- State of the art Operation theatres which are built according to International specifications and requirements using laminar air flow system, thus ensuring best standards of infection control.
- Most advanced Diagnostics and Support Infrastructure - 256 slice CT , High end MRI, PET scan etc.
- Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
- Specialized rehabilitation services, including physiotherapy, occupational therapy, to help patients return back to normal activity soon after the surgery.
- High Quality Compassionate Care by well trained and experienced English-speaking staff.
What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome (CTS) is when symptoms occur due to median nerve compression as it travels through the wrist at the carpal tunnel. The main symptom is pain, numbness and tingling, in the thumb, index finger, middle finger, and the thumb side of the ring fingers. Symptoms typically start gradually and during the night. Pain may extend up the arm. Weak grip strength may occur and after a long period of time the muscles at the base of the thumb may waste away. In more than half of cases both sides are affected
It is the most common nerve entrapment syndrome, characterized by paresthesias, typically nocturnal, and sometimes sensory loss and wasting in the median nerve distribution in the hand; often bilateral and affects women more than men; due to chronic entrapment of the median nerve at the wrist within the carpal tunnel.
What are the causes of Carpal Tunnel Syndrome?
Carpal tunnel syndrome occurs when the tissues surrounding the flexor tendons in the wrist swell and put pressure on the median nerve. These tissues are called the synovium. The synovium lubricates the tendons and makes it easier to move the fingers.This swelling of the synovium narrows the confined space of the carpal tunnel, and over time, crowds the nerve.:
Many things contribute to the development of carpal tunnel syndrome:
- Heredity is the most important factor - carpal tunnels are smaller in some people, and this trait can run in families.
- Hand use over time can play a role. Especially in computer operators and musicians who keep their wrists in extended position for a long time.
- Hormonal changes related to pregnancy can play a role.
- Age — the disease occurs more frequently in older people.
- Medical conditions, including diabetes, rheumatoid arthritis, and thyroid gland imbalance can play a role.
Carpal Tunnel Release Surgery in India
The most common surgery for relieving carpal tunnel symptoms involves cutting the transverse carpal ligament to relieve pressure on the median nerve in the wrist. Two approaches for this surgery are
Open carpal tunnel release surgery : which allows the doctor to see more of the inner tissues, including the full width of the transverse carpal ligament where it is to be cut. Open surgery requires an incision in the palm and wrist, which disturbs more of the tissues in the hand, and requires a longer recovery period. It leaves a larger scar than does endoscopic surgery. But there may be less chance of other complications. See a picture of open carpal tunnel surgery.
Endoscopic carpal tunnel release surgery : which requires only a small incision at the wrist (single-portal technique) or at the wrist and palm (two-portal technique), and which disturbs less tissue in the hand. Recovery is quicker than with open surgery. And the scars heal more quickly, are smaller, and tend to be less painful at 3 months after surgery. There may be a slightly higher rate of reoperation after endoscopic carpal tunnel surgery. See a picture of endoscopic carpal tunnel surgery.
Why Carpal Tunnel Release Surgery is Done ?
- Symptoms are still present after a long period of nonsurgical treatment. In general, surgery is not considered until after several weeks to months of non-surgical treatment. But this assumes that you are having ongoing symptoms but no sign of nerve damage. Nerve damage would make surgery more urgent.
- Severe symptoms (such as persistent loss of feeling or coordination in the fingers or hand, or no strength in the thumb) restrict normal daily activities.
- There is damage to the median nerve, or a risk of nerve damage.
- Tumors or other growths need to be removed.
What are the Aims and Benefits of Carpal Tunnel Release Surgery?
- Relief from Neural Compression
- Pain Reduction
- Prevention of Further Deterioration
The chance of obtaining a significant benefit from surgery depends upon a wide variety of factors. Your neurosurgeon will give you an indication of the likelihood of success in your specific case.
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