Saturday, October 23, 2021

Does Carpal Tunnel Surgery Work

Don't Miss



If The Pain Has Become Unbearable And No Therapeutic Or Medical Treatments Have Worked It Might Be Time To Consider Surgery For Your Carpal Tunnel Syndrome

Carpal tunnel syndrome is a compression of the median nerve that runs through your wrist.

Women are three times more likely to develop the condition, and people in assembly-line work often are affected by it. The result is nagging pain, tingling and numbness in the hand, fingers or thumb. Upon diagnosis, your doctor may recommend a night splint, medical treatments and a variety of therapies to alleviate the pain.

Think of the hand as a plant, while the median nerve, which supplies power and feeling to the hand, is similar to a garden hose. If the garden hose is compressed, then the plant will not receive what it needs to function. This is when patients have symptoms. Surgery is designed to take the pressure off the hose and allow the water to flow.

Neurologist Recommend The Carpal Solution Treatment As The Best First Line Treatment For Cts Patients Say It Is Their Go To Carpal Tunnel Cure

There is no need to go on suffering and worrying. The Carpal Solution Treatment is clinically documented and works for 97% of people.

Most people put their worst symptoms in remission with 2 -4 weeks and complete remission in 6 weeks with this natural stretching treatment that is done during sleep. Then Carpal Tunnel goes into remission for a time frame of 2 – 7 years for most people.

When it comes back you simply repeat the Six Week Doctor’s Protocol and CTS goes back into remission for another 2 – 7 years.

The Carpal Solution Natural Stretching Treatment represents a breakthrough in the treatment of this chronic hand condition. People can treat themselves in the comfort and convenience of home during sleep.

Myth: Any Hand Pain Or Tingling Is A Sign Of Carpal Tunnel Syndrome Especially If You Use A Computer All Day

At the first sign of pain, numbness, or tingling in the hand or wrist, people may assume it’s a sign of carpal tunnel syndrome—especially if they sit at a computer for most of the day. Just as with any repetitive motion that’s done for long periods of time, typing on a keyboard or using a computer mouse all day can cause aches and stiffness in the hands and wrists. But this isn’t necessarily carpal tunnel syndrome.

See Is My Hand and Wrist Pain Caused by Carpal Tunnel Syndrome or Something Else?

Carpal tunnel syndrome has specific symptoms that set it apart from other conditions that can cause pain and numbness in the hand. For example, carpal tunnel syndrome typically causes tingling and numbness in the thumb, index, and middle fingers, but not the ring or pinky fingers. Also, the pain of carpal tunnel syndrome is usually worse at night.

See Distinctive Carpal Tunnel Syndrome Symptoms

It Is Secure And Successful To Use Both The Conventional Open Approach And The Less Invasive Approach

There were some worries that the procedure was risky and more susceptible to complications when endoscopic methods to carpal tunnel surgery were new. But current studies show that both methods are equally safe and accurate. In addition, a faster recovery period and return-to-work date can be given by the endoscopic approach. Your surgeon’s level of familiarity with your chosen approach of carpal tunnel treatment options would need the highest attention.

Ignoring Symptoms Of This Carpal Tunnel Syndrome Can Lead To Permanent Nerve Damage

How Well Does Surgery Work

First, you may notice tingling or numbness in your fingers that comes and goes. Over time, the sensations may get worse, lasting longer or even waking you up at night. Eventually the pain and numbness might even make it hard to grip things like a fork, a pen, or other objects.

If you’re having these symptoms, it could be carpal tunnel syndrome, which occurs when the median nerve — which runs down your arm and into your hand — is compressed by a ligament that crosses over it as it passes through a narrow space in the wrist known as the carpal tunnel.

“Carpal tunnel syndrome has classic symptoms, which include numbness and tingling in the thumb, index finger, middle finger, and half of the ring finger,” says Dr. Tamara Rozental, professor of orthopedic surgery at Harvard Medical School and chief of hand and upper extremity surgery at Beth Israel Deaconess Medical Center. Your little finger is typically not affected because a different nerve serves it.

Myth: Only People Who Work In A Factory Or Type All Day Get Carpal Tunnel Syndrome

Work-related conditions that involve high levels of hand-arm vibration or hand force, prolonged work with a flexed or extended wrist, or high repetitiveness are associated with a higher risk for carpal tunnel syndrome, according to one systemic review of studies.1

See Causes and Risk Factors for Carpal Tunnel Syndrome

However, there is no clinical evidence that work-related factors can cause carpal tunnel syndrome. Experts believe that work-related stress may be the “final straw” for individuals who have other non-behavioral risk factors, such as female sex, advanced age, or a history of diabetes.

Rehabilitation Sessions Ideally Will Occur A Few Times Each Week For Several Weeks

In most cases, orthopaedic surgeons recommend that their patients attend occupational or physical therapy sessions once the stitches have been removed. These sessions ideally occur two to three times each week for four to six weeks.

At first, treatment goals are centered around reducing pain and swelling. Hot and cold packs, electrical stimulation, massaging and ultrasound can all be used as treatment for this purpose. Therapists also device an exercise and stretching plan to help build up strength and range of motion in the affected wrist. A series of fist positions will be provided to help avoid scar tissue formation. When all is said and done, your physical therapists will have provided you with ways to continue going about your daily tasks without exacerbating the incision site and preventing future injury.

Jobs For Carpal Tunnel Sufferers: Best And Worst Jobs For Carpal Tunnel Syndrome

There are specific health conditions which keep you away from performing your regular duties most of the times. Carpal tunnel syndrome is one such condition that may impact your ability to perform your regular task and you may also be unable to do any job. However there are some jobs which you can perform even with your carpal tunnel syndrome, especially once you have treated your condition. There are also some worst jobs that may worsen your condition and may make you completely unfit for performing any task. Read below to know about the best and worst jobs for carpal tunnel syndrome.

Is There Anything I Can Do To Make Sure My Carpal Tunnel Syndrome Doesnt Return

Injections can be helpful but not always successful in the early phase of carpal tunnel syndrome. Therapy does not play a large role in treatment, however, activity modification and mindfulness, including postural control, stress relaxation, diet and exercise, can be successful.

Considering surgery? Consult with the specialists at USC Orthopaedic Surgery at Keck Medicine of USC. To schedule an appointment, call  USC-CARE  or visit https://ortho.keckmedicine.org/patient-information/request-an-appointment/.

 

When Carpal Tunnel Surgery Doesnt Work: Predicting Results Of A Second Surgery

Imagine you have carpal tunnel syndrome that has not responded well to conservative treatment. After having surgery to release the carpal tunnel but you didn’t get the results you had hope for. Instead, the pain remains in your wrist and hand. The numbness and tingling in your thumb and first two fingers is enough to drive you crazy some days. You ask yourself: is it worth it to have a second surgery? If it didn’t work the first time, how can you be sure the procedure will be successful if repeated?

These are the questions surgeons and patients face in about five per cent of carpal tunnel release cases. Some studies have been done to show that steroid injection into the carpal tunnel before the primary surgery is a good predictor of symptom improvement after surgery. Could this same approach be used after a failed first surgery before considering a second release?

The surgeons who conducted this study injected the wrists of 23 patients . The patients involved ranged in ages from 29 to 85 years. Some of the patients had symptoms 40 years after the first surgery.

Everyone was carefully evaluated before injection. The surgeons wanted to make sure the persistent symptoms were really coming from pressure on the median nerve as it passed through the wrist bones forming the carpal tunnel.

Does Carpal Tunnel Syndrome Only Happen To Office Workers Or Factory Workers

No. Many people with carpal tunnel syndrome have never done office work or worked on an assembly line. It affects people who use their wrists and hands repeatedly at work and at play. Anyone can get carpel tunnel syndrome, but it is unusual before age 20. The chance of getting carpal tunnel syndrome increases with age.

What Are The Risks And Potential Complications Of Carpal Tunnel Surgery

As with all surgeries, carpal tunnel release involves risks and possible complications. Complications may become serious and life threatening in some cases. Complications can develop during surgery or recovery.

Complications of carpal tunnel release are uncommon but include: 

  • Adverse reaction or problems related to sedation or medications, such as an and problems with breathing

  • Bleeding

The Great News Is You Can Keep Working As Much As You May Need To Work

Carpal Tunnel

During the first 2 – 3 weeks of the Carpal Solution Treatment, it is better to do lighter workloads with your hands if that is possible.

If you must continue to use your hands with intense workloads during the day, it is ok, but it may take longer to see results with the treatment. You can still achieve complete remission. However, it might require 10 to 12 weeks, instead of 6 weeks if you keep working intensely with your hands.

It is important to keep using your hands during the day, because activity during the day is good for your hands and helps to accelerate recovery from Carpal Tunnel when using the Carpal Solution therapeutic devices.

There is no need to worry and put off proactive treatment. You can get started treating yourself at home this week with a treatment developed by Doctors that is clinically documented, has no risks and works for 97% of patients.

The Carpal Solution also comes with a 30 day money back guarantee!

Neurologists Say:

Order Today!

Most people cure their worst symptoms within a week and get complete remission within 6 weeks. Then Carpal Tunnel Syndrome goes away for 2 to 7 years. When you work intensely with your hands 40 – 60 hours each week, the symptoms come back more quickly, usually within a year or two. The reason active people love the Carpal Solution, is it allows them to work as much as they might need to without worry and unnecessary downtime and without the risks associated with Carpal Tunnel Surgery and Steroid Injections.

Myth: Getting Carpal Tunnel Surgery Means Missing Work For A Long Time

Many people are hesitant to consider carpal tunnel release because they fear losing use of their hand for weeks or even months, or they don’t feel they can take enough time off work. But the recovery period for carpal tunnel release can be relatively quick—light non-repetitive use of the hand is permitted after about a week, when the bandage is removed.

In fact, those who have jobs with minimal involvement of the affected hand may return to work in a week or two. This may be particularly true for those who receive the endoscopic approach. A splint may still be needed occasionally to support the wrist, especially at night.

See Surgery for Carpal Tunnel Syndrome

Patients who had the procedure in their dominant hand or who perform repetitive labor, such as an assembly line worker, may need to wait six to eight weeks before returning to work. After two or three months, most patients will experience the return of grip and pinch strength and can resume heavy use of the hand.

Minimally Invasive Carpal Tunnel Surgery Offers Quicker Healing

Mar. 19, 2020, 8:37 AM

Tommy Rainey suspects problems with his hands began as a result of countless hours at the keyboard during his long career as a publisher and writer, and when tingling and numbness in his left hand continued to worsen, he knew he had to get help.

The 66-year-old Nashville resident met with Vanderbilt University Medical Center hand surgeon Brad Hill, MD, and his main concern was that surgery might hinder his active lifestyle, especially his routine of using a rowing machine to maintain his health.

After a nerve conduction test, Rainey was diagnosed with carpal tunnel syndrome . This occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed. The carpal tunnel — a narrow passageway of ligament and bones at the base of the hand — houses the median nerve and tendons that bend the fingers. The median nerve also provides feeling to the palm side of the thumb and to three fingers and controls small muscles at the thumb’s base.

“I was really having a lot of tingling, and I knew something wasn’t right,” Rainey said. “I decided to have carpal tunnel release surgery for my hand, and I was able to quickly get back to doing the things I wanted to do. There’s just a tiny incision on my wrist a bit below where my watchband ends, and you barely notice it. It’s healed up great, and the tingling is improving.”

You Do Not Need As Much Time Off Work As You’re Thinking About

Some individuals delay or prevent carpal tunnel treatment surgery to release the carpal tunnel because they are concerned that the healing process will take them away from work for too long. But unless repetitive manual labor is involved in your career, you can be able to return to work in a week or two. Before returning to work, those who perform manual labor can need to wait around 6 to 8 weeks.

Myth: Surgery For Carpal Tunnel Syndrome Is Often Unsuccessful

The surgery for carpal tunnel syndrome, known as carpal tunnel release, is a common and largely successful procedure. Studies suggest it has a clinical success rate of 75 to 90%. Although it requires several weeks and physical therapy to restore grip strength, most patients experience a full recovery, with symptoms resolved and function restored.

A revision surgery for carpal tunnel release can be performed if needed, but these are rare. One retrospective study of 2,163 patients who had undergone carpal tunnel release a decade earlier found that 3.7% had undergone a revision surgery.2

Carpal Tunnel Syndrome: When Is Surgery Considered Or Needed

Most people with carpal tunnel syndrome only consider having surgery if other treatments don’t provide enough relief. Surgery can help relieve symptoms or make them go away for good, but it is not without risks.

In carpal tunnel syndrome the median nerve, which runs through the carpal tunnel in your wrist, is squashed. This can cause pain, tingling and numbness, and affect certain hand movements. Surgical treatment involves cutting a fibrous band on the inside of the wrist, known as the flexor retinaculum. The aim is to reduce pressure on the median nerve. This is one of the most commonly performed surgical procedures in Germany.

Although surgery sometimes makes the symptoms go away for good, it’s not always necessary. Other treatments are usually preferred, especially if the condition is still in an early stage. Urgent surgery is usually only needed for treating a very uncommon condition called acute carpal tunnel syndrome.

There are two possible surgical procedures:

  • Open carpal tunnel release: The surgeon makes a cut on the inside of the wrist, and then cuts right through the flexor retinaculum.
  • Endoscopic carpal tunnel release: Here the surgeon has to make a cut on your palm and your wrist. They insert a very small camera through one of the cuts to monitor the procedure, and guide an instrument through the second cut to then cut right through the flexor retinaculum. Another endoscopic technique involves using just one small cut in the wrist.

How Long Should I Wait Before Deciding To Have The Operation

Six months is enough time to exhaust all conservative treatment methods, and to determine that they are not producing the desired and lasting results. If you wait a year, that will be too long.

Signs of nerve damage progression include a weakening of the hands and fingers. You may find it difficult to grip objects, such as your phone, a doorknob, or your computer mouse.

What Is The Success Rate For Carpal Tunnel Syndrome Surgery

Surgery for carpal tunnel syndrome has a very high success rate of over 90%. Many symptoms are relieved quickly after treatment, including tingling sensation in the hands and waking up at night. Numbness may take longer to be relieved, even up to three months. Surgery won’t help if carpal tunnel syndrome is the wrong diagnosis.

When the carpal tunnel syndrome has become severe, relief may not be complete. There may be some pain in the palm around the incisions that can last up to a few months. Other after-surgery pain may not be related to carpal tunnel syndrome. Patients who complain of pain or whose symptoms remain unchanged after surgery either had severe carpal tunnel syndrome, had a nerve that was not completely released during surgery, or did not really have carpal tunnel syndrome. Only a small percentage of patients do not gain substantial relief from symptoms.

Last reviewed by a Cleveland Clinic medical professional on 10/22/2019.

References

Myth: The Only Way To Relieve Carpal Tunnel Pain Is Surgery

How Well Does Surgery Work

Once carpal tunnel syndrome has been diagnosed, surgery is not the only tool to relieve the pain. There are several nonsurgical treatment options that can bring relief for individuals who want to postpone or avoid surgery:

  • Resting the wrist by avoiding repetitive motion or heavy use
  • Wearing a wrist brace

If there’s a severe case of carpal tunnel syndrome that involves muscle wasting or potentially permanent damage to the median nerve, then surgery is advised as soon as possible.

Do I Have To Rest From Work To Cure Carpal Tunnel Syndrome

Complete rest from work is the wrong answer for Carpal Tunnel Syndrome. Most people with this debilitating hand condition find that they experience muscle atrophy. So, when treating Carpal Tunnel naturally, it is important to stay active, so you do not experience further muscle atrophy.

Muscle atrophy complicates and lengthens the time required to treat CTS. Muscle does recover relatively quickly once the pressure is removed from the Median Nerve and normal hand use is resumed or continued. Patient studies have shown that most people start regaining grip strength within 2 – 3 weeks with the right kind of natural stretching therapy.

Rest from intense hand work can be helpful when treating CTS, but as one patient said,

Make Your Carpal Tunnel Surgery Recovery Fast And Complete

An effective plan for Carpal Tunnel Surgery Recovery is necessary if you want the best possible outcome from healing from surgery.

If you’re lucky, before or after Carpal Tunnel surgery your doctor will give you post-surgery self care advice that consists of something more and other than “Take some Ibuprofen and take it easy for a couple days.”

Carpal Tunnel surgery is not a quick fix. It comes with it’s own set of problems since it is cutting into your flesh and causing damage that the body needs to adjust to and heal from.

If you expect to get the surgery and then be as good as new the next week, you are likely to end up very disappointed.

If you have already had the release surgery on your wrist, you are probably wondering how and when you are finally going to heal and be pain free again.

It’s never to late to help heal your wrists from Carpal Tunnel symptoms. Even if you’ve had surgery. Surgery just makes it that much more complicated and adds time and effort to what you will need to do.

If someone were to ask ‘What does Carpal Tunnel Surgery Recovery actually mean?” I would tell them that it means -actually- recovering after Carpal Tunnel surgery back to a 100% state of health.

Of course, nobody every asks this. We all just assume that we will heal back to as good as new after a surgical operation.

But we don’t.

I really don’t know why we assume that we’ll heal back to ‘normal’, but we consistently do think that it will happen.

The body just doesn’t work that way.

You Can Speed Up Your Recovery With Just A Few Easy Steps

Resting and taking pain medications is a given for recovery, but you can help your recovery go more smoothly and quickly by also:

  • Making sure your hand stays elevated for as long as possible at about heart level
  • Applying ice to the surgical site a few times a day for 10 to 15 minutes
  • Preparing meals ahead of the surgery so that heating and eating will be easy after the procedure
  • Keeping slip-on shoes and loose-fitting clothing on hand so that getting dressed and undressed is easy
  • When possible, using voice activation on your phone and other electronics

What Factors Affect Aftercare For Carpal Tunnel Surgery

Exactly how long your aftercare will take depends on several factors. Generally these include:

 

  • The type of surgery you had.Open release surgerywill require more extensive aftercare thanendoscopic surgery.
  • Dominant hand surgery.If surgery was on your dominant hand, aftercare will take longer.
  • Your overall health. If you have chronic conditions like diabetes, fibromyalgia, etc. then healing will take more time.
  • Smoking delays healing.This will prolong your aftercare time.
  • Complications are always an issue.If you had complications then aftercare for carpal tunnel surgery will be longer and more involved. 

How Often Is Hand Pain Caused By Carpal Tunnel Syndrome

While carpal tunnel syndrome is a common condition, it has a different set of symptoms from many other sources of hand pain. There are actually several similar conditions that cause hand pain. These include:

  • De Quervain’s tendinosis: A condition where swelling affects the wrist and base of the thumb. In this condition, you will feel pain when you make a fist and simulate shaking someone’s hand.
  • Trigger finger: This condition causes soreness at the base of the finger or thumb. Trigger finger also causes pain, locking and stiffness when bending the fingers and thumb.
  • Arthritis: This is a general term for many conditions that cause stiffness and swelling in your joints. Arthritis can impact many joints in your body and ranges from causing small amounts of discomfort to breaking down the joint over time .

Myth: Endoscopic Approach Is Riskier Than Open Approach

In the past, many patients were concerned or advised against the endoscopic approach for fear of higher risk for complications such as nerve damage.

However, current research shows that there’s no statistically significant added risk of complications from the endoscopic approach. A large systemic review of 28 studies that compared open and endoscopic approach for carpal tunnel release found that:3

  • Both approaches were equally effective in relieving symptoms and improving function and had similarly low rates of major complications
  • The endoscopic approach was better in restoring grip strength, allowed patients to return to work faster , and was safer in terms of minor complications

Individuals who suspect they may have carpal tunnel syndrome—or have been diagnosed but have questions about their treatment—should see their physician to formulate a successful treatment plan.

See Diagnosing Carpal Tunnel Syndrome

What Is The Best Form Of Carpal Tunnel Surgery Recovery

There is a best way to heal from Carpal Tunnel surgery.

But you’re not likely to get it from your doctor.

The standard recovery routine after Carpal Tunnel surgery is pain killers, anti-inflammatory drugs, rest, and then later strengthening exercises and possibly physical therapy.

Unfortunately, that is not the best routine for fast healing from either CTS surgery nor Tendonitis surgery.

If you want to heal fast from the operation, you must follow this three step course of action.

1. Reduce the Inflammation Response.

Surgery causes even more inflammation that there was before. Any time you cut the body you can expect that.

Inflammation makes the structure, and the entire nervous system, VERY UNHAPPY.

If you don’t help the body be happy, you’re going to be hurting for a long time, even after the damage from the actual surgery heals.

Inflammation is an ok mechanism as a protective measure, but not so great at helping you heal.

Most of the pain you had before surgery, and moreso after surgery, is all from the chemical that gets released into the area from the Inflammation Response.

Reduce Inflammation and you will heal faster and feel less pain.

2. Keep danger signals from reaching the nervous system.

This basically means that you want to reduce any stimulus that causes you to feel pain.

Remember, if the nervous system feels pain, it overreacts and tries to protect you with Inflammation.

And when I say ‘rest’ I don’t mean ‘immobilize’.

Then a little more, then a little more.


More articles

Popular Articles