief symptoms. If symptoms persist with the conservative ways then surgical treatment is necessary to avoid nerve permanent damage. The operation takes around 20 minutes under local anesthesia and there is no need to stay in hospital overnight. It can take a month after the operation to get back to normal activities.

Dupuytren’s disease is a condition that affects hands and fingers and causes one or more fingers to bend into the palm of the hand. It can affect one or both hands, and sometimes affect the thumb. Initially, palmar connective tissue thickens in one small area first and a “nodule” forms. Over time, the nodules can extend and form cords of tissue. These cords can cause finger contraction.

Ιf the condition is interfering with the normal functioning of your hand the treatment that may be helpful is needle fasciotomy or fasciectomy (where the shortened connective tissue is removed).

Trigger finger is a condition that affects one or more of the hand’s tendons, making it difficult to bend the affected finger or thumb. If the tendon or the tendon sheath becomes swollen and inflamed this can make it difficult to move the affected finger or thumb and can result in pain in its base.

In some people, trigger finger may get better without treatment. Rest, avoiding certain activities and splinting may help. Steroid injections may reduce swelling. I case of no symptoms relief, releasing the affected sheath to allow the tendon to move freely again is the only option. The operation takes around 20 minutes under local anaesthesia and there is no need to stay in hospital overnight.