Sunday, August 14, 2022

What Kind Of Doctor Does Carpal Tunnel Surgery

Don't Miss

What Types Of Surgery Are Available For Carpal Tunnel Syndrome

What anesthesia is used in Carpal Tunnel Surgery by plastic surgeon? – Dr. Srikanth V

Carpal tunnel syndrome is a very common hand and wrist condition that is characterized by a compressed median nerve, which runs from the arm to the hand through a tunnel in the wrist . Surgery is a very effective treatment for advanced carpal tunnel syndrome that is not responding to conservative treatment methods.

Between 400,000 and 500,000 carpal tunnel release surgeries are performed in the U.S. every year, and an orthopedic surgeon is the type of specialist who performs this surgery. Lets talk about whats involved in the two main types of carpal tunnel syndrome surgery, and where you can go here in Sarasota and Manatee counties for an evaluation and medical treatment of your wrist pain.

Limited Open Carpal Tunnel Release

Limited-incision carpal tunnel release techniques similar to endoscopic surgery were developed to decrease palmar discomfort and hasten the return to activities. It allows for adequate exposure to avoid complications and keeps the incision out of the painful portion of the palm. The surgical approach involves a small skin incision in the palm followed by release of the distal end of the TCL under direct visualization. Patients experience reduced post-operative pain as this techniques leaves the palmar fascia intact over the proximal TCL.

Carpal tunnel release through mini-transverse approach

Sayed Issa’s approach is a carpal tunnel release through a small approach on the distal wrist crease it is about 1.5 cm the benefits of this technique are less surgical traumatic and more tender, it takes less time for rehabilitation, so the patient can work next day of operation, and it has very cosmetic and gentle scar in results and outcome. A skin incision is made and the surgeon will dissect through fat and the superficial palmar fascia. Once the superficial palmar fascia has been released the transverse carpal ligament will be exposed. The transverse carpal ligament will be cut longitudinally to release it.

Why Might I Need Carpal Tunnel Surgery

A diagnosis of carpal tunnel syndrome is about the only reason to have a carpal tunnel surgery. And even then, your doctor will likely want you to try nonsurgical treatments first. These may include over-the-counter pain medicines, physical therapy, changes to the equipment you use at work, wrist splints, or shots of steroids in the wrist to help relieve swelling and pain.

The reasons that a doctor would recommend a carpal tunnel release surgery may include:

  • The nonsurgical interventions for carpal tunnel syndrome don’t relieve the pain.
  • The doctor performs an electromyography test of the median nerve and determines that you have carpal tunnel syndrome.
  • The muscles of the hands or wrists are weak and actually getting smaller because of the severe pinching of the median nerve.
  • The symptoms of carpal tunnel syndrome have lasted 6 months or longer with no relief.

Recommended Reading: Stomach Pain Pregnancy Symptom

Some Doctors Wrongly Advise Surgery

Another alarming statistic comes from theNational Institutes of Healthand other medical resources. They estimate more than50 percent of patientswho undergo carpal tunnel release surgery to treat their symptoms dont have carpal tunnel syndrome to begin with!

  • Thats 50% unnecessary surgeries!

Carpal tunnel release surgery is thesecond most common surgeryin the USA today. So this statistic comes as no surprise given the wild over-diagnosis of carpal tunnel syndrome in recent years.

Therefore, be very skeptical if any doctor rushes to advise hand surgery without being absolutely sure this is the treatment you need.

Making An Appointment For A Hand Consultation With Dr Gittos

What is the risk of infection with Carpal Tunnel Surgery?

If you have any symptoms that might be related to a hand tendon injury, please call to make an appointment with Dr. Mark Gittos in Auckland, New Zealand. Dr. Mark is a plastic surgeon who is experienced in treating a wide range of hand disorders, such as trigger finger, De Quervains syndrome, cubital and radial tunnel syndromes, carpal tunnel syndrome, ligament disorders, and tumours or ganglions. Come visit us to get a full assessment of your condition and learn more about your treatment options.

Recommended Reading: Does Lidocaine Work For Nerve Pain

Carpal Tunnel Release Surgery In Watertown Ny

Carpal tunnel release surgery to widen the space in the carpal tunnel is a relatively quick procedure and takes under an hour to complete. It also requires a fairly short recovery period before you begin to experience improvement in your symptoms and regain function in your hand.

The medical team here at North Country Orthopaedic Group regularly performs carpal tunnel release surgery in our ambulatory surgical center in Watertown. We can help you experience relief from your symptoms and prevent future disability, so you can continue doing the things you love and living a normal lifestyle.

To request a consultation with one of our orthopedists, call North Country Orthopaedic Group today at 782-1650 or fill out our appointment request form online now. We look forward to helping you recover the full use of your hands once again.

Diagnosis Of Carpal Tunnel

When you come to Hoag Orthopedic Institute for a physical exam, your hand doctor will consider many factors before diagnosing carpal tunnel, including how your symptoms developed.

During your physical exam, your orthopedic doctor will use a variety of diagnostic tests to pinpoint what exactly is causing your hand and arm pain, including:

  • Observation for thenar atrophy
  • Sensory testing
  • Provocative testing via media nerve compression
  • Electrodiagnostic studies
  • Phalens test of wrist flexion
  • Tinels test
  • Compression test
  • Nerve test directly records from the muscles and measures severity of nerve dysfunction

Read Also: Is Stomach Pain A Symptom Of Pregnancy

Primary Care Physician Vs Orthopedic Hand Specialist

The reason you should visit an orthopedic hand specialist for carpal tunnel is because they have the expertise and knowledge necessary to adequately examine, diagnose, and treat hand and wrist conditions.

A primary care physician treats many different common health conditions, such as the common cold or flu. However, a PCP may not be as adept at fully, properly addressing serious conditions like carpal tunnel syndrome.

An orthopedic physician has expertise in treating musculoskeletal conditions throughout the body, including issues involving the bones, muscles, tendons, and ligaments. An orthopedic hand specialist has specific expertise in orthopedics as it relates to injuries and debilitating issues in the hand which is what makes this type of medical specialist the proper health care professional to diagnose and treat your carpal tunnel syndrome.

Choose The Best Carpal Tunnel Doctor In Your Area

Life-changing carpal tunnel surgery: Sandys story | Ohio State Medical Center

Finally, hand surgery obviously is very delicate. When it goes right youll probably be satisfied. However, so many things could go wrong andcomplicationscan arise. That inevitably results in absolute misery.

When searching for the best carpal tunnel doctor, make sure he or she offers the latest diagnoses and treatment plans. Most importantly, check that the doctor has extensive experience with hand issues. You want a doctor who has successfully treatedthousandsof carpal tunnel syndrome patients, not just a hundred. Yes, youll surelypay extrafor a high-rated carpal tunnel doctor. But your hand is worth every penny.

Dont Miss: How To Ease Sciatica Pain In Buttocks

Read Also: What Does It Feel Like To Cut Your Wrists

Mayo Clinic Q And A: Recovery After Surgery For Carpal Tunnel Syndrome Whats Normal And Whats Not

DEAR MAYO CLINIC: Three months ago, I had surgery on my left wrist to treat carpal tunnel syndrome. Since then, I am in much more pain than before surgery, and two of my fingers are completely numb. I cannot even button a button, and tying my shoes is a chore. What would cause the pain to worsen after surgery? Could another surgery remedy the problem, or is this my new normal?

ANSWER: Your condition as it stands now shouldnt be considered a new normal. Its possible your symptoms are part of the recovery from surgery, and they may improve with time. It would be a good idea, however, to meet with your surgeon now, so he or she can reassess your condition and decide if you need additional tests or treatment.

Carpal tunnel syndrome is caused by compression of the median nerve within the carpal tunnel a narrow passageway on the palm side of your wrist. The median nerve runs from your forearm through the carpal tunnel and into your hand. It controls the sensations you feel on the palm side of your thumb and fingers, except the little finger. Carpal tunnel syndrome often causes numbness and tingling in the hand and arm. Surgery to treat it involves relieving pressure on the median nerve by cutting the ligament that crosses over it.

Its helpful to note, too, that nerves typically improve after surgery at a rate of about 1 inch per month. When sensation returns, it happens gradually. In general, full recovery after carpal tunnel syndrome may take up to a year.

What Matters Most To You

Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.

Reasons to have surgery

Reasons not to have surgery

I tried other treatments, but my pain is still bad.

I can live with the pain while I give other treatments some more time to work.

I don’t mind having surgery if it can get rid of my symptoms.

I just don’t want to have surgery.

I’m not worried about the small chance of problems from surgery.

I don’t want to take even a small chance of something going wrong with surgery.

I’m afraid of having lasting nerve damage from carpal tunnel syndrome.

I’m not worried that I’ll have lasting nerve damage from carpal tunnel syndrome.

You May Like: Prescription Lidocaine

What Is Open Carpal Tunnel Release Surgery

Open carpal tunnel release surgery is a procedure used to help treat pain and sensation loss from carpal tunnel syndrome by relieving pressure on the median nerve. The size of the incision necessary may vary depending on the patient, but this procedure may be performed as a mini-open procedure, where a smaller incision is used.

What Are The Symptoms

carpal tunnel surgery scar

Carpal tunnel syndrome can cause tingling, numbness, weakness, or pain in the fingers or hand. Some people may have pain in their arm between their hand and their elbow.

Symptoms most often occur in the thumb, index finger, middle finger, and half of the ring finger. If you have problems with your other fingers but your little finger is fine, this may be a sign that you have carpal tunnel syndrome. A different nerve gives feeling to the little finger.

You may first notice symptoms at night. You may be able to get relief by shaking your hand.

You May Like: Is Lymphoma Painful In Neck

Recommended Reading: Can Neck Pain Cause Nausea

What Is Recovery Like

Recovery from a carpal tunnel release is not quick. It can take several weeks to months for your hand to fully heal. The longer you suffered from carpal tunnel syndrome, the longer your recovery will likely be.

When you first go home after surgery youll be given painkillers, a wrist splint or dressings, and further instructions. Some surgeons will have you wear your dressings or splint for 12 weeks and then have them removed at a follow-up appointment. Others, like Dr. Hay, only require you to wear them for 34 days. Your surgeon may also instruct you to elevate your hand at night. This helps fluid drain from the surgical site and prevents painful swelling.

During this time, youll need to limit movement of the affected hand. That means no driving for at least a few days after surgery, no writing for about a week, and no pulling, gripping, or pinching for around 68 weeks. Your recovery will be helped along by physical therapy, which youll begin after your wrist splint or dressings are removed.

What Are The Symptoms Of Carpal Tunnel Syndrome

Carpal tunnel syndrome involves the palmar side of your hand and fingers, except the little finger. The symptoms usually start gradually and become worse with time:

  • Parasthesias: This is the medical term for numbness and tingling. Theyre usually worse at night and when you do activities that require flexing your hand, like holding a steering wheel or a phone. Parasthesias are also more pronounced at night time.
  • Hand weakness: The muscles of your hand can become weak, so you might occasionally drop objects or have trouble maintaining a good grip.

Also Check: Is Tramadol Good For Sciatic Nerve Pain

How Long Does Hand Surgery Procedure Take

Some hand surgery can take as little as 20 minutes, on the other hand some intricate surgery can take much longer it will depend on what needs to be done. Many of the operations can be performed as day-cases, though this will depend on each individual patients requirements and the complexity of the case.

When Would My Doctor Suggest Surgery

What to expect: Carpal tunnel surgery in the clinic

Over time, carpal tunnel syndrome can weaken the muscles of your hands and wrists. If symptoms go on for too long, your condition will keep getting worse.

If any of these sound like your situation, your doctor might suggest surgery:

  • Other treatments like braces, corticosteroids, and changes to your daily routine havenât helped.
  • You have pain, numbness, and tingling that donât go away or get better in 6 months.
  • You find it harder to grip, grasp, or pinch objects like you once did.

Don’t Miss: Is Slitting Your Wrist Painless

Personal Stories About Surgery For Carpal Tunnel Syndrome

These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.

One of the most annoying things about my carpal tunnel syndrome is the night pain in my hands. If I don’t wear the splints, it wakes me up almost every night. But with the splints, I can get a good night’s sleep, and my doctor says that my thumb and hand strength are not too bad. I’m nervous about any kind of surgery, so when my doctor said it would be okay to wait awhile, I said, “Great.” If the splints stop working, though, I’ll probably be back in my doctor’s office!

Dave, age 55

I own a landscaping business, and a few months ago I started having a lot of pain when putting in backyard fences. Then the pain started to wake me up at night and keep me awake. My doctor said I had a classic case of carpal tunnel syndrome. I tried some of the home treatments that she recommended, and the problem didn’t get any worse, but it didn’t get any better, either. So I went back and asked about surgery. It sounds like the surgery has a good chance of taking care of the problem, so I’m going to give it a try. When you own your own company, it’s too expensive to keep missing work. But I’ll have to wait till the slow season, because I’ll have to take a few weeks’ break to recover.

Javier, age 46

Catherine, age 40

Danitra, age 36

Endoscopic Carpal Tunnel Release

In endoscopic carpal tunnel release surgery, the surgeon makes one or two smaller skin incisions, known as portals, and inserts a thin instrument equipped with a miniature camera called an endoscope which projects images onto a monitor. Viewing images of the inside of the wrist and hand on the monitor, the surgeon uses a small, specialized knife to divide the transverse carpal ligament, similar to the open procedure.

Don’t Miss: Is It Painful To Cut Your Wrist

What Can A Hand Specialist Do For My Carpal Tunnel

An orthopedic hand specialist will examine your hand and wrist to diagnose the cause of the unwanted symptoms you have been experiencing. The hand specialist will not only do a physical examination, but they will also review your medical history and ask for details on your daily activities involving your hands.

For example, the specialist may ask for details about your office job, any hobbies you participate in, and your lifestyle. The hand physician will also examine the severity of the condition in order to determine what kind of treatment is necessary. This will give the physician an understanding of what could be causing the carpal tunnel syndrome.

Depending on the cause of your carpal tunnel syndrome, the hand specialist may make different recommendations for treatment. For example, if the cause is overuse or improper positioning of your hands and wrists while you work at your desk job, the physician may recommend that you start using ergonomic office equipment. The doctor may also suggest using splints to help prevent pressure on the median nerve.

For serious cases, more invasive treatments may be recommended for adequate improvements to your symptoms. This may include surgery.

What Do You Need To Know After The Operation

Cost for Carpal Tunnel Surgery

Your wrist is wrapped in a bandage after surgery. The stitches are removed after about two weeks. There are differing opinions on how long you need to rest your hand. Some doctors recommend keeping it still for a few days by wearing a splint, but there is no scientific that this helps. So there is usually nothing wrong with moving your hand the day after surgery and putting a little strain on it.

Heavy lifting and major strain should be avoided for several weeks to give the wound a chance to heal properly. The type of work you do will determine how early you can return to work. Three weeks is usually enough if you don’t put much strain on your wrist at your job. People who work with their hands a lot may need 4 to 5 weeks.

Don’t Miss: How To Slit Your Wrist Properly

What Can You Do Other Than Have Surgery

You can try several home treatments to help relieve your symptoms. This may be all you need to do for mild symptoms of carpal tunnel syndrome. Doctors suggest that you try these treatments for 3 to 12 months before you think about having surgery. It often helps to try several treatments at the same time.

You may try to:

  • Rest your hand for 1 or 2 weeks. Stop activities that hurt.
  • Put ice on the palm of your hand and wrist for 10 to 15 minutes at a time.
  • Take non-steroidal anti-inflammatory drugs , such as naproxen or ibuprofen. Studies haven’t shown NSAIDs to be effective for carpal tunnel syndrome, but they may help relieve your symptoms. Talk to your doctor before taking NSAIDs. They can cause side effects. Be safe with medicines. Read and follow all instructions on the label.
  • Change the way you do certain hand motions.
  • Wear a wrist splint. It’s usually worn at night, but you can wear it during the day.

Other choices

  • You can work with a physiotherapist to learn how to do activities in a new way.
  • If these home care treatments don’t help, you may be able to take corticosteroid shots or pills to improve your symptoms.
  • You can try yoga.
  • Symptoms of carpal tunnel syndrome in pregnant women often go away after childbirth. Unless your symptoms are very bad, you may want to put off having surgery and see if your symptoms go away after you have the baby.

Rest, ice, and other home treatments may be all you need if you’ve had mild symptoms for a short time.

More articles

Popular Articles