Preparation for the procedure
All inflammations should be cured, all internal conditions should be under control and the patient should not be considerably overweight.
Contraindications for treatment
- local infection, inflammation of skin and other hand tissues
- general infections (upper airway infections, urinary tract infections)
- systemic diseases, i.e. hypertension, cardiac ischemia, coronary disease, arrythmia, diabetes, allergies, blood-coagulation disorders (the procedure is possible after a consultation and preparation for the surgery by the GP)
Surgical intervention requires an incision in the skin on the palm by the flexor retinaculum ligament, separating the layers of the soft tissue, until the flexor retinaculum is visible. Then the ligament is cut or (much less common) a Z-cut is made, which allows to extend the flexor retinaculum, without severing its continuity.