Doctors for Carpal Tunnel Syndrome in Pune

Carpal tunnel syndrome is a disorder that impacts the hand and wrist. This condition develops when the median nerve, which offers sensation to the thumb and three fingers, becomes compressed in the carpal tunnel, located at the base of the hand. The pressure on this nerve leads to sensations of pain, numbness, and tingling in the hand and arm.

While the symptoms of carpal tunnel syndrome may initially be mild and sporadic, they can become increasingly severe over time. It is crucial to diagnose and treat this condition early to prevent further harm to the nerve. Simple measures like wearing a splint and avoiding activities that involve extreme movements of the wrist can provide some relief.

However, if the pressure on the median nerve persists, it can lead to severe nerve damage. Carpal tunnel release operation is the most effective treatment in such circumstances. The procedure has been successful in removing all signs and symptoms of the illness and is intended to relieve pressure on the median nerve.

Carpal tunnel syndrome develops when the median nerve, which offers sensation to the thumb and three fingers, becomes compressed in the carpal tunnel, located at the base of the hand. The pressure on this nerve leads to sensations of pain, numbness, and tingling in the hand and arm. While mild cases of carpal tunnel syndrome can be managed through conservative treatment options, advanced cases may require surgical intervention:

• Nonsurgical Treatment for Carpal Tunnel Syndrome: If you are in the early stages of carpal tunnel syndrome, non-surgical treatment options may help control pain and numbness in your hand. These options may include:
• 1.A. Wearing a Splint: A splint is a device that is worn over the wrist to help keep it in a neutral position. This can relieve pain and numbness by lowering pressure on the median nerve. Splints are often worn at night to prevent wrist flexion during sleep.
• 1.B. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs like Ibuprofen can help reduce inflammation and pain associated with carpal tunnel syndrome. Your doctor may prescribe these medications to manage your symptoms.
• 1.C. Cortisone Injections: A form of steroid called cortisone can be injected into the wrist to treat pain and inflammation. Cortisone injections are a temporary solution and their effects may wear off over time.
• 1.D. Physiotherapy: Physiotherapy is a non-surgical treatment option for carpal tunnel syndrome, particularly for mild to moderate cases. The goal is to alleviate median nerve pressure by strengthening and stretching muscles and tendons in the affected area. Physiotherapists may prescribe exercises, stretches, and wrist splints, as well as provide ergonomic recommendations for your workplace or home.
• 1.E. Lifestyle Adjustments: Your doctor may recommend lifestyle adjustments such as adjusting the height of your chair or the position of your computer keyboard to help reduce pressure on the median nerve. Exercises to strengthen the hand and wrist may also be recommended.
• Surgical Treatment for Carpal Tunnel Syndrome: If conservative measures fail to provide relief or if the condition has progressed, carpal tunnel release surgery may be necessary. Open and endoscopic procedures are both employed in carpal tunnel release treatment. By enlarging the carpal tunnel, both seek to ease pressure on the median nerve;
• 2.A. Open Carpal Tunnel Release Surgery: This type of surgery involves making a small incision in the palm of the hand to view the inside of the wrist. For the purpose of enlarging the carpal tunnel and reducing pressure on the median nerve, the transverse carpal ligament is severed.
• 2.B. Endoscopic Carpal Tunnel Release Surgery: This type of surgery involves making a smaller incision and using a miniature camera to view the inside of the hand and wrist. A special instrument is used to sever a part of the carpal ligament, reducing pressure on the median nerve.

Carpal tunnel syndrome is a frequently occurring ailment that impacts the wrist and hand. Although non-invasive treatments can assist in controlling symptoms, there may be instances where surgery becomes a requisite. Here's what you need to know about when carpal tunnel syndrome needs surgery:

• Symptoms are severe and long-lasting: If you've been experiencing severe pain, numbness, or weakness in your hand and wrist for an extended period of time, surgery may be necessary to relieve pressure on the median nerve. It might not be possible to get relief with only conservative measures.
• Conservative treatments have not been effective: If you have tried nonsurgical treatments like wearing a splint, taking medication, or doing exercises, but your symptoms persist or worsen, surgery may be the best option. Surgical intervention may be advised by your doctor if less invasive treatments have failed to control your symptoms.
• Nerve damage has occurred: If you have developed nerve damage or muscle weakness as a result of carpal tunnel syndrome, surgery may be necessary to prevent further damage. Surgery can help restore normal function to the hand and wrist and prevent permanent damage.
• Your work or daily activities are affected:If carpal tunnel syndrome is interfering with your ability to work or perform daily activities, surgery may be necessary to relieve your symptoms and restore function. Surgery can help you regain the ability to perform tasks without pain or numbness.

Carpal Tunnel Syndrome (CTS) is a prevalent disorder that impacts the wrist and hand, resulting in discomfort, numbness, and tingling sensations in the fingers and hand. The compression of the median nerve that passes through the wrist causes this condition. If conservative treatment options do not provide relief, surgery may be recommended. Before undergoing surgery, the diagnosis of CTS must be confirmed, and the extent of nerve damage must be assessed. This is done through a physical exam and various tests;

Physical exam for Carpal Tunnel Syndrome: During the physical exam, your doctor will ask you about your symptoms, medical history, and occupation. Your affected hand and wrist will be carefully examined, and your doctor may perform the following tests:

• Tinel's sign: Your doctor will tap along or press down on the median nerve at the inside of your wrist to see if any numbness or tingling is caused.
• Phalen's maneuver: Your doctor may ask you to bend and hold your wrist in a flexed position to check for tingling and numbness in your hand.
• Two-point discrimination test: Your doctor may lightly touch your fingers with a special instrument when your eyes are closed to check the sensitivity in your fingertips.
• Muscle atrophy test: Your doctor will check for muscle atrophy at the base of your thumb.
• Grip strength test: The muscles at the base of your thumb will be examined by your doctor for signs of weakening.

Tests for Carpal Tunnel Syndrome: After the physical exam, some tests may be performed to determine the extent of the condition and the damage to the median nerve. These tests include:

• Nerve conduction test: This test measures the signal transmission across your nerves. It can detect if your median nerve is not conducting its signal properly and can help your doctor to determine the extent of median nerve damage.
• Electromyogram or an EMG: This test measures the electrical activity in the muscle and shows the extent of muscle and nerve damage.
• X-rays: X-rays are perfect for obtaining images of dense structures like bones. If you have limited function of the wrist and experience pain in movements, your doctor may order an x-ray to exclude any other causes for your symptoms like arthritis, fracture, or ligament injury.
• Magnetic resonance imaging or an MRI: Your doctor can find any other causes for your disease and search for any abnormal tissues that might be influencing the median nerve with the aid of an MRI. Additionally, it can assist the physician in figuring out whether the nerve itself is having issues due to an injury, tumor, or scarring.

Surgery for carpal tunnel syndrome involves severing the ligament that forms the carpal tunnel's ceiling in order to release pressure on the median nerve. The surgery is typically done as an outpatient procedure under local anesthesia and takes about 30 to 45 minutes to complete. Most patients are able to leave the hospital the same day and return to light activity in a few days.

• Anesthesia and Incision: The first step in the carpal tunnel syndrome operation is administering anesthesia to the patient. The usage of local or general anesthesia during carpal tunnel surgery is determined by the patient's desires and the surgeon's advice. After the patient is sedated or unconscious, the surgeon will create a cut in the patient's wrist and palm to gain access to the transverse carpal ligament.
• Cutting the Transverse Carpal Ligament: After making the incision, the surgeon will use a scalpel or a specialized cutting tool to carefully cut the transverse carpal ligament. The carpal tunnel syndrome signs and symptoms are brought on by this ligament, which is compressing the median nerve.
• Closing the Incision: The surgeon will use sutures or staples to gently close the wound after severing the ligament. The incision may occasionally be left open to encourage drainage and healing.
• Post-Operative Recovery: After the procedure, the patient will be sent to a recovery room where they will be closely observed by medical staff. Anti-inflammatory medications and painkillers may be administered to treat any discomfort or swelling. Physical therapy may also be recommended to help the patient regain strength and flexibility in the affected hand and wrist.
• Hospitalization and Discharge: The duration of hospitalization after carpal tunnel syndrome operation is usually short, with most patients being discharged on the same day or the following day. However, this may change based on the patient's general condition and the particular surgical method employed. Before being discharged, the patient will receive instructions on how to care for the incision site, manage pain and discomfort, and perform any necessary follow-up care.

Carpal Tunnel Syndrome operation in Pune is a common procedure that can provide relief to individuals suffering from the condition. The surgery is designed to reduce the pressure on the median nerve and can offer several benefits:

• Pain relief: One of the primary benefits of Carpal Tunnel Syndrome surgery is pain relief. Individuals who undergo the surgery often experience a significant reduction in the pain associated with the condition. This can enhance their general quality of life and make daily tasks simpler for them.
• Improved function: The affected hand and wrist's functionality may be enhanced by the procedure. Individuals may notice an improvement in their grip strength and the ability to perform fine motor tasks, such as writing or typing.
• Faster recovery: With advancements in surgical techniques, Carpal Tunnel Syndrome treatment is now a minimally invasive procedure that typically requires only a small incision. Overall, surgery for Carpal Tunnel Syndrome can greatly enhance the quality of life for those who have the condition.
• Long-term benefits: Carpal Tunnel Syndrome operation can provide long-term benefits. By reducing the pressure on the median nerve, the surgery can help prevent further damage to the nerve and reduce the risk of developing additional complications.
• Improved quality of life: In general, surgery for Carpal Tunnel Syndrome can greatly enhance the well-being and quality of life for those who are experiencing the condition. By reducing pain and improving hand and wrist function, individuals may be able to resume activities they were previously unable to do and experience a better overall quality of life.

Carpal Tunnel Syndrome surgery is a common procedure used to treat severe or persistent symptoms of the condition. While carpal tunnel surgery is generally safe and effective, it is important to note that there may be potential side effects associated with the procedure.

Here are some common side effects that may occur after Carpal Tunnel Syndrome surgery:

• Pain: It is common to experience some pain or discomfort after the surgery, which can be managed with pain medications.
• Swelling and bruising: After surgery, swelling and bruising are frequent side effects that might happen. It can be managed by keeping the affected hand elevated and using ice packs.
• Stiffness: It is common to experience stiffness in the hand and wrist after the surgery, which can be improved with physical therapy.
• Numbness: Some people may experience numbness or tingling in the hand or fingers after the surgery, which can be temporary or permanent.
• Infection: Rarely, an infection that can be treated with medication may develop following the operation.
• Bleeding: In rare cases, bleeding may occur after the surgery, which may require another surgery to stop it.
• Allergic reactions: The anesthetic or other surgical drugs may cause an allergic reaction in some patients.
• Damage to surrounding tissues: In rare cases, damage may occur to surrounding tissues, nerves, or blood vessels during the surgery.

After undergoing treatment for carpal tunnel syndrome, it is important to take proper care of the affected hand and wrist to ensure a smooth and quick recovery. Here are some steps you can take to aid in your recovery process:

• Follow post-operative instructions: After surgery, your doctor will give you specific instructions on how to care for your incision site, when to change dressings, and when to begin using your hand again. To avoid any difficulties and encourage healthy healing, it's crucial to carefully follow these guidelines.
• Attend follow-up appointments: In order to check on your recovery and have any sutures removed, your doctor may schedule follow-up appointments. To make sure that your hand and wrist are healing properly, it's crucial that you show up for these checkups.
• Rest and elevate your hand: After surgery, rest is essential for proper healing. Additionally, raising your hand above your heart can aid to increase circulation and lessen edema.
• Perform hand exercises: Your doctor or a physical therapist may recommend exercises to help improve the strength and flexibility of your hand and wrist. These exercises can help to prevent stiffness and promote proper healing.
• Use ice and heat therapy: Applying ice packs to your hand and wrist can help to reduce swelling and pain. After a few days, you may also use heat therapy to promote circulation and relieve stiffness.
• Make ergonomic changes: If your carpal tunnel syndrome was caused by repetitive motions at work or home, it is important to make ergonomic changes to prevent further injury. Your doctor or physical therapist can recommend changes to your work environment and suggest modifications to your daily activities.