Pronator syndrome

Symptoms of pronator muscle syndrome are very similar to that of carpal tunnel syndrome - feeling of finger and hand numbness - however in this disease the median nerve is compressed in the forearm, not the carpal tunnel. The surgery of the carpal tunnel opening will not achieve the desired result: one of the most common reasons for unsuccessful surgery – wrong diagnosis.

To state more exactly the level of nerve damage or compression, the hand surgeon will prescribe for the patient nerve conductivity examinations (neurography or electromyography). During these examinations, it is often discovered that the reason for complaints is compression of nerve radices in the neck. In such cases, the patient will be referred to the vertebrologist for further professional treatment.

Duration of the surgery: on average 1 hour.

Anaesthesia: regional or general.

Treatment: in an out-patient setting.

Convalescence: following the surgery, local discomfort and pain may occur, which is well controlled with analgesic tablets. Wounds heal for 2 weeks. Wound should be dressed 2 to 3 times a week. After two weeks the skin sutures are removed. During the postoperative period the ergotherapy and movement training for the arm may be necessary.

Result: the results of the surgery depend on the duration of nerve compression. Therefore it is important to visit the doctor in due time if the person has a feeling of finger, arm or hand numbness.

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