Doctor Jonathan Cluett, a surgeon whose speciality and expertise are orthopaedic operations stated that Carpal Tunnel Operation is a very successful treatment for carpal tunnel syndrome.
The Operation should not be considered until all other methods or treatments failed, the patient showed no signs of improvement and the carpal tunnel symptoms have become worse.
However, the operation should be considered if the patient cannot perform daily tasks or has lost finger coordination and the most important if analysis and tests show permanent damage of the median nerve.
Carpal Tunnel Operation is Not Always Necessary
Sometimes the operation is not the only method to treat this condition so before recommending it a doctor will perform several tests to rule out other conditions that show the same symptoms as the carpal tunnel syndrome.
For diagnosis the doctor will begin with a physical check of the patient’s arms, hands, shoulders, back and neck in order to determine if the symptoms are caused by activities performed every day or a more serious medical condition.
In some cases similar symptoms may occur because of an incorrect desk position, lack of physical exercise, a sedentary life style but an orthopaedic doctor will recognize the signs and put a correct diagnostic.
The wrists are carefully checked for any signs of swelling, weakness, loss of colour, tenderness and warmth. The check continues with the examination of each finger and also the base muscle of the hand is tested for signs of weakness.
Conditions like diabetes or arthritis are discovered with routine laboratory check-ups and bone fractures with X-rays so it’s important to do those too if the doctor recommends it.
Although the operation is no big deal for a doctor for us as patients any surgical intervention is a major event in our lives. Not all of us deal too well with operations and some are even afraid of the thought of spending time in the hospital not to mention pain.
The good news is that the operation can be avoided. If early diagnosed and properly treated the carpal tunnel syndrome will not get worse so that the operation won’t become necessary.
Carpal Tunnel Operation – Procedures
An orthopaedic surgeon can decide between two procedures for an operation.
- Carpal Tunnel Operation – Open Carpal Tunnel Release Procedure .The procedure most commonly used for the operation is the carpal tunnel release. This technique is the classical approach for most surgeons. An incision is made into the fibrous protective cover of the carpal tunnel to help the tension release in the carpal tunnel that takes away the pressure from the median nerve. An Operation starts with a 4 centimetres long incision across the middle area of the palm. The surgeon continues with the dissection of the tissues until the carpal tunnel is reached. Once the carpal tunnel is exposed it is opened in order to reduce the pressure on the median nerve. The operation is a relatively small intervention that takes only about 15 minutes and can be performed under local anaesthesia. In some cases, depending on the patient the doctors maybe opt in for general anesthesia.
- Carpal Tunnel Operation – Endoscopic Carpal Tunnel Release. This operation technique starts with one or maybe two tiny incisions (not bigger than half an inch) through which special medical devices are introduced in order to view the underneath surface of the transverse carpal ligament. The difference between the two procedures is that the endoscopic one does not involve a larger cut of the under skin tissue or palm. This technique has shown and increased popularity over the years both with surgeons and patients.
There also is an experimental method called Balloon Carpal TunnelPlasty that involves the elevation of the carpal ligament that results in more space in the carpal tunnel. The incision necessary for this Carpal Tunnel Operation is just 1 centimetre long and it’s done at the distal wrist crease.
Carpal Tunnel Operation – Recovery and Success Rate
The time spent in the hospital after a carpal tunnel operation depends on the type of used anaesthesia. If you had local anaesthesia normally you can leave the hospital a few hours after the operation but if you went through general anaesthesia you may experience shivering, nausea and in this case the doctors can decide to keep you under observation until all these side effects go away.
Pain in the wrist may be experienced after the anaesthesia effects are gone and it’s up to every patient how she or he handles it but don’t worry you will be given pain killers to help you deal with the initial pain.
The pain will be more intense in the first few days after the surgery and will completely go away in maximum three weeks and it responds to normal pain killers. Make sure to report any symptoms you may experience to your doctor or nurse to ensure a smooth recovery without any complications.
The after surgery care should continue at home, you will keep your hand above your head to reduce swelling for the first few days after the surgery, rest in on a pillow while sleeping, do some finger exercises and keep it in a special support brace. You will need to go to a check-up usually two weeks after the surgery but that will be decided by your doctor.
No matter the technique used for the carpal tunnel operation (open or endoscopic) the success rate is above 90%. A failed result in most cases means an incorrect diagnostic where the carpal tunnel syndrome is cause by another condition. In this case carpal tunnel operation will help reduce the symptoms but recurrence might happen if the other condition is left untreated.
In general, the endoscopic procedure is more popular than the traditional one because of the shorter recovery period and the patient being able to resume his or her work or normal daily activities faster. The carpal tunnel operation is usually performed by an orthopaedic or hand doctor and even a plastic surgeon.
Thank you for visiting my website, I sincerely hope that the information has been useful to you, if you would like to contact me about anything related to the site please do not hesitate and I will do my best to help you in any way I can,
And if you would like to know more about a cure for your Carpal Tunnel without having to go thru surgery there is a great website here that really is worth having a look at, Click Here
Good luck and I really hope you find a cure for your pain,,,,Lee
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