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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 Mumbai.

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.

Causes

  • Thyroid dysfunction
  • Fractures or trauma to the wrist
  • Diabetes
  • Autoimmune disorders such as rheumatoid arthritis
  • Fluid retention from pregnancy or menopause

Symptoms

  • Numbness, tingling, and pain in your thumb and the first three fingers of your hand
  • Pain and burning that travels up your arm
  • Weakness in the muscles of the hand
  • Wrist pain at night that interferes with sleep

Treatment

Physical examination for Carpal Tunnel Syndrome

Diagnosis

Before a doctor can recommend the treatment for carpal tunnel syndrome, he or she will perform a thorough diagnosis to evaluate the condition through the patient’s medical history, a physical examination and often diagnostic tests. The doctor will ask you about your symptoms and ask about the severity of these symptoms and how much they affect your daily living. A carpal tunnel syndrome doctor in Mumbai can diagnose carpal tunnel syndrome by doing a physical examination and tests called nerve conduction studies to examine and assess sensation, strength and reflexes of the hand and wrist.

The doctor may also ask you to have diagnostic tests including:

  • X-ray to look at the bones of the wrist in order to determine if there are any abnormalities that may contribute to carpal tunnel syndrome.
  • Ultrasound to evaluate the median nerve and look for any mass lesions which may be present in the carpal tunnel.
  • Electromyogram and Nerve Conduction Study (EMG and NCS) to show how the muscles and nerves are working together.

Procedure

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.

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Frequently Asked Questions

What activities can cause carpal tunnel syndrome?

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When can I go back to work after carpal tunnel surgery? 

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

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Will my insurance cover carpal tunnel surgery?

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When can I drive after carpal tunnel surgery?

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Is homeopathic medicine for carpal tunnel syndrome effective?

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Is ayurvedic treatment for carpal tunnel syndrome effective?

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How long is the carpal tunnel surgery incision?

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How much does carpal tunnel syndrome treatment cost?

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Where would I feel carpal tunnel pain?

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What is a carpal tunnel?

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

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When can I drive after carpal tunnel surgery?

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What is the goal of carpal tunnel surgery?

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When should you see a carpal tunnel syndrome doctor in Mumbai?

Carpal tunnel syndrome is the most common syndrome affecting the hand. People who perform repetitive hand motions, have a family history of this syndrome, or have certain chronic medical conditions such as diabetes are more likely to be affected by this condition. You should see an orthopedic doctor if you have one or more of the following signs-

  • Weakness in the hand, thumb, or fingers
  • Inability to bring together the index finger and thumb of the same hand
  • Difficulty in holding objects or performing simple movements with hands
  • Numbness, tingling, or pain in the hand for fingers, which has lasted more than 2 weeks
  • Other symptoms of carpal tunnel syndrome that affect your ability to carry out regular work

How to prepare for my carpal tunnel release surgery?

Prior to your surgery, your orthopedic surgeon will ask about all medicines you are taking at that moment, including over the counter (OTC) medicines, dietary or natural supplements and vitamins. You might be asked to stop taking certain medicines, such as ibuprofen and aspirin as they make it difficult for the blood to clot. If you are a smoker, you will be strongly advised to quit before the surgery as smoking can delay healing. You might be asked not to eat or drink anything for 6-12 hours before the surgery.

Based on your medical condition and history your orthopedic surgeon may request other specific preoperative preparations. You may need to undergo certain preoperative tests such as blood tests or an electrocardiogram (ECG) before the surgery. This usually happens the same day of the surgery.

What are the benefits of undergoing endoscopic 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 houses some of the best hand surgeons in Mumbai and aims to provide the high-quality of orthopedic care and the most suited treatment for carpal tunnel syndrome in your case.  

What are the risks and complications associated with carpal tunnel surgery?

Some of the potential risks and complications associated with carpal tunnel release surgery include-

  • Infection
  • Damage to the nerves, which can cause weakness, loss of feeling in the hand and wrist and even paralysis
  • Pain and stiffness in the operated hand and wrist
  • Injured tendon, causing weakness in the wrist and loss of strength
  • Worsening of symptoms even after surgery

Your orthopedic surgeon will take various necessary precautions and will go through your medical history prior to the surgery to eradicate the risks and complications associated with carpal tunnel release surgery. 

Orthopedic Treatments we provide in Mumbai

Our orthopedic surgeons can diagnosis and treatment a wide range of conditions and can performing modern, less invasive orthopedic surgeries including-

  • Knee Replacement
  • Hip Replacement
  • Arthroscopy
  • ACL Reconstruction
  • Meniscus surgery
  • PCL surgery

To know more about our orthopedic treatments in Mumbai, connect with us using the “Book Your Appointment” form or call us at 9311583423. 

Make your appointment at the best orthopedic clinic for carpal tunnel syndrome treatment in Mumbai

At Pristyn Care, we have the best orthopedic specialists for carpal tunnel treatment in Mumbai who are trained and certified in the diagnosis and treatment of various joint problems. To schedule an appointment with the best hand surgeons in Mumbai for your treatment, call us at our number or make your appointment from our website or mobile application. 

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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