Carpal tunnel syndrome: When is the surgical intervention necessary?
Carpal tunnel syndrome: When is the surgical intervention necessary?
Tennessee, USA - The carpal tunnel syndrome is a widespread disease that arises when the middle arm nerve, also known as a median nerve, comes under pressure in the wrist. This compression can lead to considerable symptoms, which are expressed by tingling, numbness, deafness in thumb, index, medium and ring fingers as well as pain that radiates in the hand or arm. In addition, even the loss of griffin power and paralysis can occur in severe cases. This information provides the health website Joint clinic .
The symptoms of the carpal tunnel syndrome are particularly common in women between the ages of 40 and 70, with the risk of being affected, around 10%. The causes of the disease can be varied, including thickening of the tendon sheaths or the carpal band, which exerts pressure on the nerve. An early diagnosis is crucial, and often a combination of tests, including the phalen test and electroneurography, is used to identify the condition.
treatment options
Anyone who suffers from carpal tunnel syndrome initially has the option of trying conservative treatment methods. This includes the use of wrist rails overnight and cortisone injection reduction, such as
There are two common surgical procedures. With the open surgery, which requires an approx. 5 cm long skin incision, the carpal band is cut to relieve the median nerve. As a rule, this leads to a larger scar and longer healing times. In contrast, the minimally invasive, endoscopic operation, in which only two small skin slopes are set. This method promises faster healing and smaller scars. Regardless of the selected method, the operation is considered low in risk, although complications such as wound infections or nerve damage can occur.
after treatment and rehabilitation
After treatment, a crucial role for the healing process plays. In the first few days after the operation, the wrist should be stored to reduce swelling. Those affected are advised to carry out gentle finger movements and gradually integrate the initial movements into everyday life, as wikihow.com . It is also recommended to wear a wrist splint for a temporary duration in the second week after the operation.
Targeted rehabilitation helps to promote mobility and prevent stiffness. Exercises that include the abduction and addiction of the fingers as well as wrist turns should be stepped into the rehabilitation plan gradually. As a rule, 80-90% of patients report a significant improvement after the operation, but the full recovery can take weeks to months.
In the first six weeks after the operation, the load on the hand should be capped, whereby a return to work depends heavily on the type of activity. The findings on the forecast are also exciting: after the operation, 99% of the patients are painless, which makes this measure an often promising solution.
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