Hi, I’m Dr. Bennett Brown, hand and upper extremity specialist at the Orlin and Cohen Orthopaedic Group. Today I will be talking about Carpal Tunnel syndrome.Carpal Tunnel syndrome is a very common problem that affects the hand and fingers most commonly the thumb, index, middle, and half of the ring finger. This condition has recently gained a lot of attention because of suggestions that it maybe associated with occupations that require repetitive use of the hands and fingers, such as typing. However, anyone can develop carpal tunnel syndrome. To review some background information on this condition, the carpal tunnel is a space, or.
Tunnel, located at the wrist, that contains 9 tendons and the median nerve image. This tunnel and the 10 components that pass through it are surrounded by very unforgiving structures some wrist bones and a thick ligament. When the space in the tunnel gets smaller for example, tendons increase in size as with repetitive or overuse of the fingers, such as typists, increased fluid as with pregnancy, or the ligament becomes thickened as with people who place a lot of pressure on their hands, or use vibrating tools the nerve get compressed,.
And damaged. Symptoms that patients experience when this occurs can vary. Early symptoms can include some numbness or tingling in the fingers. Pain can also occur in this distribution and frequently wakes people up at night. Weakness in the hand and fingers is a late symptom of Median nerve compression.I usually prefer to treat carpal tunnel syndrome with conservative or nonsurgical measures first.A wrist brace can be used to relieve pressure on the nerve. Although it maybe cumbersome for some people to wear this during the day, it can be very.
Carpal Tunnel Syndrome Dr. Bennett Brown, Hand and Upper Extremity Specialist
Effective at resolving night pain when wearing it to sleep. Antiinflammatory medications, such as over the counter Advil, Motrin, or Alleve, can decrease swelling and inflammation at the carpal tunnel which can relieve some early symptoms in this condition. If bracing and antiinflammatory medications do not help, a cortisone injection can sometimes alleviate the patient’s symptoms. Cortisone is a strong antiinflammatory that can decrease swelling in the carpal tunnel, and thus relieve pressure on the nerve. The last line of treatment is a Carpal Tunnel Release. This is a small surgery that is done.
As an outpatient procedure that I perform in an ambulatory surgery center. The surgical incision is small, about 1 inch long. The ligament over the carpal tunnel is released, which gives the median nerve room to breathe. The entire procedure usually takes me about 510 minutes to complete. After surgery, patients are placed in a soft dressing with their thumb and fingers free. The sutures are removed at about 10 days, and once the incision is healed, the patient can return to pretty much all of their daily activities. Most of my.
Patients require some form of therapy after surgery. Common interventions include scar massage, range of motion, and strengthening of the hand and fingers. Pain is the first symptom to resolve, and it usually happens immediately. Numbness and tingling improves next and weakness is usually last to improve. The patient’s improvement and relief of symptoms depends on how severe or prolonged the compression was before the surgery. And it can take up to 9 12 months for full improvement to be appreciated, especially with severe compression. For more information on Carpal Tunnel Syndrome, you can visit our patient education section.