Cause
Trigger Finger or stenosing tenosynovitis is a painful chronic inflammation of the flexor tendon sheath in the hand. Typically, there is a click or a triggering of the finger while straightening. This is due to a shrinking of the pulley at the base of the finger and can be very painful.

Treatment
A surgical procedure under local anesthesia will release that tight pulley in the finger through a very small incision. Sutures are removed after 2 weeks.

Hospital Admission: Outpatient
Recuperation Time: 2-4 weeks depending on severity
Post Surgery: Physiotherapy needed in severe cases
Price Range: Starting $570

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Cause
Carpal Tunnel Syndrome is caused when the Median Nerve, a major hand nerve responsible for sensation in the thumb, index, middle and parts of the ring finger, is compressed. Swelling causes the fragile nerve’s function to be compromised. Patients affected typically experience pain in their hand and arm more so at night.

Treatment
Treatment consists of surgically releasing the rigid ligament that compresses the nerve. Surgery is performed under local anesthesia through a small incision. Although sutures are removed after two weeks, patients may require more time to recover full nerve function.

Hospital Admission: Outpatient
Recuperation Time: 2-4 weeks
Post Surgery: Physiotherapy is helpful in severe cases
Price Range: Starting $750

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Cause
After trauma or over-use, a nerve might be compressed by a scar or other anatomical structures passing over the nerve in its path along the arm. Depending on the nerve affected and the location, the symptoms may vary however, both numbness and paralyses are possible.

Treatment
Depending on the nerve that is affected and localization, an open approach to surgically release the nerve from the constricting structure will be taken. Suture removal after 10 days.

Hospital Admission: Outpatient
Recuperation Time: 2-4 weeks
Post Surgery: Physiotherapy is helpful in severe cases

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Cause
Tendons very often get fixed in a scar after an injury restricting the range of motion of the respective joint. The release of the tendon may allow the tendon to move freely in their path and thereby restoring the range of motion.

Treatment
Surgical release of tendons with suture removal after 10 to 14 days.

Hospital Admission: Outpatient
Recuperation Time: 3-4 weeks
Post Surgery: Physiotherapy is mandatory to avoid new adhesions

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Cause
Tendons very often get fixed in a scar after an injury restricting the range of motion of the respective joint. The release of the tendon may allow the tendon to move freely in their path and thereby restoring the range of motion.

Treatment
Surgical release of tendons with suture removal after 10 to 14 days

Hospital Admission: Outpatient
Recuperation Time: 3-4 weeks
Post Surgery: Physiotherapy is mandatory to avoid new adhesions

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Cause
The painful wrist is a common problem and very often the cause may be unknown. Wrist arthroscopy offers the possibility to look inside the wrist in a minimally invasive way to detect the cause of pain and repair immediately if possible.

Treatment
A surgical incision is made that is 1mm long. This minute incision creates minimal wounding and contributes to faster recuperation speeds. No sutures are needed.

Hospital Admission: Outpatient
Recuperation Time: Depends on the diagnosis
Post Surgery: Physiotherapy depends on the diagnosis

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Cause
Because of age, over-use or joint fractures, arthrosis (translation: sick joint) can commonly occur in the hand and wrist. Especially common is the degeneration of the base of the thumb called Rhizarthrosis which can be particularly painful and debilitating. The carpal bone that builds the connection of the thumb with the wrist (trapezium) is very often subject to chronic degenerative structural change causing pain and weakness of the hand that in the long run will result in a painful frozen joint.

Treatment
The treatment of this condition depends on the degree of degeneration and can range from non surgical methods to joint prosthesis or fusion of joints. An experienced hand surgeon can remove the affected bone to allow for pain relief, a better range of motion and a stronger grip. The patient would require six weeks of immobilization in a cast or an orthesis (brace) to fully recover.

Hospital Admission: Depends on diagnosis
Recuperation Time: Depends on diagnosis
Post Surgery: Physiotherapy is advisable

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Cause
Tennis Elbow is painful and is due to an over-use of the muscle on the back of the lower arm (extensor muscles). There is an inflammation of the attachment of those muscles on the outside part of the elbow that causes varying degrees pain.

Treatment
Surgery will loosen this inflamed attachment at the elbow through an incision on the outside aspect of the elbow. After the surgery, the elbow will be immobilized in a cast for two weeks.

Hospital Admission: Outpatient
Recuperation Time: 3 to 5 weeks
Post Surgery: Physiotherapy is helpful in severe
Price Range: Starting at $1700

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