Lybrate.com has top trusted Anesthesiologists from across India. You will find Anesthesiologists with more than 41 years of experience on Lybrate.com. You can find Anesthesiologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
Submit a review for Dr. Rajesh MangalYour feedback matters!
I am 58 male, diabetic, my IgM IS AT LEVEL 29, LOW RANGE STARTS FROM 40 LEVEL, LOW ON ENERGY, TIRED, BACK PAIN, RECURRENT SINUS INFECTION, FESS DONE ABOUT 10 MONTHS BACK, ON PRE CT shows FUNGAL INFECTIONS IN SINUS, NOT TESTED FOR FUNGAL, POLYPS WERE REMOVED, ENT SURGEON DID NOT DO TEST OF STUFF REMOVED.
Her leg heels side always keep paining. Though a little crackness is there, but I guess its something internal because of which it keeps paining. Please guide.
Hi I am 32 year man. Suffering from a lower back pain problem from last 6 month instead of taking medicine. The pain is not staying very high but a constant pain some time when seating position or standing a little long. Please suggest what should I do?
There is a weird problem in my chest. When ever I bend down or do some work. It feels like a muscle pain. Can you tell me what that might be?
I am suffering from fever since 10 days I'm suffering from severe cough and back pain since 4 days and headache since 3 days.
I am suffering from Legs pain,very less sleep and weights are not increasing pls give me advice about my health which precautions may be taken.
I am having thumb pain from last one week, what should I do to it. Getting pain when my thumb is pressed.
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms. If you wish to discuss about any specific problem, you can consult a physiotherapist.