The carpal tunnel may be naturally smaller in some people which reduces the amount of space for the nerveThe carpal tunnel may be naturally smaller in some people which reduces the amount of space for the nerve
Carpal tunnel syndrome
What is carpal tunnel syndrome?
Carpal tunnel syndrome is a condition caused by a compression of nerve in the wrist. Symptoms of carpal tunnel include persistent tingling as well as numbness and radiating pain in the arms and hands. In some cases, you may also experience hand weakness.
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Why do I get Carpal tunnel syndrome?
Most cases of carpal tunnel syndrome are caused by a combination of factors. Studies show that women and older people are more likely to develop the condition.
Other risk factors for carpal tunnel syndrome include:
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Heredity
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Repetitive hand use
Repeating the same hand and wrist motions or activities over a prolonged period of time may aggravate the tendons in the wrist, causing swelling that puts pressure on the nerve.
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Hand and wrist position
Doing activities that involve extreme flexion or extension of the hand and wrist for a prolonged period of time can increase pressure on the nerve.
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Pregnancy
Hormonal changes during pregnancy can cause swelling that results in pressure on the nerve
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• Health conditions
like Diabetes, rheumatoid arthritis, and thyroid gland imbalance are conditions that are associated with carpal tunnel syndrome.
How do you know that you have carpal tunnel syndrome?
Symptoms of carpal tunnel syndrome may include:
- Numbness, tingling, burning, and pain at fingers. This often wakes people up at night
- Occasional shock-like sensations
- Pain or tingling that may travel up the forearm toward the shoulder
- Weakness and clumsiness in the hand
- Dropping things due to weakness, numbness
Surgeon Consultation
If you got above symptoms,consultus.We do thorough physical examination and some clinical tests to diagnose carpal tunnel syndrome.
We may ask for electrophysiological testing of your nerves to measure how well your median nerve is working and help determine whether there is too much pressure on the nerve.
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When Do you need to undergo carpal tunnel release?
Carpal tunnel release surgery is not for everyone. In fact, some people are able to get relief from carpal tunnel symptoms with nonsurgical methods like
- Cold or ice compress
- Splints to keep the wrist straight so that there is less tension on the nerve
- Physical therapy
- Avoiding certain activities that aggravate your symptoms
- Steroid injections
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When we may recommend surgery
If nonsurgical treatment does not relieve your symptoms or provides only temporary relief, we may recommend surgery.
The decision of whether to recommend surgery is based on:
- The severity of your symptoms
- Physical examination findings
- Response to non-operative treatment
- Results of testing
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What happens if I delay my surgery?
Delaying the surgery leads to Neurological deficit which manifests as tingling and numbness at base of the thumb and first three fingers which leads to weakness of fingers later.
When Surgery is performed after neurological deficits started it prolongs the recovery time and poor outcome
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Surgical procedure
There are two ways to perform carpal tunnel release: open carpal tunnel release and endoscopic carpal tunnel release.
Open carpal tunnel release
We makes a small cut on your palm near your wrist. we cuts the carpal ligament, which is compressing your median nerve,thatreduces pressure on your nerve. The surgeon applies a few stitches to close the wound and then covers the area with a bandage.
Endoscopic carpal tunnel release
We makes a small cut near the lower section of your palm near your wrist and then inserts an endoscope. An endoscope is a long, flexible tube with an attached light and camera. The camera takes video from inside your wrist and these images appear on a monitor inside the operating room. The surgeon will insert other tools through this opening and cut the carpal ligament to reduce pressure on your nerve. The surgeon removes the tools and endoscope and then closes the incision with a stitch.
Risks and complications
Possible complications include:
- Allergic reactions to medicines
- Bleeding
- Infection
- Injury to the median nerve or nerves that branch off of it
- Weakness and numbness around the hand
- Rarely, injury to another nerve or blood vessel (artery or vein)
- Scar tenderness
Is carpal tunnel a daycare procedure?
Yes carpal tunnel release is a daycaresurgery,You should be able to go home on the same day after the surgery.
Care at Home
Before Leaving Hospital
Talk with your surgeon about any precautions you may have after surgery.
Your surgeon might ask to see him after couple of days for wound ckeck.You will be discharged with small dressing and crepe bandage to your wrist and hand.
Upto 3 weeks after surgery
Stitches will be removed with in a week time and your surgeon will allow you to do daily routine activities and teaches some exercises.
6 to 8 weeks after surgery
You should be ready by now to perform all your work normally without any pain. Which depends on presurgical condition, how soon the surgery has been done after the onset of symptoms, etc.
Our Outcomes
90-95% success rate
A very successful procedure provides immediate relief from the symptoms
3-4 weeks to resume to daily activities
It takes 4 to 6 weeks to resume to your daily activities
6-8 weeks resuming to demanding activities
Resume to work and demanding activities would talke 6-8 weeks of time
< 1% complication rate
Carpal tunnel release is one of the safest procedure with very minimal over all serious complications.
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Our Expert Doctors Who Performs this Surgery
Dr. Chethan Nagaraj
MBBS, MS Ortho (Madras), DNB
Fellowship in Knee & Shoulder Surgery (Aus, NZ, Japan)
Specialist in Joint Replacement & Arthroscopy, Senior Consultant Ortho Surgeon.
Dr.Mithun N Oswal
MBBS, MS Ortho
Fellowship in Joint Replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Senior consultant Ortho surgeon
Dr.Ananda Rao
MBBS, MS Ortho
Fellowship in Joint replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Specialist in complex trauma surgery
Senior consultant Ortho surgeon
Dr. Himanshu Singh
MBBS, D ortho, DNB ortho
Fellowship in Arthroscopy, Joint replacement, Trauma & Ilizarov Limb Reconstruction
Fellowship in spine surgery
Senior consultant Ortho Surgeon
Frequently Asked Questions?
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What is carpal tunnel syndrome?
Carpal tunnel syndrome is a condition that causes numbness, tingling, weakness, and pain in the hand and fingers due to pressure on the median nerve in the wrist.
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What causes carpal tunnel syndrome?
Carpal tunnel syndrome is caused by pressure on the median nerve, which runs through a narrow passageway in the wrist called the carpal tunnel. This pressure can be caused by a variety of factors, including repetitive hand movements, arthritis, wrist injury, pregnancy, and others.
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How is carpal tunnel syndrome diagnosed?
Diagnosis of carpal tunnel syndrome is usually made based on a patient's symptoms and a physical examination. Additional tests, such as nerve conduction studies or imaging studies, may be needed to confirm the diagnosis.
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How is it treated?
Treatment for carpal tunnel syndrome may include non-surgical options, such as wrist splints, corticosteroid injections, and physical therapy, or surgical options, such as carpal tunnel release surgery. The choice of treatment will depend on the severity of the condition and the patient's overall health.
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What can be done to prevent carpal tunnel syndrome?
Preventing carpal tunnel syndrome may involve modifying activities that put pressure on the median nerve, maintaining good posture and body mechanics, and taking frequent breaks to stretch and rest the hands and wrists. Wearing ergonomic gloves or wrist splints during repetitive activities may also help.
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Can carpal tunnel syndrome be cured?
Carpal tunnel syndrome can be effectively treated, but it may not be completely cured. The goal of treatment is to alleviate symptoms and improve function in the hand and wrist. In severe cases, surgery may be necessary to permanently relieve pressure on the median nerve.