DR. MED. KALVIS PASTARS
Certified plastic surgeon, microsurgeon, hand surgeon.
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Carpal tunnel syndrome is a neurological disorder in which tissues in the carpal tunnel of the wrist become swollen and compress the median nerve. The carpal tunnel is a narrow tunnel through which the median nerve and tendons of the fingers pass in the hand.
Over the course of a lifetime, the tendons and ligaments in the wrist thicken, and the nerve may be gradually compressed. The problem is more often faced by people whose work is associated with heavy loads on their hands. Tunnel syndrome occurs 4 times more often in women than in men.
Symptoms of the disease: progressive tingling and pain in the hands, especially at night, and swelling, accompanied by numbness of the fingers in the morning. Most often, the leading hand gets sick first.
Ignoring symptoms can lead to movement problems, weakness in the hands, and an inability to pick up and hold small objects. In such cases, surgery is necessary.
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Can carpal tunnel syndrome be transmitted without surgery?
Studies show that 50% of patients with primary carpal tunnel syndrome have complaints that persist within a year and do not recur during their lifetime. The worse prognosis is when only one hand tingles, as this may be a symptom of other diseases, such as diabetes or thyroid disease. In the case of carpal tunnel syndrome, physiotherapy, nocturnal palm rest, and steroid injections may help.
Is steroid injection (blockage) harmful?
A single steroid injection does not cause the side effects of steroid use, but can significantly reduce or eliminate finger pain and tingling. However, repeated injections into the carpal tunnel should be avoided. In diabetic patients, the injection may cause a temporary rise in glucose levels.
Will the numbness in the fingers disappear after the operation?
If the nerve has not developed axonal damage or oversized nerve fibers from prolonged compression, the numbness disappears and almost never returns. If the numbness before surgery is constant, the muscles in the palm are worn out, it may take more than a year for the sensation to return. It depends on the growth of scar tissue in place of the damaged fibers. Therefore, the operation should be performed before the permanent numbness of the fingers.
How long will I not be able to work after carpal tunnel surgery?
From the next day, you have to start developing movement in your fingers, after 2-3 days with the operated hand you can start doing small tasks such as holding a spoon. If you are an office worker and do not have to burden your hand, you can return to work in 3-4 weeks. However, hard physical workers have to rest for 2-3 months until the wrist regains its ability to work.
Carpal tunnel syndrome
600 €
The price of the operation includes surgery, anesthesia, hospital stay.
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