Invasive Treatments Do They Really Work For Carpal Tunnel Syndrome

Invasive Treatments Do They Really Work For Carpal Tunnel Syndrome



Invasive Treatments Do They Really Work for​ Carpal Tunnel Syndrome?
If you have been diagnosed with Carpal Tunnel Syndrome CTS, you may be wondering what next? Below you will find information regarding the​ most common not the​ best treatment options currently in​ use in​ the​ medical industry and​ their success and​ failure rates.
If you have received a​ positive carpal tunnel diagnosis, most doctors will push for​ cortisone injections and/or surgery, procedures that have poor success rates and​ ones that should only be performed as​ a​ last resort, after all other conservative treatment methods have been utilized.
The following information provides details about what each current procedure entails as​ well as​ statistics that reveal why conservative therapy should be implemented over the​ following invasive treatment methods.
CORTISONE INJECTIONS for​ CARPAL TUNNEL SYNDROME
Cortisone is​ medication that treats inflammation only. Often the​ carpal tunnel pain will subside because the​ inflammation of​ the​ median nerve is​ reduced from the​ use of​ the​ cortisone, but this is​ only a​ temporary effect.
The one main problem with cortisone is​ that for​ 21 days following the​ injection, the​ tendons have the​ consistency of​ rubber and​ can be seriously overstretched and​ damaged. This is​ a​ common side effect that most doctors fail to​ tell their patients. if​ the​ patient continues overusing and/or stressing their hands and​ wrists, the​ tendons can overstretch and​ cause the​ structural integrity of​ the​ joint to​ diminish greatly, causing the​ joint to​ become loose and​ sloppy, resulting in​ an even greater possibility of​ further injury and​ damage.
Cortisone can be used wisely as​ a​ part of​ a​ carpal tunnel treatment program along with the​ implementation of​ proper stretches add exercises, the​ most important tool that can be used to​ recover from carpal tunnel. if​ cortisone is​ utilized, it​ is​ good for​ the​ patient to​ take this time, when the​ carpal tunnel is​ not inflamed, to​ be on a​ conservative therapy program to​ correct the​ existing muscle imbalance in​ the​ wrist joint and​ eliminate the​ carpal tunnel symptoms for​ good. the​ problem is​ that most doctors give the​ cortisone shot and​ the​ patient goes home and​ either does nothing, or​ does too much, causing greater trauma to​ the​ median nerve within the​ carpal tunnel and​ exacerbating the​ symptoms.
Steroid Cortisone Injection Statistic
*Failure rate Including partial success as​ failure is​ 72. 6% after 1year follow up. Source Irwin, et al. J Hand Surgery.
SURGERY for​ CARPAL TUNNEL SYNDROME
Carpal tunnel surgery consists of​ releasing severing the​ transverse carpal ligament that forms the​ roof of​ the​ carpal tunnel. Surgery is​ utilized to​ open and​ widen the​ carpal tunnel in​ order to​ allow more room for​ the​ median nerve, artery and​ nine flexor tendons to​ move around. There are several surgical procedures that are utilized to​ achieve this
· Open Release Surgery a​ local anesthetic is​ injected into the​ wrist and/or hand and​ a​ 23inch incision is​ made in​ the​ palm and​ cuts the​ carpal ligament free from the​ underlying median nerve. This operation takes about 2025 minutes.
· Mini Open Release Surgery the​ miniopen release technique involves an incision that is​ about 1. 5 inches long and​ can be performed in​ the​ doctors office with only a​ local anesthetic. the​ operation takes only about 12 minutes.
· Endoscopic Release Surgery the​ Endoscopic technique is​ less invasive and​ uses involves one or​ two . 5 inch long incisions in​ the​ wrist and​ or​ palm, and​ one or​ two endoscope pencilthin tubes are inserted. a​ tiny camera and​ a​ knife are inserted through these lighted tubes. While observing the​ carpal ligament on a​ television monitor, the​ surgeon cuts the​ ligament to​ free the​ compressed median nerve.
Carpal Tunnel Surgery Statistics
*Only 23% of​ all Carpal Tunnel Syndrome patients were able to​ return to​ their previous professions following surgery. Source NIOSH
*Carpal tunnel surgery has about a​ 57% failure rate following patients from 1day to​ 6years. at​ least one of​ the​ following symptoms reoccurred during this time Pain, Numbness, Tingling sensations. Source Nancollas, et al, 1995. J. Hand Surgery.
CONSERVATIVE TREATMENT for​ CARPAL TUNNEL SYNDROME
Conservative therapy is​ really the​ only key to​ preventing carpal tunnel syndrome as​ well as​ for​ the​ successful recovery and​ longterm relief of​ existing carpal tunnel symptoms, even for​ postsurgery patients that have experienced little relief. Always try conservative therapy first and​ eliminate future injections and​ surgical procedures Try the​ Conservative Alternative.




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