Dr. Usal is dedicated to offering the best solution to those suffering from Carpel Tunnel Decompression. From treatment and management of hand and wrist ailments and injuries, Dr. Usal and his staff bring extensive experience and skill.
What is Carpel Tunnel Syndrome?
A nerve to your finger ends runs deep inside the front of your wrist (carpus). It runs inside a little tunnel (the carpal tunnel). Carpal tunnel syndrome refers to pain, tingling, or numbness in one or both hands, and even higher up the forearm resulting from compression of the median nerve at the wrist. These symptoms are frequently worse at night, and often dissipate by shaking of the hand.
This problem is diagnosed by a combination of clinical assessment and nerve conduction studies.
In some cases, such as during pregnancy, carpal tunnel syndrome may resolve on its own. However in many patients, the problem requires surgery.
How is it Treated?
Carpal tunnel syndrome frequently responds to analgesia, the use of a hand splint at night, and the avoidance of aggravating and repetitive hand activities.
Surgery is usually only recommended for severe cases of CTS, when symptoms last for more than six months or other treatments have not been effective. In cases that do not respond to conservative measures, surgery may be necessary. This operation is performed frequently, and is known as a carpal tunnel decompression. It involves making a small incision, or cut, in the palm of the hand, and dividing the band of tissue which is constricting the nerve.
You can be given a local or a general anaesthetic. The choice depends partly on which you prefer, and partly on the anaesthetist and surgeon.
Having a general anaesthetic means that you will be completely asleep during the operation.
Having a local anaesthetic (numbed with an injection) means that you will be awake during the operation, you will feel that something is happening in the area you’re being operated on, but you will not be feel any pain in your hand.
What are the possible outcomes if treatment is not undertaken?
It is difficult to predict the outcome of carpal tunnel syndrome if left untreated. Potential outcomes of not treating the condition could include:
- Ongoing pain
- Impaired hand function
What are the results of surgery?
Carpal tunnel decompression is successful in the vast majority of patients and significant complications occur in a very small minority.