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Carpal Tunnel Syndrome
Surgery in Delhi

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Carpal Tunnel Syndrome
Surgery in Delhi

Carpal tunnel surgery is a vital solution for those suffering from the pain, numbness, and weakness caused by carpal tunnel syndrome. This procedure can effectively address complications such as hand and wrist discomfort, tingling sensations, and reduced grip strength. Let’s delve into the details of carpal tunnel surgery, its benefits, and what patients can expect during the recovery process.

What is Carpal Tunnel Surgery ?

What is Carpal Tunnel Surgery ?

At the CK Birla Hospital, we are dedicated to ensuring that your carpal tunnel surgery is as safe, comfortable, and effective as possible. We're here to guide you every step of the way towards a successful recovery. If you're considering carpal tunnel surgery, reach out to us, or book a direct appointment with our orthopedician.

Carpal Tunnel Syndrome: Cause, Prevention, Stages & Treatment

Carpal Tunnel Syndrome: Cause, Prevention, Stages & Treatment

What are the Causes of Carpal Tunnel Syndrome?

The pain in your carpal tunnel is primarily caused by excess pressure on the wrist and the median nerve, often accompanied by inflammation and swelling. This pressure can be exacerbated by various factors and underlying medical conditions, including:

  • Diabetes
  • Thyroid dysfunction
  • Fluid retention from pregnancy or menopause
  • High blood pressure
  • Autoimmune disorders like rheumatoid arthritis
  • Fractures or wrist trauma

Additionally, carpal tunnel syndrome can worsen with repeated overextension of the wrist, which can result from:

  • Poor wrist positioning while using a keyboard or mouse
  • Prolonged exposure to vibrations from hand or power tools
  • Repetitive activities like playing the piano or typing

These factors collectively contribute to the development and aggravation of carpal tunnel syndrome.

Risk of Delayed or Improper Carpal Tunnel Surgery?

Delaying or improperly performing carpal tunnel surgery can lead to complications, including:

1.  Nerve damage: Prolonged compression of the median nerve can cause permanent nerve damage, resulting in weakness, numbness, or loss of sensation in the hand and fingers.

2. Reduced function: Untreated carpal tunnel syndrome may impair hand and wrist function, making it difficult to perform daily tasks.

3.  Chronic pain: Persistent pain and discomfort in the wrist and hand can affect quality of life.

4.  Decreased grip strength: Delayed surgery may lead to weakened grip strength, impacting one’s ability to hold objects securely.

5.  Worsening symptoms: Without timely intervention, symptoms can worsen, making surgery more complex and recovery longer.

What are the Three Stages of Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) progresses through three stages:

Stage 1 – Mild or Early CTS:

  • Occasional numbness and tingling in the hand.
  • Typically occurs during the night or with repetitive wrist movements.
  • Symptoms may improve with hand and finger movement.
  • Mild discomfort and weakness may be present.

Stage 2 – Moderate or Intermediate CTS:

  • More frequent numbness and tingling.
  • Pain in the wrist, hand, and forearm.
  • Developing weakness, particularly in gripping objects.
  • Interference with daily activities and sleep.
  • Nerve damage may be occurring, requiring medical attention.

Stage 3 – Severe or Advanced CTS:

  • Constant and pronounced numbness and tingling.
  • Severe pain extending into the shoulder.
  • Muscle atrophy at the base of the thumb.
  • Significant weakness, hindering basic tasks.
  • Risk of irreversible nerve damage if left untreated.

Early intervention is crucial, and treatment options vary, including wrist splints, medication, physical therapy, or surgery to relieve nerve pressure.

What are the Types of Carpal Tunnel Surgery?

Carpal tunnel surgery options are:

  • Open Carpal Tunnel Release (OCTR): Involves a palm incision to cut the transverse carpal ligament.
  • Endoscopic Carpal Tunnel Release (ECTR): Minimally invasive approach with small incisions and a camera.

How can You Prevent Carpal Tunnel Syndrome?

  • Maintain Proper Wrist Posture: Keep your wrists straight while typing or performing repetitive tasks.
  • Ergonomic Workspace Setup: Adjust chair and desk heights for comfortable wrist positioning. Use ergonomic keyboards, mice, and wrist supports.
  • Take Regular Breaks: Incorporate frequent short breaks to rest and stretch your wrists.
  • Stretching and Exercises: Perform wrist and hand stretches and exercises to enhance flexibility and strength.
  • Proper Typing Technique: Use a light touch and learn touch typing techniques. Do not place your wrists on the keyboard to rest.
  • Use Ergonomic Tools: Employ wrist rests, ergonomic mouse pads, and keyboard trays.
  • Healthy Lifestyle: Manage weight and maintain a balanced diet.
  • Manage Underlying Health Conditions: Control conditions like diabetes and arthritis.
  • Avoid Repetitive Motions: Alternate tasks that require repetitive hand movements.
  • Early Symptom Recognition: Seek medical advice promptly if you experience numbness, tingling, or pain in your hands or wrists.

By following these guidelines, you can significantly reduce the risk of developing CTS and promote better hand and wrist health.

Meet Our Doctors

Meet Our Doctors

What is the Diagnosis before a Carpal Tunnel Surgery?

Before carpal tunnel surgery, a patient undergoes a diagnostic process that includes a medical history and physical examination. Key diagnostic steps:

  • Medical History and Physical Exam: Initial consultation with healthcare provider to assess symptoms, onset, and related factors.
  • Nerve Conduction Studies (NCS) and Electromyography (EMG): Objective tests measuring nerve function and electrical activity in muscles.
  • Imaging Studies: X-rays or ultrasound to rule out other potential causes of wrist and hand pain.
  • Additional Tests: Blood tests or MRI scans if other underlying conditions are suspected.

What are the Pre-surgery Instructions for Carpal Tunnel Surgery?

Before carpal tunnel surgery, follow these instructions:
  1. Consult with your surgeon to discuss the procedure and address any concerns.
  2. Avoid eating or drinking for at least 8 hours before the surgery.
  3. Make plans for a transportation home after the procedure.
  4. Follow any medication guidelines provided by your surgeon.
  5. Remove jewellery and nail polish from the surgical hand.
  6. Shower and clean the surgical area with the provided antiseptic solution.
  7. When it comes to the procedure day, wear loose, comfortable clothing.
  8. Be prepared for post-operative care, including rest and hand elevation.
  9. Plan for time off work and limit strenuous activities during recovery.
  10.  Attend all preoperative appointments and follow your surgeon's specific instructions carefully.

What are the Post-surgery Instructions for Carpal Tunnel Surgery?

After carpal tunnel surgery, follow these instructions:
  1. Rest: Keep the hand elevated for the first few days.
  2. Pain management: Take prescribed pain medication as needed.
  3. Dressings: Keep the incision clean and dry.
  4. Hand use: Limit hand movement, and avoid heavy lifting or gripping.
  5. Physical therapy: Follow the recommended exercises and hand therapy.
  6. Scar care: Apply recommended creams or ointments.
  7. Driving: Avoid driving until advised by your surgeon.
  8. Return to work: Discuss a return date with your doctor.
  9. Compression: Use a wrist splint as directed.
  10. Follow-up: Attend all scheduled post-op appointments.
  11. Notify complications: Report any concerning symptoms to your surgeon.

Recovery after a Carpal Tunnel Surgery?

After carpal tunnel surgery, recovery involves a combination of rest, elevation, and gentle exercises. Here's a breakdown of the key steps:

Immediate Post-surgery Period:

  • Keep your hand elevated to reduce swelling.
  • Use ice packs intermittently to manage pain and inflammation.
  • Wear a splint or brace as directed by your surgeon to provide wrist support.

Early Recovery Phase (First Few Weeks):

  • Steer clear of heavy lifting and physical activity during this time.
  • Follow your surgeon's recommendations for pain medication.
  • Keep track of your progress by attending the designated follow-up visits.

Gradual Rehabilitation (Over Several Months):

  • Start gentle hand and wrist exercises as advised by a physical therapist.
  • These exercises help improve strength and flexibility.
  • Full recovery may take several months, but most individuals can gradually resume normal activities with improved hand function.

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FAQs around Carpal Tunnel Syndrome Surgery

FAQs around Carpal Tunnel Syndrome Surgery

What is the Average Cost of Carpal Tunnel Surgery in Delhi?

The cost of a carpal tunnel surgery varies as per the specific type advised by healthcare provider, such as:

  • Open Carpal Tunnel Release (OCTR)
  • Endoscopic Carpal Tunnel Release (ECTR)

The cost can also vary widely depending on several factors, including the location, the extent of the procedure, the surgeon’s experience, and the hospital’s pricing structure.

To get an explicit estimate for the cost of carpal tunnel surgery at the CK Birla Hospital, contact the hospital directly. Additionally, you can consult with our board-certified orthopaedic surgeon to discuss your specific needs and receive a personalised quote for the procedure.

What is Carpal Tunnel Syndrome (CTS)?

Carpal tunnel syndrome (CTS) is a painful condition characterised by compression of the median nerve in the wrist, leading to numbness, tingling, and weakness in the hand.

How to Treat Carpal Tunnel Syndrome?

Treatment for carpal tunnel syndrome includes wrist splints, physical therapy, pain relief medication, and in severe cases, surgery to release the compressed nerve. Consult a doctor for guidance.



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