When should you see a carpal tunnel syndrome doctor in Mumbai?
Carpal tunnel syndrome is the most common syndrome affecting the hand. People who perform repetitive hand motions, have a family history of this syndrome, or have certain chronic medical conditions such as diabetes are more likely to be affected by this condition. You should see an orthopedic doctor if you have one or more of the following signs-
- Weakness in the hand, thumb, or fingers
- Inability to bring together the index finger and thumb of the same hand
- Difficulty in holding objects or performing simple movements with hands
- Numbness, tingling, or pain in the hand for fingers, which has lasted more than 2 weeks
- Other symptoms of carpal tunnel syndrome that affect your ability to carry out regular work
How to prepare for my carpal tunnel release surgery?
Prior to your surgery, your orthopedic surgeon will ask about all medicines you are taking at that moment, including over the counter (OTC) medicines, dietary or natural supplements and vitamins. You might be asked to stop taking certain medicines, such as ibuprofen and aspirin as they make it difficult for the blood to clot. If you are a smoker, you will be strongly advised to quit before the surgery as smoking can delay healing. You might be asked not to eat or drink anything for 6-12 hours before the surgery.
Based on your medical condition and history your orthopedic surgeon may request other specific preoperative preparations. You may need to undergo certain preoperative tests such as blood tests or an electrocardiogram (ECG) before the surgery. This usually happens the same day of the surgery.
What are the benefits of undergoing endoscopic carpal tunnel release surgery
The benefits of undergoing minimally invasive, endoscopic surgery compared to the alternative, open carpal tunnel surgery, include:
- Smaller incisions
- Minimal trauma to muscle, joint ligaments or tissue
- Less postoperative pain
- Faster healing and less recovery time
- Very less risk of infection
- Minimal scarring
- Earlier mobilization after surgery
- Usually performed as outpatient surgery
Pristyn Care houses some of the best hand surgeons in Mumbai and aims to provide the high-quality of orthopedic care and the most suited treatment for carpal tunnel syndrome in your case.
Carpal Tunnel Syndrome Surgery
The surgical treatment for carpal tunnel syndrome is known as carpal tunnel release. A carpal tunnel release surgery can be performed under two different techniques. Both aim at relieving the pressure on the median nerve by increasing the size of the carpal tunnel, by severing the ligament that forms the roof of the tunnel. The two techniques of carpal tunnel release surgery are:
- Open carpal tunnel release surgery: A small incision is made in the palm of your hand to view the inside of the wrist. During the procedure, your doctor will cut the transverse carpal ligament to increase the size of the tunnel and relieve the pressure on the median nerve.
- Endoscopic carpal tunnel release surgery: Endoscopic carpal tunnel release surgery involves a smaller insertion and uses a miniature camera to see the inside of the hand and wrist. A special instrument is used to sever a part of the carpal ligament which reduces the pressure on the median nerve.
Carpal Tunnel Surgery- Endoscopic vs Open Surgery
- Incision size- Size of open carpal tunnel surgery incision is usually 3 to 4 cm.
- Endoscopic carpal tunnel incision size is approximately 1 cm, which is much smaller.
- Blood loss- Due to the smaller incisions, there is minimal blood loss in case of endoscopic carpal tunnel surgery.
- Recovery Period- Recovery period after endoscopic carpal tunnel release is much smaller as compared to open surgery.
- Risks and complications- Risk of infection, complications, hand pain and scar tenderness is higher following an open surgery as compared to endoscopic surgery.
How is endoscopic carpal tunnel surgery performed?
Endoscopic carpal tunnel surgery is performed in the hospital under the influence of anesthesia. An endoscope is inserted through one incision. The endoscope has a camera on its end, which allows the doctor to look for any pathology or anomaly. The endoscope presents an image on the television screen that allows the surgeon to see the inside of the hand or wrist directly.
The orthopedic surgeon may insert surgical instruments through the second incision to cut the transverse carpal ligament and thus releasing the pressure on the median nerve by expanding the carpal tunnel. After the ligament is cut, the incisions are closed by dissolvable sutures. Endoscopic carpal tunnel release surgery is much less traumatic to the joint, muscles ligaments, and tissues than the conventional carpal tunnel surgery that is performed with long incisions.
Make your appointment at the best orthopedic clinic for carpal tunnel syndrome treatment in Mumbai
At Pristyn Care, we have the best orthopedic specialists for carpal tunnel treatment in Mumbai who are trained and certified in the diagnosis and treatment of various joint problems. To schedule an appointment with the best hand surgeons in Mumbai for your treatment, call us at our number or make your appointment from our website or mobile application.