Diagnosis - Therapy - Rehabilitation

Hands / fingers: 
Treatment & surgery

OA Dr. Eleonore Hecking is your expert in the diagnosis and treatment of diseases and injuries of the hands. As an experienced neurosurgeon and specialist in orthopaedics based in Vienna, she offers modern and effective therapeutic approaches—both conservative and surgical—for conditions and disorders affecting the hands and fingers.

Your experienced neurosurgeon

Assoc. Prof. Dr. Eleonore Hecking

Assoc. Prof. Dr. Eleonore Hecking supports you with professional expertise, personalized care, and state-of-the-art treatment methods as an experienced neurosurgeon and specialist in orthopaedics, traumatology, and trauma surgery — guiding you toward optimal health of your hands and fingers.

Pain in the hands or fingers

... should always be properly assessed and treated

I offer a wide range of neurosurgical diagnostic and therapeutic services, including:

Consultation and evaluation for:

  • (Night-time) pain
  • Restricted movement
  • Numb or tingling fingers
  • Impaired fine motor skills
  • Loss of strength

Pain management and minimally invasive surgical procedures

Evaluation and diagnostics

The first step toward care

Every treatment begins with an initial consultation. Based on your diagnosis, we’ll discuss suitable treatment options and plan the next steps together. Dr. Eleonore Hecking takes the time to answer all your questions and talk you through the entire treatment process.

Typical conditions

I have completed specialized training, gained extensive practical experience, and successfully treated numerous conditions affecting the hand and fingers.

Typical symptoms:

  • Pain in the wrist or fingers
  • Numbness or tingling (“falling asleep”) in the fingers
  • Limited range of motion

Common disorders:

  • Nerve compression syndromes (elbow, wrist)
  • Trigger finger (stenosing tenosynovitis)
  • Cubital tunnel syndrome (ulnar nerve entrapment at the elbow)
  • Guyon’s canal syndrome (ulnar nerve entrapment at the wrist)
  • Tendovaginitis stenosans (narrowing of the tendon sheath)

Most common treatments

  • Thumb carpometacarpal (CMC) joint arthritis surgery: In cases of pain in the thumb base joint with corresponding X-ray findings, surgery is performed either by implanting a prosthesis or removing the affected bone. The main goal is to achieve pain relief in this joint after approximately three weeks of rehabilitation.
  • Tendon sheath ganglion / dermatofibroma: If ganglia or benign tumors appear in the hand area, surgical removal is performed following MRI imaging. After surgery, a splint may be recommended in some cases.
  • Trigger finger / A1 pulley release: For a “snapping” finger or thumb, if prior injections have not provided lasting relief, the affected tendon sheath (A1 pulley) is released under local anesthesia.
  • Tendovaginitis de Quervain: In cases of inflammation or narrowing of the tendon sheath at the wrist, the first extensor compartment is released to allow the tendons to glide freely again.
  • Nerve compression syndromes (elbow and wrist): If nerve conduction studies (NCS) show abnormalities consistent with the patient’s symptoms, surgical decompression is performed to release the constricted structures—either at the elbow (ulnar nerve entrapment / cubital tunnel syndrome) or at the wrist (carpal tunnel syndrome or Guyon’s canal syndrome).
  • Tennis / Golfer’s elbow (Epicondylitis): When conservative treatments such as shockwave therapy and injections are unsuccessful, surgery according to Wilhelm is performed. Postoperatively, wearing a splint for about two weeks is recommended.
  • Osteotomies: In rare cases of forearm bone malalignment causing wrist pain, corrective surgery is performed to shorten and plate the affected bone after precise imaging.
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