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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 Pune.

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

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.

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

Tips for post-operative care and management after Carpal Tunnel Release Surgery

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Is carpal tunnel surgery covered by insurance?

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

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What complications can occur with use of non-surgical treatments of carpal tunnel syndrome?

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What is the median nerve?

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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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How do orthopedic doctors treat carpal tunnel syndrome?

Your course for treatment for carpal tunnel syndrome will begin with diagnosis. After a comprehensive, detailed examination and diagnosis, your orthopedic specialist will provide a personalized treatment plan, tailored as per your case. Depending on your condition and symptoms, your orthopedist might recommend bracing or wearing a splint to keep the wrist in a neutral position. Anti-inflammatory medications and steroid injections might also be recommended to relieve painful symptoms of CTS.

Your orthopedic doctor might also recommend physiotherapy, which will focus on nerve gliding exercises and help alleviate the symptoms. Patients involved in jobs or activities that involve repetitive use of hand and wrist, might be suggested activity changes to reduce the symptoms.

In severe cases, when nonsurgical treatments have not relieved your symptoms of carpal tunnel syndrome, your orthopedist might bring the option of carpal tunnel release surgery. Call us today to find out if carpal tunnel syndrome is the cause of your painful symptoms and get a personalized treatment plan, based on your case.

What are the advantages of undergoing endoscopic carpal tunnel release surgery?

Benefits of choosing the modern procedure of endoscopic carpal tunnel over conventional surgery has the following advantages –

  • Smaller incision
  • Shorter hospital stay
  • Faster and complication-free recovery
  • Reduced postoperative pain
  • Reduced risk of postoperative complications
  • Lower risk of damage to the nearby nerves and blood vessels

Most orthopedic surgeons prefer to use modern, less invasive surgical techniques for various orthopedic surgeries as they involve a smaller incision (comparatively) and thus result in speedy recovery and shorter hospital stay. To know more about endoscopic carpal tunnel release surgery and how it can help you, meet our specialist doctors for carpal tunnel treatment in Pune.

Orthopaedic Treatments we provide in Pune

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

  • Carpal tunnel Release Surgery
  • Knee Replacement
  • Hip Replacement
  • Arthroscopy
  • ACL Reconstruction
  • Meniscus surgery
  • PCL surgery

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

Meet the best orthopedic surgeons for carpal tunnel treatment in Pune

Connect with us and meet our trusted and renowned orthopedic specialists for carpal tunnel syndrome treatment in Pune who are trained and certified in the diagnosis and treatment of various joint and orthopedic problems. Call us today or fill the “Book Appointment form” present alongside. You can also book an online consultation with the doctor from anywhere you are.

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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