A modern approach to treating hand and finger conditions makes it possible in many cases to avoid traditional surgery. Instead, patients can choose gentler, more precise methods with a significantly faster recovery period.
Procedures performed under ultrasonography / ultrasound (USG) guidance ensure high precision, minimal tissue damage and usually do not even require stitches. This means fewer scars, less pain and a faster return to everyday life.
Ultrasound-guided carpal tunnel release.
Tendon release for De Quervain’s disease.
Tendon release for “trigger finger”.
Ultrasound-guided treatment of Dupuytren’s contracture.
At the “Veselības centrs 4” branch “Diagnostikas centrs”, ultrasonography is available with a specially adapted “17LH7 Hockey Stick” probe.
Main benefits
Minimal tissue damage and less scar tissue.
Procedures performed under local anaesthesia.
No stitches.
Faster return to daily activities and work.
High precision under ultrasound guidance.
Lower risk of post-procedure pain and complications.
Suitable for patients of different ages.
Ultrasound-guided carpal tunnel release
Carpal tunnel syndrome occurs when the median nerve is compressed at the level of the wrist, causing tingling, sensory disturbances, pain and weakness in the hand. If conservative treatment is not sufficiently effective, nerve release is required.
Ultrasound-guided carpal tunnel release is a modern, minimally invasive alternative to traditional surgery — just as effective, but significantly gentler.
During the procedure, under local anaesthesia and ultrasound guidance, a special instrument is inserted to release the ligament compressing the nerve, while maximally preserving the surrounding tissues, without a large incision and with minimal scar tissue formation.
After the procedure
Return to light work — usually within a few days.
Physical strain on the hand should be limited for approximately 2–3 weeks.
Tendon release for De Quervain’s disease
De Quervain’s disease is characterised by thickening of the tendon sheaths in the thumb area, causing pain during movement, especially when the thumb is under strain. A gentle and precise alternative to traditional surgery is ultrasound-guided tendon release using a special needle technique.
The procedure is performed under local anaesthesia, without a scalpel incision or stitches, reducing tissue damage and scar formation while allowing a faster return to daily activities.
After the procedure
Return to work — usually within a few days.
Physical strain on the hand should be limited for approximately 2–3 weeks.
Tendon release for “trigger finger”
Stenosing ligamentitis, or “trigger finger”, causes the finger to catch, painful movement and restricted mobility.
Under ultrasound guidance, the tendon can be released precisely and gently using a needle technique — without incisions or stitches.
This method reduces scar formation and significantly shortens the recovery time while maintaining high treatment effectiveness.
After the procedure
Light daily activities — often as early as the next day.
Physical strain on the hand should be limited for approximately 2–3 weeks.
Ultrasound-guided treatment of Dupuytren’s contracture
In Dupuytren’s contracture, thickened connective tissue forms in the palm, gradually limiting the ability to straighten the fingers and making gripping difficult. A minimally invasive alternative to surgery is cutting these tissues with a special needle under ultrasound guidance.
The procedure allows immediate improvement in finger mobility, helps avoid large incisions and stitches, and significantly speeds up recovery.
After the procedure
Return to work — usually within a few days.
Physical strain on the hand should be limited for approximately 2–3 weeks.
Why choose procedures under ultrasound guidance and local anaesthesia?
Safer — ultrasound guidance ensures precision.
Less invasive — the procedure is performed with a special needle; surgical intervention or an operation is not required.
Local anaesthesia — also suitable for elderly patients and people with comorbidities.
Fast recovery — a relatively short recovery period.
Outpatient procedure — the patient can go home immediately after the procedure.
