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Carpal tunnel syndrome (CTS) is a medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. The main symptoms are pain, numbness and tingling in the thumb, index finger, middle finger and the thumb side of the ring finger.

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Carpal tunnel syndrome symptoms usually occur while

holding a phone or a newspaper, gripping a steering wheel, or waking up during the night.

Diagnosis

PHYSICAL EXAMINATION

Your doctor may test the feeling in your fingers and the strength of the muscles in your hand by simply Bending the wrist, Tapping or Pressing on the nerve.

ELECTROMYOGRAM

This test is a “Gold” standard of CTS which measures the tiny electrical discharges produced in muscles. During this test, your doctor inserts a thin-needle electrode into specific muscles to evaluate the electrical activity when muscles contract and rest.

This test can identify muscle damage and also may rule out other conditions.

In a variation of electromyography, two electrodes may be taped to your skin.

A small shock is passed through the median nerve to see if electrical impulses are slowed in the carpal tunnel.

Nerve conduction study may be used to diagnose your condition and rule out other conditions.

X-RAY

Additional, your doctor may conduct an X-ray of the affected wrist to exclude other causes of wrist pain, such as arthritis or a fracture.

Treatment

If the condition is diagnosed early,

nonsurgical methods may help improve carpal tunnel syndrome.

WRIST SPLINTING

A splint that holds your wrist still while you sleep can help relieve nighttime symptoms of tingling and numbness.

Nighttime splinting may be a good option if you’re pregnant.

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs)/ CORTICOSTEROIDS

NSAIDs may help relieve pain from carpal tunnel syndrome in the short term. There isn’t evidence, however, that these drugs improve carpal tunnel syndrome.

SURGERY

Surgery may be appropriate if your symptoms are severe or don’t respond to other treatments.

The goal of carpal tunnel surgery is to relieve pressure by cutting the ligament pressing on the median nerve.

ENDOSCOPIC SURGERY

Your surgeon uses a telescope-like device with a tiny camera attached to it (endoscope) to see inside your carpal tunnel.

Your surgeon cuts the ligament through one or two small incisions in your hand or wrist.

Endoscopic surgery may result in less pain than does open surgery in the first few days or weeks after surgery.

 

BENEFITS of ENDOSCOPIC SURGERY with US

– Outpatient procedure. Patients go home the same day

– Local or Regional anaesthesia reduces risks associated with General anaesthesia

– A small incision (less than 1 cm) leads to Reduced risk of infection and Less surgery-related blood loss

– Minimal trauma to soft tissue and muscles

– Low postoperative pain

– Disappearance of “familiar” pain and severity immediately after surgery

– Fast recovery with minimal rehabilitation, quick return to your usual lifestyle

– Better functional and cosmetic results

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