Carpal tunnel syndrome treatment
Carpal tunnel syndrome is a condition characterized by frequent and intense pain in the arm at night, radiating up to the shoulder, numbness in the fingers, and loss of strength in the hand. The most common cause is an inflammation of the flexor tendons and their sheaths. Due to inflammation, the volume of these structures increases, resulting in the compression of the nerve that passes through the carpal tunnel. All this leads to the abovementioned symptoms.
If conservative treatment fails to alleviate the symptoms, surgery is the only one method to treat this syndrome.
How Is the Surgery Performed?
The goal of surgery is to relieve pressure in the carpal tunnel.
The surgery is performed under local infiltration (when a pain-relieving drug is injected into the tissue) or regional anesthesia.
During the surgery, a 3- to 4-cm longitudinal incision along the thenar crease or near it in the palm is placed.
If the nerve sheath is tight and causes the compression of the nerve, during the procedure, nerve fibers are separated (neurolysis). Moreover, the enlarged sheaths of tendons can be removed as well (synovectomy).
What Should Be Known After Surgery?
- Active and routine motions of the hand are allowed after 2–3 weeks, when the wounds heal completely;
- The wound should be redressed every 2–3 days;
- The sutures are removed after 2 weeks;
- After 2–3 weeks following the surgery, special exercises are encouraged;
- To restore the nerve, it is recommended to use vitamin B for 2 months after the surgery;
- The function of the hand is completely restored after 1 month.