Carpal Tunnel Syndrome Treatment in Kolkata

Carpal Tunnel Syndrome (CTS) is a condition that occurs when the median nerve, which runs from the forearm to the hand through the wrist's carpal tunnel, becomes compressed or squeezed. This pressure can result in various signs, including discomfort, numbness, and a prickling sensation in the wrist and hand. In severe cases, it can result in weakness and difficulty using the hand and fingers. Carpal Tunnel Syndrome (CTS) is a frequently occurring condition that can stem from diverse factors such as repetitive movements of the hand and wrist, arthritis, or hormonal fluctuations.

There are several types of carpal tunnel syndrome treatments available, and the specific treatment plan may depend on the severity and duration of the symptoms, as well as other individual factors. Some common types of carpal tunnel syndrome treatments include:

• Splinting : The usage of a wrist splint can provide relief from CTS symptoms by maintaining the wrist in a neutral position, which helps in reducing the pressure on the median nerve.
• Medication : To alleviate the pain and inflammation connected with Carpal Tunnel Syndrome (CTS), non-prescription pain relievers like ibuprofen or acetaminophen can be useful. In certain situations, corticosteroid injections may be advised to reduce swelling and inflammation.
• Physical therapy : Engaging in stretching and strengthening exercises can be beneficial in enhancing the functionality of the wrist and hand, and easing the symptoms of Carpal Tunnel Syndrome (CTS).
• Lifestyle changes : Making changes to daily habits, such as taking breaks during repetitive activities, adjusting workstations or tools, and practicing good posture, can help prevent and manage CTS symptoms.
• Surgery : Surgery may be recommended to alleviate the pressure on the median nerve if Carpal Tunnel Syndrome (CTS) is severe. The procedure, known as carpal tunnel release, involves cutting the ligament that is compressing the nerve to alleviate the symptoms.

The surgical remedy for Carpal Tunnel Syndrome is known as carpal tunnel release. In this surgical procedure, a small incision is made in the wrist by the surgeon, who then proceeds to cut the ligament that is compressing the median nerve. By alleviating the nerve compression, this assists in promoting the healing process. Following the surgical procedure, it may be necessary for individuals to utilize a wrist splint for multiple weeks and undergo physical therapy to recover hand and wrist mobility and strength. Full recovery from carpal tunnel release surgery can take several months, but most patients experience significant improvement in their symptoms. It is vital to acknowledge that surgery is not always the first option for Carpal Tunnel Syndrome, and conservative treatments should be tried as the first course of action. A healthcare professional can help determine if surgery is the best option for an individual based on the severity of their condition and their overall health status.

If someone in Kolkata is experiencing symptoms of Carpal Tunnel Syndrome (CTS) and surgery is being considered as a treatment option, a healthcare professional will likely conduct a thorough physical examination and may recommend one or more tests to confirm the diagnosis and assess the severity of the condition. Here are some common diagnostic tests for Carpal Tunnel Syndrome:

• Medical history : The doctor will ask about the patient's symptoms and medical history, including any underlying health conditions that may be contributing to the CTS.
• Physical examination : The doctor will examine the patient's hand, wrist, and arm, looking for signs of swelling, tenderness, or weakness. They may also perform specific tests, such as the Tinel's test or the Phalen's test, to check for signs of nerve compression.
• Electromyogram (EMG) and Nerve Conduction Studies (NCS) : These tests involve the insertion of small needles into the muscles of the affected hand and wrist, and the use of small electrical shocks to measure the speed and strength of nerve signals in the affected area. These tests can help confirm the diagnosis of CTS and assess the severity of the nerve damage.
• Ultrasound or MRI : These imaging tests can be used to visualize the median nerve and surrounding structures and help identify any structural abnormalities or causes of nerve compression.

Once a diagnosis has been confirmed and surgery is being considered, the healthcare professional will explain the risks and benefits of the procedure and answer any questions the patient may have. They may also conduct additional tests or evaluations to ensure that the patient is a good candidate for surgery and to develop an appropriate treatment plan.

Carpal Tunnel Syndrome (CTS) surgery is a commonly performed procedure that aims to alleviate the pressure on the median nerve in the wrist. This surgical procedure is referred to as carpal tunnel release, and the technique used may vary depending on the surgeon's preference and the patient's specific requirements. Here's a general overview of how carpal tunnel release surgery is done:

• Anesthesia : The patient will receive anesthesia before the surgery, which may be either general anesthesia to induce sleep or local anesthesia to numb the wrist and hand. The choice of anesthesia depends on the surgeon's recommendation and the patient's medical condition.
• Incision : During the surgery, the surgeon will make a small incision in either the palm of the hand or the wrist, depending on the specific surgical technique being used.
• Ligament release : The surgeon will locate the transverse carpal ligament, which is the tissue that is compressing the median nerve, and carefully cut it to release pressure on the nerve. In some cases, the surgeon may use an endoscope to visualize the ligament and guide the cutting.
• Closure : The incision is then closed with stitches or surgical staples.
• Post-operative care : After the surgery for Carpal Tunnel Syndrome, the patient's hand and wrist will be wrapped or braced to support the healing process and reduce swelling. For the first few days, the patient will be advised to keep the hand elevated and limit its use. The patient will receive detailed postoperative care instructions, which may include medication management and wound care to prevent infection.
• Recovery : The recovery process after carpal tunnel syndrome (CTS) surgery can vary depending on factors such as the patient's overall health, the extent of the procedure, and the type of surgery performed. However, most patients can expect to return to their regular routines within a few weeks to a couple of months. During this period, the patient should follow their postoperative care plan and attend any follow-up appointments as scheduled. Physical therapy may be recommended to aid in the recovery process, and the patient should avoid any activities that may strain the hand and wrist during this time.

The entire procedure usually takes less than an hour to complete, and most patients can go home on the same day as the surgery. Following the surgery, patients will receive instructions on caring for the incision and managing pain and swelling. They may require a splint or brace for a few weeks to support the wrist and facilitate healing.

While conservative treatments, such as wrist splints, medications, and physical therapy, can provide relief for many people with CTS, surgery may be necessary in more severe cases. Here are some benefits of carpal tunnel release surgery:

• Relieves Pain and Other Symptoms : The primary benefit of carpal tunnel release surgery is relief from the pain, numbness, tingling, and weakness that are associated with CTS. By cutting the transverse carpal ligament and relieving pressure on the median nerve, the surgery can improve blood flow and reduce inflammation in the affected area, leading to a reduction in symptoms.
• Improves Function : CTS can interfere with daily activities such as typing, gripping, and carrying objects. Surgery can improve hand and wrist function, allowing patients to perform these activities more easily and with less discomfort.
• Speeds up Recovery : Conservative treatments for CTS can take weeks or even months to provide relief from symptoms. Surgery, on the other hand, can provide rapid relief from symptoms and allow patients to return to their normal activities more quickly.
• Long-Term Relief : Surgery can provide long-term relief from CTS symptoms, especially if the condition is severe or has been present for a long time. The surgery can also prevent further damage to the median nerve and reduce the risk of permanent nerve damage.
• Minimal Scarring : The procedure for carpal tunnel release surgery is minimally invasive, and generally requires a small incision in the wrist. Due to this, scarring is usually minor, and the healing time is comparatively brief.
• High Success Rate: After undergoing carpal tunnel release surgery, most patients experience a substantial improvement in their symptoms, and the procedure is known for having a high success rate.According to studies, the percentage of patients who experience relief from their carpal tunnel syndrome symptoms after undergoing carpal tunnel release surgery can be as high as 90%.

Surgery can be highly effective in treating CTS, but there are potential side effects that should be considered.

• Pain and Swelling: One of the most common side effects of CTS surgery is pain and swelling in the hand and wrist. This is typically most severe in the first few days or weeks after surgery and can be managed with pain medications and icing the affected area. Some patients may also experience stiffness or difficulty moving their fingers or wrist immediately following surgery, but this typically resolves with physical therapy or exercise. In rare cases, CTS surgery can cause complications such as infection, bleeding, or nerve damage. Infection can occur if bacteria enter the incision site, and patients may experience redness, swelling, and fever if this occurs. Bleeding can be a risk during surgery, and patients may need to avoid blood-thinning medications prior to the procedure to reduce this risk.
• Nerve Damage : Nerve damage is also a potential risk of CTS surgery, although it is relatively uncommon. In some cases, the median nerve can be damaged during the procedure, leading to persistent numbness, weakness, or pain in the affected hand or wrist. In rare cases, the ulnar nerve, which runs adjacent to the carpal tunnel, can also be damaged during surgery, leading to similar symptoms.
• Scarring : Another potential side effect of CTS surgery is scarring or keloid formation at the incision site. This is more common in patients with a history of keloid formation or those who have previously had surgery in the affected area. Scarring or keloids can be unsightly and may require additional treatment such as steroid injections or revision surgery.

Finally, patients who undergo CTS surgery may experience a recurrence of symptoms. While surgery can effectively relieve pressure on the median nerve, the underlying causes of CTS, such as repetitive motion or wrist injury, may persist. This can lead to a recurrence of symptoms over time, although this can often be managed with additional treatment such as physical therapy or lifestyle modifications.

Recovery after Carpal Tunnel Syndrome treatment may vary depending on the type of treatment received, but here are some general tips to aid in recovery:

• Rest and Elevate: It is important to rest the hand and elevate it above heart level to reduce swelling and promote healing.
• Follow Physical Therapy: Physical therapy might be suggested after undergoing carpal tunnel release surgery to assist in the restoration of hand mobility and flexibility.
• Manage Pain: Pain and discomfort may be present following treatment. Pain management techniques such as ice packs, pain medications, or compression may be recommended.
• Take Breaks : If returning to work or other activities, take breaks to rest the hand and avoid overuse.
• Avoid Certain Activities : Avoid activities that require repetitive motions of the hand or wrist that may aggravate symptoms or slow down the healing process.
• Follow Doctor's Instructions : Follow all post-operative instructions provided by the doctor, including wound care, activity restrictions, and follow-up appointments.
• Be Patient: Recovery from Carpal Tunnel Syndrome treatment may take several weeks or months. Be patient and follow through with all recommended care to achieve the best possible outcome.