Carpal Tunnel Syndrome 
Author Message
 Carpal Tunnel Syndrome

Greetings:

A family member was just diagnosed with Carpal Tunnel Syndrome.  The
doctor has reccommended surgery to correct this problem.

Has anyone had any experience with this surgery?  Are there any
different types of surgery for this problem?  What is the surgery
supposed to do?  Are there any differences in recovery time, etc.?
Are there any alternative treatments?  

Any information will be greatly appreciated.

Thanks

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Tue, 22 Oct 1996 10:18:37 GMT
 Carpal Tunnel Syndrome

Quote:


> >Greetings:

> >A family member was just diagnosed with Carpal Tunnel Syndrome.  The
> >doctor has reccommended surgery to correct this problem.

> >Has anyone had any experience with this surgery?  Are there any
> >different types of surgery for this problem?  What is the surgery
> >supposed to do?  Are there any differences in recovery time, etc.?
> >Are there any alternative treatments?  

> >Any information will be greatly appreciated.

DELETED

Quote:

>   I have several collegues who have had surgery for the problem with
>   complete relief of symptoms.  The carpal ligament is incised over the
>   space where the median nerve passes at the wrist.  At surgery (I have
>   seen MANY of these operations) the nerve is usually narrowed and
>   reddened, indicating significant compression.  

>   Therapy with non-steroidal anti-inflamatory {*filter*} is not effective,
>   nor (perhaps contrary to many of the recent posts in this group) is
>   chiropractic.

Quoted from our publication: OCCUPATIONAL OVERUSE SYNDROME
                             Treatment and Rehabiliation
                             A Practitioner"s Guide

Pg 28

"vii Carpal Tunnel Syndrome"

Description .......................

Management

Injection of an intra-articular steroid preparation into the flexor sheath
at the wrist is a minor procedure with diagnostic and therapeutic
value. The material enters the sheath which extends to mid-palm so
there is no need to inject the tunnel directly. A half-inch 27 needle
minimises the risk of injury. The median nerve is palable in most cases.
When the tendon is tightened, the nerve remains mobile. The needle should
enter medial to the nerve at the proximal crease of the wrist. This can
be repeated twice if necessary

Occasionally painful reactions to injection occur 24 to 48 hours after
injection . Changing to a brand of steroid with a different preservative
usually solves the problem.

If ergonomic changes are made and wrist supports are provided, most
cases will respond. Non-responders will often not have been able to
modify their work . In this case, preferable after confirmation of the
diagnosis by conduction studies, the question of surgery arises. An
opinion whould be sought from a surgeon specialising in carpal relief.
Although we have no epidemiological evidence, it is the experience of
the clinicians among the authors that relapse and complication rates
after the carpal tunnel operation are hight than is commonly acknowledged."

End of quote

I am not a doctor but a health and safety inspector for the New
Zealand Department of Labour's Occupational Safety and Health Service
who published the above guide for medical practitioners in New Zealand

Keith



Thu, 24 Oct 1996 05:12:39 GMT
 
 [ 2 post ] 

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