Doctors for Carpal Tunnel Syndrome in Mumbai

CTS is a medical condition that affects the wrist and hand, caused by compression of the median nerve in the carpal tunnel. Running through the wrist, the carpal tunnel is a narrow pathway that governs the movement and sensation of the thumb, index, middle, and ring fingers, which are controlled by the median nerve.

Located in the wrist, the carpal tunnel is a small, narrow passageway that is formed by bones, ligaments, and tendons. It acts as a protective sheath for the median nerve and the tendons responsible for finger movement. When the surrounding tissues become inflamed or swollen, the pressure within the tunnel increases, compressing the median nerve and leading to symptoms such as pain, numbness, and tingling in the wrist and hand.

Factors that may contribute to Carpal Tunnel Syndrome include repetitive hand motions, such as typing, using a mouse, or assembly line work, wrist injuries or fractures, hormonal changes during pregnancy, certain medical conditions like diabetes, rheumatoid arthritis, and obesity.

There are several types of treatment options available for Carpal Tunnel Syndrome (CTS) that range from non-invasive to surgical, depending on the severity of symptoms and the underlying cause of the condition. Some common treatment options include:

• Wrist splints - Wrist splints are commonly used as a non-surgical treatment option for Carpal Tunnel Syndrome (CTS). CTS is a condition that affects the wrist and hand caused by the compression or squeezing of the median nerve as it passes through the carpal tunnel in the wrist. The manifestations of CTS comprise discomfort, prickling, and a lack of sensation in the hand and fingers, which arise due to the stress exerted on the median nerve. The median nerve originates from the forearm and stretches to the hand, regulating the actions and sensitivities of the thumb, index finger, middle finger, and the adjacent half of the ring finger.
• Medications - Ibuprofen and naproxen are classified as nonsteroidal anti-inflammatory drugs (NSAIDs) that have been proven to alleviate pain and reduce inflammation in the wrist and hand. These medications can be taken orally or applied topically as a cream or gel.
• Corticosteroid injections - Corticosteroid injections are a treatment for carpal tunnel syndrome that involves the injection of a potent anti-inflammatory medication directly into the wrist. The remedy aids in diminishing inflammation and easing distress in the impacted region. The method is usually executed in the physician's clinic and is a short-lived and minimally distressing process. Corticosteroid injections are effective in reducing symptoms of CTS for many patients, and the relief can last for several months.
• Physical therapy - Physical therapy for CTS may include a range of exercises and stretches to improve range of motion, strengthen the muscles in the hand and wrist, and reduce pressure on the median nerve. A physical therapist may also use other techniques such as ultrasound, manual therapy, and hot or cold therapy to reduce pain and inflammation in the affected area.
• Surgery - Carpal Tunnel Release Surgery is considered when conservative treatments have not been effective, or if the symptoms are severe. During the surgical procedure, a surgeon cuts the ligament that is compressing the median nerve to relieve pressure and restore normal function to the hand and wrist.
• Alternative therapies - These can include acupuncture, chiropractic care, and yoga, which may help to reduce pain and inflammation in the wrist and improve overall hand and wrist function.

Consulting with a healthcare professional is essential to identify the most suitable treatment approach that fits your specific condition and requirements.

If a person is experiencing symptoms of Carpal Tunnel Syndrome (CTS) in Mumbai and is considering surgery, the following diagnostic tests may be conducted before the surgery:

• Physical examination: A doctor will examine the hand and wrist, looking for signs of swelling, tenderness, and weakness. They may also test for sensation and grip strength.
• Nerve conduction studies (NCS): These diagnostic tests evaluate the velocity and potency of electrical signals that pass through the median nerve, which can gauge the extent of nerve compression and help diagnose the condition.
• Electromyography (EMG): Electromyography is a diagnostic test that evaluates the electrical activity of muscles and can assist in determining the degree of nerve damage resulting from carpal tunnel syndrome.
• X-ray: This imaging test can help to rule out other causes of hand and wrist pain, such as fractures or arthritis.
• MRI (Magnetic Resonance Imaging): This may be done to evaluate the soft tissue surrounding the carpal tunnel, to rule out other conditions that may mimic CTS.
• Blood tests: These may be ordered to rule out underlying conditions such as diabetes or rheumatoid arthritis, which may contribute to the development of CTS.

  These diagnostic tests help to confirm the diagnosis of CTS, assess the severity of the condition, and determine whether surgery is the best option for treatment.

The Carpal Tunnel Release Surgery is a surgical intervention carried out to alleviate the indications of Carpal Tunnel Syndrome (CTS). This surgery is typically conducted as an outpatient procedure and requires about 30 minutes to an hour for completion.

Here are the general steps involved in Carpal Tunnel Release Surgery:

• Anesthesia: The patient is given local anesthesia to numb the hand and wrist area. In some cases, general anesthesia may be used.
• Incision: The surgeon creates a cut in the hand's palm or at the wrist to uncover the ligament that is constraining the median nerve.
• Cutting the ligament:The surgeon slices through the transverse carpal ligament to free the median nerve from the pressure.
• Closure: Subsequently, the cut is sealed using sutures or surgical staples, and a bandage or dressing is put in place.

After the surgery, the patient is typically able to go home the same day. The hand and wrist may be wrapped in a bandage or splint to provide support and reduce swelling. The patient may need to take pain medications and do hand exercises to help regain strength and mobility.

Generally, patients can resume regular activities in a few weeks after the surgery, but complete recuperation may take several months. Physical therapy may be advised to expedite the healing process and enhance hand and wrist capabilities.

Carpal Tunnel Syndrome (CTS) surgery can offer several benefits for those who are suffering from the condition. Here are some of the benefits of Carpal Tunnel Syndrome surgery in Mumbai:

• Relief from Symptoms: Surgery can help relieve the symptoms of CTS, such as numbness, tingling, pain, and weakness in the hand and wrist. This can improve the person's quality of life and ability to perform daily activities.
• Improved Grip Strength: Carpal Tunnel Release Surgery can improve grip strength and help the person to perform fine motor tasks with their hand.
• Short Recovery Time: Typically, the procedure is executed as an outpatient service, and the majority of individuals can resume their routine activities within a few weeks following the surgery.
• Low Complication Rates: CTS surgery has a low risk of complications. However, some possible complications may include nerve damage, infection, or delayed wound healing.
• Cost-Effective: CTS surgery is generally considered to be a cost-effective treatment option, as it can provide long-term relief from symptoms and avoid the ongoing costs associated with non-surgical treatments.

Like any surgical procedure, Carpal Tunnel Syndrome (CTS) surgery carries some risks and potential side effects. Here are some of the possible side effects and complications of CTS surgery:

• Pain: Pain and discomfort are common after CTS surgery, and the healthcare provider may prescribe pain medications to manage the pain.
• Infection: There is a small risk of infection after surgery, and the patient may be given antibiotics to prevent infection.
• Nerve Damage: Nerve damage is a rare complication of CTS surgery, but it can cause lasting numbness, weakness, or loss of sensation in the hand.
• Wound Healing Problems: The incision site may not heal properly or may become infected, causing delayed wound healing.
• Scarring: Scar tissue may develop at the incision site, which can cause sensitivity or reduced range of motion.
• Allergic Reaction: Anesthesia or other drugs used during the surgery may cause an allergic reaction in certain patients.
• Persistent or Recurrent Symptoms: In some cases, symptoms may persist or recur after surgery, although this is rare.

Prior to deciding on treatment options for Carpal Tunnel Syndrome (CTS), it is crucial to have a conversation with a healthcare professional to evaluate the potential benefits and risks associated with CTS surgery. The healthcare provider can provide more information about the specific risks and possible side effects of the procedure, and can help to determine if surgery is the right option for an individual's particular situation.

Recovery after Carpal Tunnel Syndrome (CTS) treatment can vary depending on the severity of the condition and the type of treatment received. Here are some general guidelines for recovery after CTS treatment:

• Follow Post-operative Instructions: It's important to carefully follow the healthcare provider's instructions for post-operative care, including taking medications, changing dressings, and doing hand exercises.
• Rest the Hand and Wrist: Resting the hand and wrist can help to reduce swelling and speed up the healing process. Avoid any activities that could strain or injure the hand or wrist.
• Ice and Elevate: The application of ice on the impacted region can aid in minimizing inflammation and discomfort, while elevating the hand and wrist can also facilitate in reducing swelling.
• Attend Follow-up Appointments: It is crucial to attend the scheduled follow-up sessions with the healthcare provider to track progress and ensure appropriate recuperation.
• Physical Therapy: Depending on the type of treatment received, the healthcare provider may recommend physical therapy to help regain strength and mobility in the hand and wrist.
• Gradually Resume Activities: Gradually resume normal activities as recommended by the healthcare provider. Avoid any activities that may strain or injure the hand or wrist.
• Monitor Symptoms: Monitor for any persistent or recurrent symptoms after treatment, and report any concerns to the healthcare provider.