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About 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.

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Overview

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

Treatment

Diagnosis of Carpal Tunnel Syndrome

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.

Carpal Tunnel 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 choose Pristyn Care?

Best Healthcare Provider for Carpal Tunnel Treatment

01.

Hassle-free treatment journey

We provide hassle-free treatment to all patients for carpal tunnel surgery with a convenient and comfortable treatment journey.

02.

US FDA-approved treatments

We avail all patients with advanced state-of-the-art treatments for carpal tunnel release surgery for successful treatment and long-term recovery.

03.

Expert and experienced orthopedic specialists

We have a team of expert and experienced orthopedic surgeons and doctors with over 8 years of experience treating advanced orthopedic issues like carpal tunnel syndrome.

04.

Minimal chances of complications

We take care of all aspects of the patient’s treatment journey to ensure minimal chances of complications at any point during the treatment.

Frequently Asked Questions

Is carpal tunnel surgery covered by insurance?

Most health insurance companies cover the cost of carpal tunnel release surgery and provide up to full coverage. We have a dedicated team for hassle-free insurance approvals of our patients. You can also avail our No-Cost EMI Option in case you need assistance with finances for the surgery.

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

  • Minimum cost of Carpal Tunnel Release Surgery in Nashik- INR 40,000
  • Maximum cost of Carpal Tunnel Release Surgery in Nashik- INR 60,000

There are several factors that can influence the cost of your carpal tunnel release surgery, including, general fee of the surgeon performing the surgery, type of anesthesia administered and if the city where the surgery is being performed. You can get in touch with our team to get an estimated cost of carpal tunnel surgery in Nashik.

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 but make sure not to strain the wrist too much.

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.

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.

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.

What are some non-surgical 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.

Endoscopic Carpal Tunnel Surgery in Nashik

Pristyn Care, one of the best healthcare providers in Nashik 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.

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.

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 days, you will be able to resume normal, light activities like using a spoon and dressing up by yourself. In about two 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.

Why should you undergo 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.
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