A Carpal tunnel syndrome is a result of compression of the median nerve as it passes through the wrist. Both these nerves cross at the front of the wrist within a passage known as the carpal tunnel.Carpal Tunnel Syndrome Many tendons pass through this carpal tunnel too and if any swelling occurs, the large median nerve can easily be compressed causing the carpal tunnel syndrome. The symptoms include pain, tingling and numbness in the index and middle finger and numbness of the thumb. Carpal tunnel syndrome can often be alleviated with splinting and medications. If these treatments fail to bring relief, an operation may be required.
Some people are at higher risk of developing carpal tunnel syndrome, including:
Symptoms
Symptoms of carpal tunnel syndrome often develop as follows:
Causes
Any condition that exerts pressure on the median nerve at the wrist can cause carpal tunnel syndrome. The main cause of carpal tunnel syndrome is incorrect posture, especially found among computer users and people working on ergonomic keyboards. But some people may simply be born with smaller carpal tunnels than other people do.
Carpal tunnel can also be caused by repetitive movements during assembly line work, wrist injury, or swelling due to certain diseases, such as rheumatoid arthritis. Carpal tunnel syndrome from repetitive maneuvers has been referred to as a "repetitive stress injury". Repetitive maneuvers that can cause carpal tunnel include:
You may be given either local or general anesthetic. The surgeon makes an incision (usually less than five centimeters long) into the palm of the affected hand. If the carpal tunnel syndrome is particularly severe, this incision may need to be longer. The exposed tissue beneath is then carefully cut throughCarpal Tunnel Syndrome with a scalpel. This second incision reveals the transverse carpal ligament which is the structure responsible for the compression of the median nerve. The ligament is cut and the incision in the palm is sutured closed. (The body’s healing process will rejoin the severed ends of the transverse carpal ligament and the resulting scar tissue shouldn’t press so hard on the underlying nerve.) One or both wrists may be operated on at the one time.
After the procedure depending on the anesthesia, your vital parameters would be noted; you may have your wrist placed in a sling to help reduce swelling following the operation. You may find your wrist is quite uncomfortable for a couple of days. A pain relief is given if needed. Advice is given to exercise your hand and wrist as soon as possible.
Some of the possible complications of a carpal tunnel operation include:
If you are discharged within a day or two of surgery, you will probably need some help around the house. Cold packs applied at regular intervals can help reduce post-operative swelling if any. Give adequate rest the hand as much as you can for at least four weeks following surgery.
The other general procedures are:
Few Major Hospitals for Carpal Tunnel Release Operation are:
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