Doctors for Carpal Tunnel Syndrome in Chennai

Carpal tunnel syndrome (CTS) affects the wrist and hand and results from the compression or pressure on the median nerve, which passes through a narrow pathway known as the carpal tunnel, traveling from the forearm to the hand. The carpal tunnel comprises the wrist bones and a strong, fibrous ligament that extends over the wrist, creating a narrow passage.

The compression or pressure of the median nerve in the carpal tunnel can cause various symptoms in the wrist and hand, such as numbness, tingling, weakness, pain, and other sensations. While anyone can develop Carpal Tunnel Syndrome (CTS), it is more frequently diagnosed in individuals who perform repetitive hand motions like typing or using a computer mouse. CTS can be treated with rest, physical therapy, medication, splinting, or in more severe cases, surgery.

While Carpal Tunnel Syndrome (CTS) is a single medical condition, its symptoms may differ depending on the cause and severity of the compression or pressure on the median nerve. Some of the different presentations of CTS include:

• Acute CTS: This type of CTS can develop suddenly and be quite painful. It is often caused by a wrist injury, such as a fracture or sprain, that causes swelling and inflammation in the carpal tunnel.
• Chronic CTS : This type of CTS develops slowly over time and can be caused by repetitive hand motions or other activities that put pressure on the median nerve. Mild to moderate pain, numbness, and tingling in the hand and wrist are common symptoms of carpal tunnel syndrome.
• Pregnancy-related CTS : During pregnancy, hormonal changes can lead to fluid retention and swelling, which can cause pressure on the median nerve resulting in Carpal Tunnel Syndrome (CTS) symptoms. Generally, this type of CTS gets better after childbirth.
• Secondary CTS : This type of CTS is caused by an underlying medical condition, such as rheumatoid arthritis, diabetes, or thyroid disease, that affects the nerves or causes swelling in the wrist.

Usually, Carpal Tunnel Syndrome (CTS) is managed using non-surgical approaches such as rest, physical therapy, medication, and splinting before considering surgical intervention. Nonetheless, in some instances, surgery may be required to ease the pressure on the median nerve and provide relief from the symptoms.

Surgery for CTS is typically recommended when the symptoms are severe or have not improved with conservative treatment, or if there is evidence of nerve damage. Some indications for surgery may include:

• Numbness and tingling that interfere with daily activities or affect the quality of life.
• Weakness or muscle wasting in the hand.
• Symptoms that have not improved with conservative treatment after several months.
• Evidence of nerve damage, such as abnormal nerve conduction tests or muscle weakness.
• CTS that is caused by a tumor or other abnormal growth in the wrist.

To treat Carpal Tunnel Syndrome (CTS), a surgical procedure is often necessary, which involves the division of the transverse carpal ligament to alleviate pressure on the median nerve. Typically, this surgery is performed on an outpatient basis. Carpal Tunnel Syndrome (CTS) surgery typically results in a high rate of success, as most individuals experience substantial symptom relief within a few months post-surgery.

Before undergoing carpal tunnel syndrome surgery in Chennai, a thorough diagnosis and testing process may be performed to confirm the diagnosis, evaluate the severity of the condition, and determine the appropriate treatment plan. Some of the diagnostic tests that may be recommended include:

• Physical examination: A physical examination of the hand, wrist, and arm may be conducted to evaluate the presence of pain, weakness, or numbness.
• Nerve conduction studies : The nerve conduction study is a diagnostic test that evaluates the velocity at which electrical signals travel through the nerves in the hand and wrist. This test is conducted to determine the severity of nerve damage.
• Electromyography (EMG) : The electromyography (EMG) is a medical examination that evaluates the electrical behavior of muscles and nerves in the arm and hand to identify any anomalies. This test is used to detect any potential issues in the muscles or nerves of the hand and arm.
• X-rays: X-rays may be ordered to evaluate the bones and joints of the wrist and hand.
• Magnetic resonance imaging (MRI) : An MRI may be recommended to assess the extent of soft tissue damage, such as swelling, inflammation, or damage to the tendons.

Based on the results of these diagnostic tests, the surgeon may determine if surgery is necessary and what type of surgical procedure is appropriate for the patient's condition.

Carpal tunnel release, also called carpal tunnel surgery, is a medical procedure that aims to relieve pressure on the median nerve, which passes through the narrow passageway in the wrist known as the carpal tunnel. The pressure on this nerve can result in weakness, numbness, pain, and tingling in the wrist and hand.

There are two main types of carpal tunnel release surgery: open release and endoscopic release.

• Open Surgery: The open carpal tunnel release surgery involves making a small cut in the wrist to gain access to the transverse carpal ligament, which is then cut to alleviate the compression of the median nerve.This ligament is the structure responsible for compressing the median nerve in the wrist. The surgeon then cuts the ligament to alleviate the pressure on the median nerve, which reduces the associated symptoms. After the carpal tunnel release surgery, the surgeon may close the incision using either sutures or staples, depending on the case. Recovery time after open surgery can vary depending on the individual patient, but generally involves wearing a splint or brace for a few weeks, physical therapy to regain strength and mobility, and avoiding heavy lifting and strenuous activities for several weeks.
• Endoscopic Surgery: Endoscopic surgery for carpal tunnel syndrome is a minimally invasive surgical procedure that uses a small camera and instruments to release the transverse carpal ligament, which is the structure that compresses the median nerve in carpal tunnel syndrome. The surgery is performed through a small incision in the wrist, and the surgeon inserts an endoscope, which is a thin tube with a camera and light, to visualize the inside of the wrist. The surgeon then uses specialized instruments to cut the ligament, relieving pressure on the median nerve.

Carpal tunnel syndrome surgery in Chennai, like any other city or country, can provide a range of benefits for those who suffer from carpal tunnel syndrome. Some of the benefits of carpal tunnel syndrome surgery in Chennai may include:

• Relief from symptoms: Surgical intervention for carpal tunnel syndrome can help to alleviate the symptoms associated with this condition, including numbness, tingling, and pain in the wrist and hand. This, in turn, can enhance the overall quality of life for individuals dealing with this condition.
• Improved hand function: After surgery, many people experience improved hand function, such as increased grip strength and dexterity.
• Quick recovery: With advances in surgical techniques and anesthesia, carpal tunnel syndrome surgery in Chennai is typically a quick and relatively painless procedure. Most patients can return to normal activities within a few weeks.
• Minimal scarring: Endoscopic carpal tunnel release surgery involves making only a few small incisions, resulting in minimal scarring.
• Increased productivity: For people whose jobs require repetitive hand movements, carpal tunnel syndrome surgery can allow them to return to work with improved hand function and reduced pain.

It is important to note that the benefits of carpal tunnel syndrome surgery in Chennai may vary from person to person, and the decision to undergo surgery should be made in consultation with a qualified healthcare professional.

As with any surgery, there are potential risks and side-effects associated with carpal tunnel syndrome surgery. These may include:

• Pain : It is common to experience pain and discomfort in the wrist and hand after surgery. This can be managed with pain medication prescribed by the doctor.
• Infection : The surgical site is susceptible to infection, which can be mitigated by appropriate wound management and the use of antibiotics if required.
• Numbness or weakness : Occasionally, the surgical procedure may result in weakness or numbness in the fingers or hand.
• Scar formation : Open carpal tunnel release surgery involves making a larger incision, which can result in a more noticeable scar.
• Reflex sympathetic dystrophy: Persistent pain, swelling, and stiffness in the wrist and hand can be a rare post-surgical complication.
• Allergic reaction : In rare cases, patients may have an allergic reaction to anesthesia or other medications used during the surgery.
• Recurrence of symptoms: Although it is uncommon, in certain situations, the symptoms of carpal tunnel syndrome may recur following surgery.

Recovering after carpal tunnel syndrome treatment is an important part of the healing process. Here are some general tips to help with recovery:

• Follow your doctor's instructions: Following your doctor's instructions is crucial for effectively managing carpal tunnel syndrome (CTS). Your doctor will likely recommend a specific treatment plan based on the severity and underlying cause of your symptoms, and it's important to follow these recommendations closely in order to achieve the best possible outcomes.
• Rest and elevate your hand: Rest and elevation of the hand can be beneficial for managing symptoms of carpal tunnel syndrome (CTS), particularly during periods of flare-ups or acute pain. Resting the hand can help to reduce stress on the median nerve and surrounding structures, while elevation can help to reduce swelling and inflammation.
• Take pain medication as prescribed: Pain relief medication can be an efficient method to alleviate the pain and uneasiness associated with carpal tunnel syndrome (CTS). Nevertheless, it is crucial to adhere to your physician's instructions and take the medication only as recommended.
• Use ice packs: Ice packs can be a useful tool in managing the symptoms of carpal tunnel syndrome (CTS), particularly in the early stages of the condition or following a flare-up. Applying ice to the affected wrist can help to reduce inflammation and swelling, which can in turn alleviate pain and numbness.
• Attend physical therapy: For individuals with persistent or severe symptoms of carpal tunnel syndrome (CTS), physical therapy can be a viable treatment option. A qualified physical therapist can develop a personalized treatment plan that targets the individual's specific symptoms and requirements.
• Avoid activities that strain your hand: Avoiding activities that strain your hand can be an important part of managing carpal tunnel syndrome (CTS), particularly during periods of flare-ups or acute pain.
• Take care of your overall health: Taking care of your overall health can be an important part of managing carpal tunnel syndrome (CTS). Several factors can contribute to the development or exacerbation of CTS symptoms, including underlying health conditions, lifestyle factors, and environmental factors. By taking steps to improve your overall health, you can help to reduce your risk of developing CTS or alleviate your symptoms if you have already been diagnosed.

The duration of recovery after carpal tunnel syndrome surgery can differ based on various factors, such as the type of surgery and your body's healing response. It is crucial to have patience and give yourself enough time to recover before resuming your regular activities. In case you have any doubts or queries about the healing process, you should communicate them to your doctor.