Carpal Tunnel Syndrome Treatment

Carpal Tunnel Syndrome Treatment

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    ADarria Long Gillespie, MD, Emergency Medicine, answered
    A wrist splint is a hard structure that's used to prevent you from moving your wrist. Wrist splints are typically used if you've had a fracture to one of the bones of your wrist/hand/arm, or another injury for which you need to keep the wrist immobile. Sometimes, if you've just broken a bone, the ER will put on a splint, but not a full cast. That's because your arm could likely swell over the next couple of days, and having a cast all the way around your arm in the first 48-72 hours would make that very painful. The ER will have you follow-up with an orthopedic surgeon, who may then place a cast.
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    AFred C. Redfern, MD, Orthopedic Surgery, answered on behalf of Sunrise Hospital & Medical Center
    How Do I Regain Strength after Carpal Tunnel Surgery?
    Patients can usually regain strength after carpal tunnel surgery, says Fred Redfern, MD, an orthopedic surgeon at Sunrise Hospital. In this video, he says that the relief of pain is substantial after surgery.
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    Most carpal tunnel surgery is done as a mini-incision technique, endoscopically. In some cases, your surgeon may need to perform a more extensive surgery such as nerve repair or tumor excision, which would require an open procedure. 
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    Open carpal tunnel surgery carries approximately the same risks as endoscopic carpal tunnel decompression, depending on the skills and experience of the surgeon with each procedure. Open carpal tunnel surgery may be more painful and uncomfortable for a longer time than an endoscopic procedure.
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    Depending on the skills and experience of the hand surgeon, open carpal tunnel surgery is highly effective if the condition is diagnosed early enough that irreversible sensory loss and muscle wasting has not already taken place. 
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    Open carpal tunnel surgery is beneficial when repair of the nerve or excision of a tumor or cyst is necessary or when simple release of the transverse carpal ligament (roof of the tunnel) would not be expected to achieve a satisfactory result. 
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    After carpal tunnel surgery you may experience moderate pain, which should be controlled with pain medications. Frequently, the burning and tingling may be immediately diminished or even completely relieved. If the pain is severe or the numbness, tingling, or weakness is worse, your dressing and splint may be too tight or there may be bleeding into your carpal tunnel; contact your surgeon immediately. Most people are healed and feeling better within two weeks of the surgery. 
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    Open carpal tunnel surgery is a procedure where a small incision is made in the palm. Generally, the incision, two to three inches long, is to take the pressure off the medial nerve. This provides sensation and some muscle control to the thumb side of the hand.
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    AMichael Roizen, MD, Internal Medicine, answered
    To ease the discomfort if you have carpal tunnel syndrome (CTS), immobilize your wrist with a splint when you can, including during sleep. Also, take anti-inflammatories, such as aspirin, and ice your wrist morning and night. If the problem persists, noninvasive endoscopic surgery can open up the tunnel and relieve symptoms. Most people recover completely and never have the problem again.
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    AMehmet Oz, MD, Cardiology (Cardiovascular Disease), answered
    Relieve Carpel Tunnel Syndrome

    A paraffin bath is one way to relieve carpel tunnel syndrome.

    Watch the video to find out from Dr. Oz what else you can do to relieve carpel tunnel syndrome.