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Consult our carpal tunnel syndrome specialist for a detailed consultation & a personalised treatment plan.
Carpal Tunnel Syndrome (CTS) is a condition characterised by pain, numbness, tingling, and weakness in the hand and wrist. It arises when the median nerve, which extends from the forearm into the palm, is compressed or squeezed at the wrist.
This nerve, responsible for providing sensation in several fingers, passes through the carpal tunnel, a narrow and rigid passageway of ligament and bones at the hand’s base. When pressure within this tunnel increases, typically due to swelling or anatomical changes, it leads to the symptoms associated with CTS.
Prolonged compression of the nerve can result in debilitating loss of sensation and pain, potentially leading to functional impairment, as well as muscle atrophy or muscle wasting.
CTS manifests through a variety of symptoms, which typically evolve over time. It can affect one or both hands, often starting with the dominant hand.
CTS is typically the result of a combination of factors that increase pressure on the median nerve and tendons in the carpal tunnel.
Diagnosing CTS typically involves a combination of clinical examination and specific tests.
Non-surgical treatments are often the first approach to managing CTS, especially in its early stages. These treatments focus on relieving symptoms and preventing further nerve damage.
When non-surgical treatments do not provide sufficient relief, or if CTS is severe, surgery may be conducted. The most common surgical procedure is the carpal tunnel release, which involves cutting the ligament that forms the roof of the carpal tunnel to reduce pressure on the median nerve. This is conducted under local anaesthesia. It can be performed using two different methods:
This traditional method involves making a larger incision in the palm of the hand, allowing the surgeon direct visibility and access to the transverse carpal ligament. The ligament is then cut to release the pressure on the median nerve.
The open nature of this surgery allows the surgeon to directly view the treatment area, but it may result in a longer recovery period and more discomfort postoperatively compared to endoscopic surgery.
A more recent, minimally invasive technique, endoscopic surgery involves one or two small incisions in the wrist and palm. A camera (endoscope) is inserted, which guides the surgeon to the transverse carpal ligament. Specialised instruments are then used to cut the ligament.
This method typically results in a quicker recovery, less postoperative pain, and smaller scars. It may carry a slightly higher risk of complications and might not be suitable for all patients, depending on the specifics of their condition.
Preventing CTS involves measures to reduce stress on the hands and wrists.
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Consult our carpal tunnel syndrome specialist for a detailed consultation & a personalised treatment plan.
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
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Yes, in many cases, especially if diagnosed early, non-surgical treatments like splinting, lifestyle modifications, and medications can effectively manage the condition.
Recovery varies but typically involves a few weeks for basic hand function to return, with full recovery taking several months.
While a change in the diet itself does not directly affect CTS, maintaining a healthy weight and managing health conditions like diabetes can reduce the risk of developing the condition.