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What Determines Surgery Type For Carpal Tunnel Syndrome?

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Posted on Tue, 8 Feb 2022
Question: what determines surgery type for Carpal Tunnel? Open or endoscopic
doctor
Answered by Dr. Dr. Praveen Tayal (53 minutes later)
Brief Answer:
Depends on extent and duration of nerve compression.

Detailed Answer:

Hello,

If you are already diagnosed of carpal tunnel syndrome then, i'll suggest a couple of treatment options before you can engage in any surgical procedures
First you might try wearing a sprint at night for several weeks. If this does not work you might need to start wearing this during the day. Avoid sleeping on your wrist and use of hot and cold compresses maybe recommended.
Occupational changes such as too much use of keyboards and positioning should be changed.

You can use medications such as non-steroidal anti-inflammatory to alleviate the symptoms or you use injectable steroidal anti-inflammatory such as prednisolone in the dosage of 20mg daily for two weeks (low dose steroids). Others that could be used are hydrocortisone (low as 25mg), triamcinolone (30 mg daily) for two weeks.

Carpal tunnel release is a surgical procedure that cuts into the ligament that is pressing on the nerve. Both open or endoscopic procedures are equally effective. Surgery is successful most of the time, but choice of surgery depends on how long the nerve compression has been occurring and its severity. It also depends on any previous surgeries or contractures in the area.

Well the treatment options will depend on you and on your treating surgeon. If the surgeon evaluates and feels it will be best to undergo a release surgery, then it is better you follow his advice.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.

Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (7 minutes later)
do you have to be put out for ether endoscopic or open surgery? After all these years with this, what good would medicine do? No cure?
doctor
Answered by Dr. Dr. Praveen Tayal (9 hours later)
Brief Answer:
Surgery can cure the problem.

Detailed Answer:

Hello,

Surgery is needed in chronic cases where the pain is persistent and there is no relief with medicines. The removal of pressure from the nerves can be done surgically only. Endoscopic surgery has the benefit of an earlier recovery.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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What Determines Surgery Type For Carpal Tunnel Syndrome?

Brief Answer: Depends on extent and duration of nerve compression. Detailed Answer: Hello, If you are already diagnosed of carpal tunnel syndrome then, i'll suggest a couple of treatment options before you can engage in any surgical procedures First you might try wearing a sprint at night for several weeks. If this does not work you might need to start wearing this during the day. Avoid sleeping on your wrist and use of hot and cold compresses maybe recommended. Occupational changes such as too much use of keyboards and positioning should be changed. You can use medications such as non-steroidal anti-inflammatory to alleviate the symptoms or you use injectable steroidal anti-inflammatory such as prednisolone in the dosage of 20mg daily for two weeks (low dose steroids). Others that could be used are hydrocortisone (low as 25mg), triamcinolone (30 mg daily) for two weeks. Carpal tunnel release is a surgical procedure that cuts into the ligament that is pressing on the nerve. Both open or endoscopic procedures are equally effective. Surgery is successful most of the time, but choice of surgery depends on how long the nerve compression has been occurring and its severity. It also depends on any previous surgeries or contractures in the area. Well the treatment options will depend on you and on your treating surgeon. If the surgeon evaluates and feels it will be best to undergo a release surgery, then it is better you follow his advice. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal.