Carpal Tunnel Release Surgery Clinic
for Carpal Tunnel Syndrome
at Excellence Medical
Our Passion is to provide Excellence in care for
Carpal Tunnel Decompression (Release) Surgey
Carpal Tunnel Syndrome is a common condition that is caused by compression of Median nerve in the wrist. This nerve runs through a confined space known as the carpal tunnel.
The median nerve compression at the wrist in the carpal tunnel, results in disruption of electrical impulses through the nerve. This nerve provides sensation to the thumb, index and middle fingers, and to half of the ring finger. The small finger is typically not affected. The median nerve also carries impulses to small muscles in the hand.
Carpal Tunnel Decompression Surgery for Carpal Tunnel Syndrome
Carpal Tunnel Release Surgery Overview
During Carpal Tunnel Surgery, the transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of Carpal Tunnel Syndrome.
An incision is made at the base of the palm of the hand. This allows to see the transverse carpal ligament and divide it. The skin is closed with stitches. The gap where the ligament was cut is left alone in order to widen the carpal tunnel to relieve median nerve compression.
For carpal tunnel release surgery, a patient does not need hospitalisation, it is done under local anaesthesia, and patient can go home on the same day.
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 Transverse Carpal ligament, forms the top of the tunnel. The median nerve and tendons pass through this narrow space. The tendons connect muscles in the forearm to bones in the hand. Conditions that further narrow the carpal tunnel, cause carpal tunnel syndrome by compressing the median nerve.
Carpal Tunnel Syndrome
Carpal tunnel syndrome is caused by compression of a Median nerve at the wrist. This nerve runs through a confined space known as the carpal tunnel.
The median nerve is compressed at the wrist in the carpal tunnel, resulting in disruption of electrical impulses through the nerve. This nerve provides sensation to the thumb, index and middle fingers, and to half of the ring finger. The small finger is typically not affected. The median nerve also carries impulses to small muscles in the hand.
Signs and Symtoms of Carpal Tunnel Syndrome
Symptoms usually begin slowly and gradually with a dull ache in the wrist which eventually extends into the hand and forearm. Commonly, a person with carpal tunnel syndrome will wake up in the middle of the night with pain and numbness in the hand and will need to shake or massage the whole hand and wrist in an attempt to restore normal feeling. Some people complain of weaker handgrip resulting in involuntarily letting things fall.
Diagnosis of Carpal Tunnel Syndrome
We will discuss your medical history in detail and examine you. Next, physical examination tests are performed, which may include:
- Tinel’s sign. In this test, the median nerve is tapped at the wrist to see if it produces a tingling sensation in the fingers.
- Wrist flexion test or Phalen’s test. In this test, the patient rests his or her elbows on a table and allows the wrist to fall forward freely. Individuals with carpal tunnel syndrome will experience numbness and tingling in the fingers within 60 seconds. The more quickly symptoms appear, the more severe the carpal tunnel syndrome.
Carpal Tunnel Decompression Surgery
During a carpal tunnel release, a cut is put through the ligament that is pressing down on the carpal tunnel known as the Transverse Carpal Ligament. This makes more room for the median nerve and tendons passing through the tunnel, and usually improves tinglind sensation,pain,numbness and hand function.
Minor Surgery at Excellence Medical
The most common minor operative procedures performed under local anesthesia are as follows :
1. Sebaecous Cyst Removal
2. Mole Assessment and Removal
3. Lipoma Removal
4. Skin Tag Removal
5. Ganglion Cyst treatment
6. Scar Revision
7. Ingrown toenails / ingrowing toenails
8. Wart removal
9. Skin cancer removal
10. Joint injections
Carpal Tunnel Syndrome
Non Surgical Treatments and
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