TOP Doctors for Carpal Tunnel Syndrome

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The frequent carpal tunnel syndrome is a narrowing of the median nerve (median nerve) on the flexor wrist with the result of sensory disorders on the thumb, index, middle and inner half of the ring finger, nocturnal pain and an increasing weakness. After the suspicion of a carpal tunnel syndrome has been confirmed by a nerve conduction velocity measurement, the nerve should be relieved quickly before permanent damage occurs.

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Carpal Tunnel Syndrome - Treatment directly with our orthopedic experts 2020-03-05 Carpal Tunnel Syndrome
Profiles of Doctors for Carpal Tunnel Syndrome
Carpal Tunnel Syndrome

The carpal tunnel syndrome, abbreviated KTS or CTS (carpal tunnel syndrome), is the most common upper nerve limb syndrome. Nerve constriction syndrome is the term used when it comes to a pressure damage of a nerve due to constriction. This can develop acutely, but it usually develops gradually over a longer period of time. A carpal tunnel syndrome is a constriction of the arm medial nerve (nerve medianus) in the area of ​​the flexor wrist. At this point, the nerve, together with the superficial and deep finger flexor tendons and the long thumb flexor tendon through a tunnel (carpal tunnel), which is bounded by the carpal bones and a very tight band (retinaculum flexorum) is covered.

How to diagnose a carpal tunnel syndrome?

Now exists due to o.g. Complaints and clinical examination of suspected carpal tunnel syndrome, an electrophysiology examination should be performed. This is usually offered by a specialist in neurology or physical medicine. The examination can objectively determine whether and how severe a narrowing of the nerve is.

How to treat a carpal tunnel syndrome?

Depending on the degree of manifestation and the duration of the carpal tunnel syndrome, therapeutically different measures are used. With still a short complaint time first non-operative (conservative) treatments can be tried. Nocturnal immobilization on a support rail prevents flexion of the wrist and thus an additional pressure increase in the carpal tunnel.

In marked cases or with long-lasting complaints, only the operation remains. This is done gently and painlessly under local anesthesia. During operative treatment, the median nerve is released from its narrowing by completely severing the tight roof of the carpal tunnel, the flexor retinaculum. This widens the narrow carpal tunnel and reduces the mechanical pressure on the nerves. This is done via a mini-cut in the hollow hand. On a so-called empty blood, so the sometimes painful inflating a cuff on the upper arm is omitted. At the end of the operation we apply a thin protective bandage so that the mobility of the fingers is not restricted.

We ask our hand surgery experts: What happens if the carpal tunnel syndrome is not operated on?

Nerves are sensitive structures. Long-term pressure effects can lead to an increasing malfunction, which under certain circumstances can no longer be reversed. In addition to emotional disturbances, permanent weakness also causes weakness of the thumb due to shrinkage of the thumb muscles. It is therefore advisable in many cases not to wait too long for the operation.

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