1. I'd love to help you get a job in our company but my hands are tied. We are not hiring right now.2. When asked to make a donation to help victims in Philippines, the single mother wanted to make a donation but could not do it due to her poor financial condition.
 hands are tied want to do something but cannot do it due to.. unable to do what one wants to domy hands are tied = 我無能為力，是標準的美國成語
When I was having a nose surgery I was put under local anestheia.