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Carpal Tunnel Syndrome

Explaining Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is caused by pressure on the median nerve, which runs through the length of the arm and goes through a passage in the wrist which is called the carpal tunnel,

And ends in the hand. Therefore, mostly because of the pressure the carpal tunnel is narrowed and starts to swelling. What people all the time forget to keep in mind is that the carpal tunnel syndrome happens most of the time because of the following reasons

  • Repetition in motions, like typing or any kind of motions with and around the wrist that one tends do over and over again.
  • Conditions like hypothyroidism and being obsessed or
  • Pregnancy

Carpal Tunnel Syndrome Treatment In Gurgaon

In case of Carpal Tunnel Syndrome a person would feel a sensation of burning, or tingling, or itching numbness in the palm of the hand and thumb, or in the index and middle fingers. The first thing that usually gets noticed by most people is that their fingers start to fall asleep and become numb during night. This happens because of the relaxed position of the hand while sleeping.

In the morning, the person would wake up to find numbness and tingling in his hands that would run all the way to his shoulder.

Carpal Tunnel Syndrome can lead to permanent muscle damage and loss of function in the hand

Diagnosis

It can be bases of the hand numbness. The neck, shoulder, elbow, pulses, and reflexes are examined to exclude other conditions that might turn out to be carpal tunnel syndrome. The wrist can be examined for swelling as well. Tingling of the hand can be reproduced by sometimes tapping the front of the wrist this is referred to as Tinel’s sign of carpal tunnel syndrome.

The tests involves measurement of the rate of speed of electrical impulses as they travel down a nerve. In carpal tunnel syndrome, the impulse slows as it crosses the carpal tunnel. A test of muscles of the extremity, electromyogram is also performed with the nerve conduction velocity test to detect other conditions like carpal tunnel syndrome.

The choice of treatment depends on the severity of the symptoms and any underlying disease that might have been causing the symptoms.” Says Dr. Arun Saroha who has 10 years of experience in Neurosurgery and has special interest in spine surgery. He is an MBBS, from Rabindra Nath Tagore Medcal College in Udaipur.

Dr. Saroha continues about Carpal Tunnel Syndrome that most patients improve with only conservative measures and medications. Sometimes, pressure on the median nerve might result in persistent numbness and weakness. So, in order to avoid that serious and permanent nerve consequences surgical treatment is considered.

Treatment

For Carpal Tunnel Syndrome Surgery severing the band of tissue is done around the wrist. It reduces pressure on the median nerve. This surgical procedure is called “carpal tunnel release.” It is also performed by microsurgery with a small diameter viewing tube, called an arthroscope, or by open wrist procedure. After carpal tunnel release, most patients often undergo exercise rehabilitation.

Traditional procedure used to correct the syndrome, by making an incision up to 2 inches inside the wrist and then the carpal ligament was cut to enlarge the carpal tunnel.  Whereas in the endoscopic surgery allows much faster recovery and less amount of discomfort than an open release surgery.

But Endoscopic Surgery for Carpal Tunnel Surgery is also said to have higher complications. One or two incisions of about ½ inch each in the wrist and palm are made, then a camera is inserted and is attached to a tube, which observes the nerve, the ligament, and the tendons on a monitor. The carpal ligament which is a tissue that holds joints together is cut with a small knife, inserted through the tube.

 

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