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What To Expect After Endoscopic Carpal Tunnel Release Surgery

Your has recommended that you undergohand surgery to treat carpal tunnel syndrome. But what exactly is carpal tunnel syndrome? The median nerve, which carries sensationto the thumb and first three fingers, passes through a natural passageway in the wrist.This opening called the carpal tunnel is formed by archshaped wrist bones and a connectingligament. Various conditions, such as pregnancy, injury,arthritis and changes in the tendons caused by repetitive motion can crowd the alreadynarrow tunnel, putting pressure on the nerve. This added pressure can cause a tingling sensationin the fingers and the thumb and may even

lead to numbness, pain and restricted movement.This combination of symptoms is called the carpal tunnel syndrome. Your Procedure: On the day of your operation, you will beasked to put on a surgical gown. You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operatingtable. Your will scrub thoroughly and willapply an antiseptic solution to the skin around

the area where the incision will be made. Next, the surgeon will numb the involved areaof the hand and wrist with an anesthetic, either with a local injection or by completelyblocking a nerve higher up on the arm. When the operative field is completely numbthe surgeon will make an incision. Skin and other tissue will be carefully drawnaside to expose the carpal ligament. Then the surgeon will cut the ligament, relieving pressure on the nerve that runsbeneath it. Finally the will close the incisionwith fine sutures.

A sterile bandage will be applied and a splintwill be put in place to prevent the wrist from moving while healing takes place..

Carpal Tunnel Syndrome Part 3 Endoscopic Carpal Tunnel Release

(light rock music) Treatment options forcarpal tunnel syndrome include nonsurgical optionsand surgical options. As far as the nonsurgical options for treatment of carpaltunnel, 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 ofthose activities again. Sometimes antiinflammatoriesand 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 primarilyindividual 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 gettinga full night’s sleep, and none of the nonsurgicaltherapeutic measures are helping them with their symptoms, then at that point it’stime 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 endoscopiccarpal 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 tobe done endoscopically. This is just a very smallopening that we’ll be creating just to get the scope intothe 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 weopen up the carpal canal.

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