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Carpal Tunnel Syndrome (Neuro surgery)

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Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is caused by pressure on the median nerve. The carpal tunnel is a narrow passageway surrounded by bones and ligaments on the palm side of the hand. When the median nerve is compressed, symptoms can include numbness, tingling, and weakness in the hand and arm.

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  • Weakness when gripping objects with one or both hands.
  • Pain or numbness in one or both hands.
  • "Pins and needles" feeling in the fingers.
  • Swollen feeling in the fingers.
  • Burning or tingling in the fingers, especially the thumb and the index and middle fingers.

Complications of CTS can arise from the condition itself or the treatments administered. CTS may lead to irreversible median nerve damage, resulting in permanent impairment and disability. Muscle weakness and atrophy at the base of the thumb can cause reduced dexterity.

Swelling and inflammation could result from: Frequent, repetitive movements with the hands. Extending or flexing the wrist for long periods of time. Rheumatoid arthritis and other conditions that cause inflammation in the joints.

Being obese is a risk factor for carpal tunnel syndrome. Body fluid changes. Fluid retention may increase the pressure within the carpal tunnel, irritating the median nerve. This is common during pregnancy and menopause.

Alternate between activities or tasks to reduce the strain on your hands and wrists. Keep wrists straight or in a neutral position. Avoid holding an object the same way for long. If you work in an office, adjust your desk, chair, and keyboard so that your forearms are level with your work surface.

How is it diagnosed?

How is it diagnosed?
  • Splinting your hand. This helps keep your wrist from moving.
  • Anti-inflammatory medication. These may be oral or injected into the carpal tunnel space.
  • Surgery. This eases compression on the nerves in the carpal tunnel.
  • Worksite changes.
  • Exercise.
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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

In an open release surgery, the surgeon cuts about a 2-inch incision on the wrist. Then he or she uses common surgical instruments to cut the carpal ligament and enlarge the carpal tunnel. In an endoscopic carpal tunnel release, the doctor makes 2, half-inch incisions. One is on the wrist, and one is on the palm.

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