(light rock music) Treatment options for carpal tunnel syndrome include nonsurgical options and surgical options. As far as the nonsurgical options for treatment of carpal tunnel, that would include nightime bracing, avoidance of activities.
That cause the symptoms, such as driving, riding a bike, those types of things. Give your hand a rest. Let the symptoms disappear before beginning the onset of those activities again. Sometimes antiinflammatories and vitamin B6.
Can be helpful adjuncts to treating carpal tunnel syndrome. Surgical treatment is primarily determined based on the patient’s symptoms. Basically, this is primarily individual patient driven. If the patient gets satisfactory.
Alleviation of the symptoms by undergoing conservative treatment options, then we stick with that plan of treatment. If the patient continues to have symptoms, particularly if the symptoms are waking them up at night,.
Preventing them from getting a full night’s sleep, and none of the nonsurgical therapeutic measures are helping them with their symptoms, then at that point it’s time to go to surgery, and that’s irrespective of the severity on the electrodiagnostic study.
So primarily surgery is determined based on the patient’s symptoms. To a degree it is determined based on the electrodiagnostic study as well. Today we’re going to go ahead and look at a surgical case of endoscopic carpal tunnel release.
This is a patient who’s had symptoms of carpal tunnel syndrome for some time and she hasn’t gotten any relief with conservative management, so we’ve opted for surgical release, and this one is going to be done endoscopically.
This is just a very small opening that we’ll be creating just to get the scope into the area under the wrist. And come in there, Steve. Then just cutting part of the ligament that’s in the forearm here. Now what we do is we open up the carpal canal.
Carpal tunnel syndrome animation
Carpal tunnel syndrome is a common condition that causes pain and numbness in your hand and fingers. It affects one of the main nerves in your hand. It travels from the armpit, down the arm and through the carpal tunnel at the wrist into the hand. The carpal tunnel is a narrow passage in your wrist.
Made up of small bones. And a tough band of tissue. The carpal tunnel protects the median nerve and tendons that pass through it. These tendons move your fingers and wrist and the median nerve controls your thumb muscles and gives you feeling in your hand.
If the narrow space inside the carpal tunnel is reduced, it can put pressure on the median nerve. This is known as: It can be caused by:. .or a condition such as rheumatoid arthritis which causes swelling around the wrist. When the median nerve is compressed, it may cause pain, numbness,.
And a burning or tingling sensation in your hand and fingers. The muscles in your thumb may also become weak, making it difficult to grip objects. Carpal tunnel syndrome often goes away without treatment, which is common in pregnant women and those under the age of 30. If your symptoms are mild to moderate,.
Carpal tunnel syndrome can be treated with a wrist splint or antiinflammatory medicines to reduce the swelling. However, if your symptoms are severe, and no other treatment has worked, your may recommend you have surgery known as: You will be given an injection, local anaesthetic, to numb your hand and arm.
Your surgeon will use either open surgery or keyhole, laparoscopic, surgery. In open surgery, a single incision is made along the base of your palm and a cut is made in the carpal ligament to release the pressure on the median nerve. In keyhole surgery, a smaller incision is made above the wrist.