"We’re now approximately 6 months from an open carpal tunnel release for the median nerve in his wrist, and a decompression of the ulnar nerve at guyon’s canal in the hand. This was done because he had some residual symptoms, despite a decompression in the ulnar nerve at the elbow approximately 3 years ago. He had continued to have numbness and tingling into these fingers here and subsequently over the year had developed numbness and tingling in his hand, hindering his schoolwork and anything he did with his hands. The ulnar nerve in the guyon’s canal is this structure here, coming through the wrist into the fingers. The carpal tunnel, of course, is well known for causing numbness and tingling into the hand. So, we’ve known you about three years. How is your hand feeling now?"
"Fantastic. I’ve had nerve damage since I was 7 and this is the best it’s felt in my whole entire life."
"Very good. How much improvement did you have with the first operation up in your elbow three years ago? We did this, and how much improvement did you have with that operation, in your fourth and fifth finger?"
"I had some improvement, but it had started to worsen again and that’s when you decided to do the operation in my wrist and that fixed it all the way."
"Very good. We had discovered that this is a more rare entrapment side of the ulnar nerve. This is by far more common. Any time we would percuss over this region not over the carpal tunnel necessarily, but over the guyon’s canal, he would have sharp shocking sensations into his hand and then he also further had them into this part of his hand when we moved over a centimeter or so. Having a tinel sign in both those locations and residual symptoms and having no discomfort at this level, prior to surgery was what led us to go ahead and do this procedure. It’s been 6 months and it’s been pretty good."