Sunday, December 22, 2013

An Overview Of Endoscopic Carpal Tunnel Surgery

By Eugenia Dickerson


The performance of endoscopic carpal tunnel surgery is an invasive procedure aimed at alleviating the pain associated with Carpal Tunnel Syndrome. Such injury often results from the compression of the nerve located in the hand and wrist due to repetitive strain and activities that place pressure on such tissues. Patients report sensations of numbness, tingling, and weakness of the limb.

Carpal Tunnel Syndrome or CTS is an uncomfortable condition that results in the compression of the median nerve of the wrist and can be attributed to repetitive stress injuries and age. Patients often describe the symptoms as mild tingling, numbness and weakness that makes it exceptionally difficult to hold or pull various items. The symptoms will become progressively worse over time and requires the appropriate medical intervention to manage and relieve discomfort.

Your surgeon will require a medical history and the completion of a physical assessment in order to identify the severity of symptoms. The X-ray imaging can aid in providing clarity on the injury and aid in the detection of the damage. Measures will include tenderness and range of movement allowing the professional to advise on the appropriate steps forward.

The completion of a physical examination and measures including the Electromyogram and and Nerve Conduction Velocity will determine the location of the damage. If the injuries are moderate, a wrist brace may have to be worn for a period of time and non-steroidal injections implement to decrease pain. Where such measures fail, endoscopic intervention will be recommended with the aim of decreasing the symptoms that impact on function without lengthy recovery periods.

The purpose for the performance of surgery is to relieve the contracted ligament that has cause pressure on nerve function. The nerve experiences a compressed state due to the ligament having become tight. The insertion of an endoscopic device will need to be placed below the carpal ligament to view the damage and to make the necessary incisions within the wrist.

Surgery should only be implemented by a knowledgeable and experienced practitioner as this can protect against damage to the sensitive tissues. The entire process may take up to 30 minutes and requires anesthesia. Patients will have the choice of local anesthetic where the operated area is numbed.

It is an outpatient process that allows for light movement after the surgery has been completed. The practitioner will be able to advise on the measures available and the steps for recovery that should be applied to relieve symptoms and prevent further damages from occurring. The arm should not be used for a period of 6 weeks to allow for sufficient healing.

If traditional methods for recovery do not prove effective in alleviating pain and facilitating recovery, endoscopic carpal tunnel surgery may be required to achieve a fully functional and pain free hand. An experienced surgeon who is skilled in such intervention should be consulted to determine the extent of the injury. CTS should be evaluated by a professional to ensure that discomfort is addressed and relieved.




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