Carpal Tunnel Surgery in India

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What is the carpal tunnel? The carpal tunnel is
a narrow canal in the wrist. The bottom and sides
of the tunnel are formed by a semi-circle of
bones called carpal bones. A strong tissue,
called a ligament, forms the top of the tunnel.
The median nerve and tendons pass through this
narrow space. (The tendons are rope-like
structures that connect muscles in the forearm to
bones in the hand.) Tendons allow the fingers and
thumb to bend and straighten. Conditions that
further narrow the carpal tunnel or cause the
tendons that pass through this tunnel to swell
cause carpal tunnel syndrome by compressing the
median nerve.

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What is carpal tunnel syndrome? The wrist
comprises of several small bones collectively
known as the carpal bones. The carpal bones are
interconnected via strong ligaments and
connective tissue known as the flexor
retinaculum. Collectively, this arrangement forms
a space known as the carpal tunnel .The carpal
tunnel contains numerous flexor tendons from the
muscles of the forearm allowing them to attach to
the wrist and fingers via the carpal tunnel. In
addition, a nerve known as the median nerve lies
within the carpal tunnel . The median nerve is
responsible for supplying some sensation and
motor control to the hand. Occasionally, the
carpal tunnel may narrow resulting in compression
of the median nerve. When this occurs, the
condition is known as carpal tunnel syndrome.
Carpal tunnel syndrome normally occurs following
damage to the flexor tendons within the carpal
tunnel. This results in swelling and inflammation
of the tendons, thereby reducing the dimensions
of the carpal tunnel, compressing the median
nerve.

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Damage to the flexor tendons usually occurs due
to overuse of the forearm flexors. During
contraction of the forearm flexors, tension is
placed through the flexor tendons within the
carpal tunnel. When this tension is excessive due
to too much repetition or high force, damage to
the tendons may occur. This is usually due to
gradual wear and tear associated with overuse,
however, it may also occur traumatically due to a
specific incident. Although carpal tunnel
syndrome can occur at any age, it is commonly
seen in patients greater than 50. Carpal tunnel
syndrome is also more common in women and usually
affects the dominant hand. Occasionally, it may
affect both hands.

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• Many things contribute to the development of
  carpal tunnel syndrome
• Ankle replacement surgery is done if the ankle
  joint is severely damaged. Your symptoms may be
  pain and loss of movement of the ankle. Some
  causes of damage are
• Heredity is the most important factor - carpal
  tunnels are smaller in some
• people, and this trait can run in families.
• Hand use over time can play a role. Especially
  in computer operators and
• musicians who keep their wrists in extended
  position for a long time.
• Hormonal changes related to pregnancy can play
  a role.
• Osteoarthritis
• Age the disease occurs more frequently in
  older people.

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• Symptons
• The Most Common Symptons of Carpal Tunnel
  Syndrome Include -
• Numbness, tingling, and pain in the hand
• An electric shock-like feeling mostly in the
  thumb, index, and long fingers
• Strange sensations and pain traveling up the
  arm toward the shoulder
• Symptoms usually begin gradually, without a
  specific injury. In most
• people, symptoms are more severe on the thumb
  side of the hand.

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Carpal Tunnel Release Surgery in India   When
these initial efforts fail to control symptoms,
an operation called a carpal tunnel release is
advised by your surgeon. During the procedure,
the surgeon carefully cuts the wrist ligament,
releasing the pressure inside the carpal tunnel,
usually providing almost instantaneous relief
from arm and hand pain and tingling. As the wound
heals, new tissue will bridge the severed
ligament in about six weeks, making the ligament
long enough to create additional space inside the
tunnel and prevent recurrence of symptoms in most
cases.

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The most common surgery for relieving carpal
tunnel symptoms involves cutting the transverse
carpal ligament to relieve pressure on the median
nerve in the wrist. Two approaches for this
surgery are Open carpal tunnel release
surgery, which allows the doctor to see more of
the inner tissues, including the full width of
the transverse carpal ligament where it is to be
cut. Open surgery requires an incision in the
palm and wrist, which disturbs more of the
tissues in the hand, and requires a longer
recovery period. It leaves a larger scar than
does endoscopic surgery. But there may be less
chance of other complications. See a picture of
open carpal tunnel surgery. Endoscopic carpal
tunnel release surgery, which requires only a
small incision at the wrist (single-portal
technique) or at the wrist and palm (two-portal
technique), and which disturbs less tissue in the
hand. Recovery is quicker than with open surgery.
And the scars heal more quickly, are smaller, and
tend to be less painful at 3 months after
surgery. There may be a slightly higher rate of
reoperation after endoscopic carpal tunnel
surgery. See a picture of endoscopic carpal
tunnel surgery.

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What are the Aims and Benefits of Carpal Tunnel
Release Surgery? Relief from Neural
Compression Pain Reduction Prevention of
Further Deterioration The chance of obtaining a
significant benefit from surgery depends upon a
wide variety of factors. Your neurosurgeon will
give you an indication of the likelihood of
success in your specific case.

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FAQ Orthopedic (Bone Joints) Surgery in
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Orthopedic Surgeon in India? Send us your medical
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Orthopedic Surgery in India.   What are the
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Is it safe to get Orthopedic Treatment and
Surgery in India? The medical fraternity in India
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are performed in India each year with maximum
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