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About Carpal Tunnel Syndrom

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 Meerut.

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Overview

know-more-about-Carpal Tunnel Syndrome-treatment-in-Meerut
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-Meerut

Treatment

Diagnosis

An orthopedic specialist can diagnose 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 is 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.

Procudure

An orthopedic specialist can diagnose 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 is 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.

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.

Frequently Asked Questions

What is the cost of Carpal Tunnel Release Surgery in Meerut?

The cost of carpal tunnel release surgery in Meerut can range between Rs. 40,000 and Rs. 60,000. But this is not a fixed price and is subject to change based on multiple factors like the doctor fee, hospital charges, cost of medications, and the amount to be paid for diagnostic tests.

When can I start using my hand normally after undergoing Carpal Tunnel Release Surgery?

You will have to wear a wrist band or brace after the surgery for support. Within a week or two, you can resume light activities. Normal recovery takes about four to six weeks. So as weeks go by, you can resume regular activities slowly but make sure not to strain the wrist too much.

Can I get carpal tunnel syndrome again after surgery?

Endoscopic carpal tunnel release surgery releases the pressure on the median nerve by cutting a small part of the ligament that causes the suppression, so the chances of recurrence are extremely rare. Less than 5 percent of people experience recurrence after surgery.

Who is likely to get Carpal Tunnel Syndrome?

People whose occupations require repetitive hand and wrist movements, like artists, musicians, athletes, manual workers, etc. are vulnerable to carpal tunnel syndrome. In the beginning stages, the condition can be managed by nonsurgical methods. But if the condition progresses, carpal tunnel release surgery is required to treat the condition and alleviate the symptoms effectively.

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.

What are some nonsurgical treatment options for carpal tunnel syndrome?

In the beginning stages of carpal tunnel syndrome, there is close to no nerve damage. This makes treatment of symptoms possible with nonsurgical treatment options. By diligently following nonsurgical treatment options, the pain and symptoms can be relieved, and the functioning of the hand can be improved without surgery.

Some conservative treatments for carpal tunnel syndrome are listed as follows.

Wearing a brace or splint on the wrist reduces pressure on the median nerve and helps in relieving the symptoms of carpal tunnel syndrome.

Some anti-inflammatory medications can be used to relieve inflammation and pain on the wrist. Such medications can be bought from local drugstores and don’t require prescriptions. Changes in lifestyle and activity modifications can help avoid further damage to the median nerve and control the condition. Steroid injections can be taken to relieve nighttime pain, cramps, and flare-ups. However, this is not a permanent fix and provides just temporary relief.

Undergoing physiotherapy can go a long way in treating carpal tunnel syndrome. The exercises can relieve pressure on the median nerve and provide mobility to the wrist and fingers. Physical therapy with specific exercises can help the nerve move freely.

Nonsurgical treatment methods can be effective if there is no nerve damage and symptoms are not severe. But if the condition has advanced, nonsurgical treatment will be futile, and surgery will be required to treat the condition.

Treat Carpal Tunnel Syndrome permanently with Endoscopic Carpal Tunnel Surgery in Meerut

Pristyn Care, one of the best healthcare providers in Meerut is known to provide excellent orthopedic treatment and care and can cure you of carpal tunnel syndrome permanently with endoscopic carpal tunnel release surgery.

Endoscopic carpal tunnel release surgery is a minimally invasive procedure that relieves the pressure on the median nerve in the wrist and eliminates symptoms of carpal tunnel syndrome effectively. In this procedure, an endoscope is inserted in the wrist with the help of a thin and flexible tube through a small incision. The doctor can visualize the ligaments and nerves on the screen connected to the endoscope.

When the median nerve and ligament are located, a small portion of the ligament suppressing the nerve is cut to relieve the pressure. This alleviates the symptoms of carpal tunnel syndrome like pain, immobility, numbness, etc.

Why should you choose carpal tunnel release surgery?

If carpal tunnel syndrome is left untreated, the severity of the symptoms heightens and the nerve damage worsens. In such cases, if any of the non-surgical treatment options fail to have an effect, carpal tunnel release surgery should be considered.

When the following symptoms become persistent, you should discuss carpal tunnel release surgery with your doctor

Burning and tingling sensation in the hands and fingers.

Chronic shooting pain in the index finger, middle finger, and thumb.

Cramping and severe pain in the hand at nighttime. Difficulty in moving fingers and wrist.

Weakness in hand and loss of grip. Inability to hold and pick up objects.

What should you expect after an Endoscopic Carpal Tunnel Release?

After an endoscopic carpal tunnel release surgery, you will have to keep your hand elevated with the help of a splint. You’ll also have to wear a wrist brace for two to three weeks. This will keep the joint in place and restrict extreme and unnecessary movements, thus enabling a safe recovery. The bracelet will also compress the joint in place and minimize swelling of the operated wrist.

In a couple of weeks, you will be able to resume normal, light activities like using a spoon and dressing up by yourself. In about 3-5 weeks, you’ll be able to do more demanding tasks, like writing, typing, sewing, etc. If all goes well, the nerve damage will be fully repaired within four to six months and all the symptoms of the carpal tunnel will disappear.

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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