Trigger finger Our flexor tendons are kept in position via fibrous bands, so called “pulleys”. The first in line of these pulleys can block the tendon from gliding through in a variety of conditions. This results in blockage of the finger in movement out of which he can sometimes only be freed manually. A small incision into the palm enables us to identify the flexor tendon and find the pulley causing your problems. The pulley is then split. The most important thing is to spare the sensitive nerve to the finger. You are encouraged to fully move your hand immediately after surgery, to prevent adhesions. There is no functional impairment resulting from splitting the pulley. Ulnar tunnel syndrome Another possible source of nerve compression is in the region of the elbow or in the inner side of the wrist (the so called “Loge du Guyon”).. A nerve (the ulnar nerve) crucial for function of the lower arm muscles and hand can be compressed here. The symptoms can be very painful Loss of power grip can lead to professional impairment in manual workers. In contrast to the carpal tunnel syndrome, pure release of the nerve may not be enough, additionally we recommend repositioning the nerve out of its restricted position on the back of the elbow to the front of the elbow. Reconvalecence depends on how long the pressure damage has prevailed, but it some cases it might be necessary to wear a plaster of Paris cast for 10 days.