12/16/2013

Understanding Endoscopic Carpal Tunnel Surgery

By Eugenia Dickerson


The performance of endoscopic carpal tunnel surgery is an invasive procedure aimed at alleviating the pain associated with Carpal Tunnel Syndrome. Such injury often results from the compression of the nerve located in the hand and wrist due to repetitive strain and activities that place pressure on such tissues. Patients report sensations of numbness, tingling, and weakness of the limb.

Carpal Tunnel Syndrome is referred to as CTS and is a condition that commonly occurs as a result of repetitive strain as the median nerve becomes severely damaged due to stress and age. The reports of patients include mild tingling sensations, numbness, and weakness that can make it difficult to hold or pull on different items. If intervention is not sought, the symptoms will simply deteriorate with time.

The practitioner will request a medical history and the performance of a physical examination to determine the nature of the injury. The application digital imaging may provide a clearer picture of the damage and is often followed with tests such as wrist tenderness and range of motion. Such measures will prove most effective in addressing discomfort and determining the best possible form of intervention.

Once the exam has been performed, a test referred to as the Electromyogram and Nerve Conduction Velocity will be applied to detect nerve pressure, sensitivity, and the source for numb sensations. In cases of mild injuries, the practitioner will advise on the wearing of a brace for a specified period of time and non-steroidal therapy to manage symptoms. If conventional measures fail, it will be addressed with the application of endoscopic surgery.

The purpose for the performance of surgery is to relieve the contracted ligament that has cause pressure on nerve function. The nerve experiences a compressed state due to the ligament having become tight. The insertion of an endoscopic device will need to be placed below the carpal ligament to view the damage and to make the necessary incisions within the wrist.

Surgery should only be implemented by a knowledgeable and experienced practitioner as this can protect against damage to the sensitive tissues. The entire process may take up to 30 minutes and requires anesthesia. Patients will have the choice of local anesthetic where the operated area is numbed.

The out-patient procedure will allow the individual to move his or her arm immediately after the intervention is performed. It is important to adhere to the recovery methods as advised by the professional medical practitioner. One cannot use the arm to engage in strenuous activities for an average of 6 weeks to ensure that proper healing takes place.

The performance of endoscopic carpal tunnel surgery becomes necessary where regular methods of intervention such as bracing have failed to deliver the results you are looking for. It should be assessed by a licensed and experienced surgeon who can advise on the damages and facilitates pain free function for long term results. With CTS it is best to seek therapy to relieve discomfort and prevent further damage.




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