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What is carpal tunnel syndrome?

Carpal tunnel syndrome, also known as median nerve compression, is a condition which affects the hand. The median nerve is located on the palm side of your hand which is also known as the carpal tunnel. The median nerve is responsible for providing sensation to the thumb, the index finger, and parts of the ring finger. The nerve is responsible for the muscle going to the thumb. Carpal tunnel syndrome is usually accompanied by sensations of pain, tingling, burning or swelling in the palm of the hands and may extend to the first three fingers of the hand and the thumb.

If you have signs of carpal tunnel syndrome, better not avoid the condition and visit an expert orthopedic doctor for carpal tunnel treatment in Gurgaon.

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Overview

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Carpal Tunnel Surgery Incision
  • Incision in open carpal tunnel release surgery is about 2 inches.
  • In endoscopic carpal tunnel release ,the doctor makes two incisions of half-inch each.
Carpal Tunnel Syndrome Management
  • Wearing a wrist splint to put it in a neutral position
  • Ultrasound therapy
  • Oral corticosteroids
  • Local steroid injections
  • Anti inflammatory medications
  • Surgery
Restrictions after Carpal Tunnel Surgery
  • Avoid lifting things heavier than 0.5 to 1 kg and overusing your hand for about 2 weeks.
  • Avoid doing repeated arm or hand movements and activities like typing or using a computer, or chopping food.
  • Avoid activities that cause vibration in the hand.
Doctor-performing-Carpal Tunnel Syndrome-surgery-in-Gurgaon

Treatment

Carpal Tunnel Syndrome Diagnosis

A doctor can diagnose a carpal tunnel syndrome by doing a physical examination and tests called nerve conduction studies. The physical examination may include a thorough evaluation of your hand, shoulder, wrist, neck or any other parts that can cause pressure in the nerve. The doctor may also check if there are any tenderness or swelling in the wrist. The doctor may further check the sensation of the fingers and the strength of the muscles in your hand.

Carpal Tunnel Release Surgery

To relieve the symptoms of carpal tunnel syndrome, an orthopedic doctor performs a surgery called Carpal Tunnel Release surgery. The goal of carpal tunnel surgery is to reduce pain, swelling and pressure on the median nerve. This surgery is performed in a hospital operating room under the influence of general or local anaesthesia on an outpatient basis. During the surgery, the orthopedic surgeon makes 1 or 2 small incisions, about ½ inch each, in the palm or wrist area. These small incisions will result in very small scars, which in most cases are unnoticeable.

An endoscope is inserted through one incision. The endoscope has a camera on its end, which allows the doctor to look for any pathology or anomaly. The endoscope presents an image on the television screen that allows the surgeon to see the inside of the hand or wrist directly. The doctor may insert surgical instruments through the second incision to cut the transverse carpal ligament and thus releasing the pressure on the median nerve by expanding the carpal tunnel. After the ligament is cut, the incisions are closed by dissolvable sutures. Carpal tunnel release surgery is much less traumatic to the joint, muscles ligaments, and tissues than the conventional carpal tunnel surgery that is performed with long incisions.

In Our Doctor's Word

What-Dr. Ashish Taneja-Say-About-Carpal Tunnel Syndrome-Treatment

Dr. Ashish Taneja

MBBS, MS - Orthopaedics

17 Years Experience

"The prevalence of Carpal Tunnel Syndrome is 2.7% to 5.8% in general population. In Inida alone, there are several people suffering from Carpel Tunnel Syndrome and most of them kleep delaying their treatment because of some misconceptions. But the truth is, most of the cases can be treated with the help of medications, surgery and physiotherapy. But, since patients do not approach us on time, the delay severs the condition and makes difficulty to treat. See, the symptoms usually begin through an abnormal pain or swelling around your wrist. If you are experiencing any, do not wait for it to get worse/ self diagnose. See a specialist as soon as possible., because they are the one who can really treat or cure your condition."

Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

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Frequently Asked Questions

Where is the carpal tunnel found?

The carpal tunnel is the passageway in the wrist which is made up of the carpal bones and ligaments which connect the pillars of the arch. The median nerve passes through the tunnel and provides sensation to your thumb, index finger, middle finger and the thumb side of the ring finger.

What post-operative instructions are given after carpal tunnel surgery?

After carpal tunnel release surgery, the orthopedic surgeon will tell you what to expect and what all you can do and cannot do. Common post-operative guidelines after carpal tunnel release include:

  • Elevate your hand above heart level to help reduce swelling.
  • Wear a splint
  • Use ice packs at the surgical area to reduce swelling.
  • Keep the surgical area clean and dry and cover the area properly to keep it dry when bathing.
  • Go for physiotherapy to restore wrist strength.
  • Eat a healthy diet and avoid smoking to promote healing.
  • When can I go back to work after carpal tunnel surgery?

Most people take about a week but the time you should take off work after surgery mainly depends on the type of your job. If your job involves manual or high repetitive activities or work for a longer period of time, consider taking a few weeks of break after your surgery.

When is carpal tunnel syndrome the most troubling?

Carpal tunnel syndrome generally affects the index finger, the thumb, and the middle fingers. The trouble particularly worsens during the night. Middle-aged women suffer more from the condition.

What will happen if I do not have a surgery for carpal tunnel syndrome?

Delaying or avoiding surgery for carpal tunnel release can worsen the severity of the condition and you may experience a progression of the current symptoms and may experience severe pain and reduced hand motion. Patients are suggested to have surgery for carpal tunnel syndrome as soon as possible to prevent further deterioration. To consult our orthopedic surgeons for carpal tunnel syndrome in Gurgaon, give us a call to make an appointment at our orthopedic clinic in Gurgaon.

Are nonsurgical treatments and care effective for carpal tunnel syndrome?

Nonsurgical treatments for carpal tunnel syndrome can often provide relief for mild cases of carpal tunnel syndrome. If no relief is found after 4 to 6 weeks, it is time to visit an orthopedic doctor. The orthopedic doctor might recommend surgery which is the only treatment that can deliver permanent relief from pain and other symptoms associated with the condition. Surgery is the best treatment for carpal tunnel syndrome when everything else fails. To book your appointment at Pristyn Care, the best clinic for carpal tunnel release in Gurgaon, call us at our number.

Is homeopathic medicine for carpal tunnel syndrome effective?

Carpal tunnel syndrome is a progressive condition that needs medical treatment based on the severity of the condition, backed by a detailed diagnosis. Homeopathic medicine for carpal tunnel syndrome can provide temporary relief from the symptoms but that typically lasts until the medication is continued. Clinical trials and research do not support the effectiveness of homeopathic medicine for carpal tunnel syndrome.

Is ayurvedic treatment for carpal tunnel syndrome effective?

As discussed previously, CTS being a progressive condition requires prompt treatment, based on how severe the condition and symptoms are. Patients with mild symptoms can find short-term relief from ayurvedic treatment for CTS. However, patients with severe carpal tunnel syndrome need a more medically advanced treatment approach, which may include use of steroid injections, wearing a wrist brace, or surgery (when no other treatment can help).

How long is the carpal tunnel surgery incision?

Open surgery for CTS requires a long incision of 2 inches. However, endoscopic carpal tunnel release surgery, which is a less invasive technique to release pressure off the median vein requires two small incisions of about ½ an inch each.

How much does carpal tunnel syndrome treatment cost?

Carpal tunnel syndrome treatment cost will widely vary, depending on the severity of the conditions and the treatment chosen. Nonsurgical treatment options for carpal tunnel syndrome which mainly includes medications, wearing splits, wearing a wrist brace, physiotherapy are usually not very expensive. Surgery, if recommended, can cost from Rs. 25,000 to Rs. 70,000 depending on the type of surgery, physiotherapy, medications and the general expenses of the hospital and surgeon.

Where would I feel carpal tunnel pain?

Carpal tunnel syndrome affects the hand and wrist. Carpal tunnel pain is usually felt worse in the thumb, index and middle fingers. Severe CTS can cause pain in the whole hand. The patient may also have pain running up the arm to the shoulder and neck. In some cases, CTS can affect both hands, which can cause symptoms and pain in both the hands.

What is a carpal tunnel?

The carpal tunnel is a narrow passageway in the wrist and hand that protects the median nerve and other tendons. Carpal tunnel is often the source of carpal tunnel syndrome (CTS), which is caused by repetitive strain injury. The carpal tunnel contains the median nerve and tendons of the flexor digitorum profundus, flexor digitorum superficialis, and flexor pollicis longus. Injury to the carpal tunnel can cause pain, tingling, and weakness in the wrist and hand and may limit or reduce the functional use of the upper extremity.

What are the most common causes of carpal tunnel syndrome (CTS)?

Carpal tunnel syndrome is caused by compression of the median nerve. Pregnant women and people with conditions like diabetes, osteoporosis, rheumatoid arthritis, underactive thyroid, and certain forms of amyloidosis are at increased risk of developing CTS.

People who indulge in repetitive forceful movements involving the wrist and people who use computer keyboards with improper positioning of the hand are also at a risk of CTS. Prolonged exposure to vibrations (such as by using some power tools) is also believed to cause carpal tunnel syndrome. However, in some cases, the cause of CTS cannot be determined.

When can I drive after carpal tunnel surgery?

Driving is not recommended for about 1 to 2 weeks after carpal tunnel surgery.

What is the goal of carpal tunnel surgery?

To relieve the symptoms of carpal tunnel syndrome, an orthopedic doctor performs a surgery. The goal of carpal tunnel surgery is to reduce pain, swelling and pressure on the median nerve. This surgery is performed in a hospital operating room under the influence of general or local anaesthesia on an outpatient basis.

Best Treatment for Carpal Tunnel Syndrome in Gurgaon

The orthopedic doctor will recommend nonsurgical treatment for mild cases of carpal tunnel syndrome. The first mode of treatment of mild carpal tunnel syndrome involves resting and eliminating the possible physical causes for the condition which includes modifying daily activities. Unfortunately, patients who experience carpal tunnel syndrome have symptoms at night will be unresponsive to such lifestyle and behavioural modifications. The orthopedic doctor may recommend wearing splinting the wrist in a neutral position prior before going to bed for temporary relief from the symptoms and pain. Anti-inflammatory medication might also be prescribed to relieve alleviating symptoms due to synovitis (a condition of inflammation synovial membrane) and may help treat the pain.

Medications for carpal tunnel syndrome can provide temporary relief but rarely can provide long-lasting relief and is not a satisfactory solution for the long run. Basically, if symptoms of carpal tunnel syndrome are not short-lived (and are more persistent) or cannot be controlled by nonsurgical measures, then surgery is indicated. Carpal tunnel release surgery is performed to release the pressure on the median vein. If you are suffering from severe pain associated with carpal tunnel syndrome are not able to find a permanent solution, carpal tunnel release surgery might be your answer. Give us a call to book your appointment at Pristyn Care, the best clinic for carpal tunnel syndrome treatment in Gurgaon.

Best orthopedic doctors for carpal tunnel syndrome near you

The tendons and ligaments in our body are very intricate and delicate. Any injury to these can lead to excruciating pain in your hand, shoulders, and in many cases, even in your neck. Although it is true that the pain in your hand can be treated well with certain home remedies and medication, things might not be the same always. In certain cases when the pain gets severe, the patient requires surgical interventions. And surgery to relieve carpal tunnel syndrome is an intricate one that requires supreme medical precision.

Finding reliable orthopedic surgeons has always been a task for the people living in Gurgaon. Pristyn Care clinic in Gurgaon houses some of the most experienced and reliable orthopedic surgeons who come with years of experience in treating various health concerns related to bone and muscle anatomy. The best orthopedic surgeons at Pristyn Care are not only qualified for the surgeries but are also trained to leverage the most advanced tools for the procedure. You can contact the numbers on the website to reach out to our top-notch orthopedic doctors in the city.

What are the benefits of undergoing minimally invasive carpal tunnel release surgery?

The benefits of undergoing minimally invasive endoscopic surgery compared to the alternative, open carpal tunnel surgery, include:

  • Smaller incisions
  • Minimal trauma to muscle, joint ligaments or tissue
  • Less postoperative pain
  • Faster healing and less recovery time
  • Very less risk of infection
  • Minimal scarring
  • Earlier mobilization after surgery
  • Usually performed as outpatient surgery

Pristyn Care provides high-quality and expert orthopaedic care and the best treatment for carpal tunnel syndrome in Gurgaon. Carpal tunnel syndrome is a complicated condition and can affect people and their lives differently. We provide specialised and personalized treatment plans, tailored to the individual needs of our patients. Our clinic is present in various locations in Gurgaon and nearby cities like Delhi, Noida, Faridabad, Agra, Ghaziabad, Jaipur, Gwalior, and many more. Call us or visit our website or mobile application to make an appointment with our top and well-experienced orthopedic surgeons for carpal tunnel treatment in Gurgaon.

Will I be able to carry out regular activities with carpal tunnel syndrome?

Whatever the cause of your carpal tunnel syndrome might be, many individuals find that the pain and other symptoms caused by the condition greatly interferes with their daily life. How much the condition is affecting you will typically depend on the grade or severity of the syndrome. So, it is important to get advice from an orthopedic doctor on how to manage your daily activities. The doctor may also advise you to restrict or avoid certain activities as they may worsen the condition and cause more pain. Most people find getting help for carpal tunnel syndrome from an orthopedic doctor in the initial stages is very helpful. The orthopedic surgeon will suggest suitable treatment for your condition and seek help to manage it.

Why is Pristyn Care the best orthopedic clinic for carpal tunnel syndrome in Gurgaon?

Patients from across Gurgaon choose Pristyn Care for carpal tunnel release surgery as our orthopedic doctors and surgeons have several years of experience and excellence in performance and outcomes with this surgery. We are committed to helping you treat carpal tunnel syndrome, get relief from pain and regain the complete motion of your hand and wrist. Our orthopedic doctors provide exceptional pre-and post-surgical care. With our patient-centric philosophy and best orthopedic doctors on board, we aim to provide our patients the best treatment they need with a compassionate, caring, and rewarding experience.

Carpal Tunnel Syndrome Surgery

The surgical treatment for carpal tunnel syndrome is known as carpal tunnel release. A carpal tunnel release surgery can be performed under two different techniques. Both aim at relieving the pressure on the median nerve by increasing the size of the carpal tunnel, by severing the ligament that forms the roof of the tunnel. The two techniques of carpal tunnel release surgery are:

  • Open carpal tunnel release surgery: A small incision is made in the palm of your hand to view the inside of the wrist. During the procedure, your doctor will cut the transverse carpal ligament to increase the size of the tunnel and relieve the pressure on the median nerve.
  • Endoscopic carpal tunnel release surgery: Endoscopic carpal tunnel release surgery involves a smaller insertion and uses a miniature camera to see the inside of the hand and wrist. A special instrument is used to sever a part of the carpal ligament which reduces the pressure on the median nerve.

Carpal Tunnel Surgery- Endoscopic vs Open Surgery

  • Incision size- Size of open carpal tunnel surgery incision is usually 3 to 4 cm.
  • Endoscopic carpal tunnel incision size is approximately 1 cm, which is much smaller.
  • Blood loss- Due to the smaller incisions, there is minimal blood loss in case of endoscopic carpal tunnel surgery.
  • Recovery Period- Recovery period after endoscopic carpal tunnel release is much smaller as compared to open surgery.
  • Risks and complications- Risk of infection, complications, hand pain and scar tenderness is higher following an open surgery as compared to endoscopic surgery.

How is endoscopic carpal tunnel surgery performed?

Endoscopic carpal tunnel surgery is performed in the hospital under the influence of anesthesia. An endoscope is inserted through one incision. The endoscope has a camera on its end, which allows the doctor to look for any pathology or anomaly. The endoscope presents an image on the television screen that allows the surgeon to see the inside of the hand or wrist directly.

The orthopedic surgeon may insert surgical instruments through the second incision to cut the transverse carpal ligament and thus releasing the pressure on the median nerve by expanding the carpal tunnel. After the ligament is cut, the incisions are closed by dissolvable sutures. Endoscopic carpal tunnel release surgery is much less traumatic to the joint, muscles ligaments, and tissues than the conventional carpal tunnel surgery that is performed with long incisions.

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