CARPAL TUNNEL TREATMENT

You’re working at your desk, or from home in this pandemic in Las Vegas, trying to ignore the tingling or numbness you’ve had for months in your hand and wrist. Suddenly, a sharp, piercing pain shoots through the wrist and up your arm. Just a passing cramp? More likely you have carpal tunnel syndrome, a painful progressive condition caused by compression of a key nerve in the wrist.

Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. The median nerve controls sensations to the palm side of the thumb and fingers (although not the little finger), as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. The carpal tunnel – a narrow, rigid passageway of ligament and bones at the base of the hand – houses the median nerve and tendons. Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed. The result may be pain, weakness, or numbness in the hand and wrist, radiating up the arm. Although painful sensations may indicate other conditions, carpal tunnel syndrome is the most common and widely known of the entrapment neuropathies in which the body’s peripheral nerves are compressed or traumatized.

Symptoms usually start gradually, with frequent burning, tingling, or itching numbness in the palm of the hand and the fingers, especially the thumb and the index and middle fingers. Some carpal tunnel sufferers say their fingers feel useless and swollen, even though little or no swelling is apparent. The symptoms often first appear in one or both hands during the night, since many people sleep with flexed wrists. A person with carpal tunnel syndrome may wake up feeling the need to “shake out” the hand or wrist. As symptoms worsen, people might feel tingling during the day. Decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. In chronic and/or untreated cases, the muscles at the base of the thumb may waste away. Some people are unable to tell between hot and cold by touch.

Carpal tunnel syndrome is often the result of a combination of factors that increase pressure on the median nerve and tendons in the carpal tunnel, rather than a problem with the nerve itself. Most likely the disorder is due to a congenital predisposition – the carpal tunnel is simply smaller in some people than in others. Other contributing factors include trauma or injury to the wrist that cause swelling, such as sprain or fracture; overactivity of the pituitary gland; hypothyroidism; rheumatoid arthritis; mechanical problems in the wrist joint; work stress; repeated use of vibrating hand tools; fluid retention during pregnancy or menopause; or the development of a cyst or tumor in the canal. Carpal tunnel syndrome is also associated with pregnancy and diseases such as diabetes, thyroid disease, or rheumatoid arthritis. In some cases no cause can be identified.

There is little clinical data to prove whether repetitive and forceful movements of the hand and wrist during work or leisure activities can cause carpal tunnel syndrome. Repeated motions performed in the course of normal work or other daily activities can result in repetitive motion disorders such as bursitis and tendonitis. Writer’s cramp – a condition in which a lack of fine motor skill coordination and ache and pressure in the fingers, wrist, or forearm is brought on by repetitive activity – is not a symptom of carpal tunnel syndrome.

Women are three times more likely than men to develop carpal tunnel syndrome, perhaps because the carpal tunnel itself may be smaller in women than in men. The dominant hand is usually affected first and produces the most severe pain. Persons with diabetes or other metabolic disorders that directly affect the body’s nerves and make them more susceptible to compression are also at high risk. Carpal tunnel syndrome usually occurs only in adults.

The risk of developing carpal tunnel syndrome is not confined to people in a single industry or job, but is especially common in those performing assembly line work – manufacturing, sewing, finishing, cleaning, and meat, poultry, or fish packing. In fact, carpal tunnel syndrome is three times more common among assemblers than among data-entry personnel. A 2001 study by the Mayo Clinic found heavy computer use (up to 7 hours a day) did not increase a person’s risk of developing carpal tunnel syndrome.

During 1998, an estimated three of every 10,000 workers lost time from work because of carpal tunnel syndrome. Half of these workers missed more than 10 days of work. The average lifetime cost of carpal tunnel syndrome, including medical bills and lost time from work, is estimated to be about $30,000 for each injured worker.

Early diagnosis and treatment are important to avoid permanent damage to the median nerve. A physical examination of the hands, arms, shoulders, and neck can help determine if the patient’s complaints are related to daily activities or to an underlying disorder, and can rule out other painful conditions that mimic carpal tunnel syndrome. The wrist is examined for tenderness, swelling, warmth, and discoloration. Each finger should be tested for sensation, and the muscles at the base of the hand should be examined for strength and signs of atrophy. Routine laboratory tests and X-rays can reveal diabetes, arthritis, and fractures.

Physicians can use specific tests to try to produce the symptoms of carpal tunnel syndrome. In the Tinel test, the doctor taps on or presses on the median nerve in the patient’s wrist. The test is positive when tingling in the fingers or a resultant shock-like sensation occurs. The Phalen, or wrist-flexion, test involves having the patient hold his or her forearms upright by pointing the fingers down and pressing the backs of the hands together. The presence of carpal tunnel syndrome is suggested if one or more symptoms, such as tingling or increasing numbness, is felt in the fingers within 1 minute. Doctors may also ask patients to try to make a movement that brings on symptoms.

Often it is necessary to confirm the diagnosis by use of electrodiagnostic tests. In a nerve conduction study, electrodes are placed on the hand and wrist. Small electric shocks are applied and the speed with which nerves transmit impulses is measured. In electromyography, a fine needle is inserted into a muscle; electrical activity viewed on a screen can determine the severity of damage to the median nerve. Ultrasound imaging can show impaired movement of the median nerve. Magnetic resonance imaging (MRI) can show the anatomy of the wrist but to date has not been especially useful in diagnosing carpal tunnel syndrome.

Treatments for carpal tunnel syndrome should begin as early as possible, under a doctor’s direction. Underlying causes such as diabetes or arthritis should be treated first. Initial treatment generally involves resting the affected hand and wrist for at least 2 weeks, avoiding activities that may worsen symptoms, and immobilizing the wrist in a splint to avoid further damage from twisting or bending. If there is inflammation, applying cool packs can help reduce swelling.

Non-surgical treatments

– In special circumstances, various drugs can ease the pain and swelling associated with carpal tunnel syndrome. Nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen, and other nonprescription pain relievers, may ease symptoms that have been present for a short time or have been caused by strenuous activity. Orally administered diuretics (“water pills”) can decrease swelling. Corticosteroids (such as prednisone) or the drug lidocaine can be injected directly into the wrist or taken by mouth (in the case of prednisone) to relieve pressure on the median nerve and provide immediate, temporary relief to persons with mild or intermittent symptoms. (Caution: persons with diabetes and those who may be predisposed to diabetes should note that prolonged use of corticosteroids can make it difficult to regulate insulin levels. Corticosterioids should not be taken without a doctor’s prescription.) Additionally, some studies show that vitamin B 6 (pyridoxine) supplements may ease the symptoms of carpal tunnel syndrome.

– Stretching and strengthening exercises can be helpful in people whose symptoms have abated. These exercises may be supervised by a physical therapist, who is trained to use exercises to treat physical impairments, or an occupational therapist, who is trained in evaluating people with physical impairments and helping them build skills to improve their health and well-being.

Alternative therapies – Acupuncture and chiropractic care have benefited some patients but their effectiveness remains unproved. An exception is yoga, which has been shown to reduce pain and improve grip strength among patients with carpal tunnel syndrome.

Surgery

Carpal tunnel release is one of the most common surgical procedures in the United States. Generally recommended if symptoms last for 6 months, surgery involves severing the band of tissue around the wrist to reduce pressure on the median nerve. Surgery is done under local anesthesia and does not require an overnight hospital stay. Many patients require surgery on both hands. The following are types of carpal tunnel release surgery:

Open release surgery, the traditional procedure used to correct carpal tunnel syndrome, consists of making an incision up to 2 inches in the wrist and then cutting the carpal ligament to enlarge the carpal tunnel. The procedure is generally done under local anesthesia on an outpatient basis, unless there are unusual medical considerations.

Endoscopic surgery may allow faster functional recovery and less postoperative discomfort than traditional open release surgery. The surgeon makes two incisions (about ½ inch each) in the wrist and palm, inserts a camera attached to a tube, observes the tissue on a screen, and cuts the carpal ligament (the tissue that holds joints together). This two-portal endoscopic surgery, generally performed under local anesthesia, is effective and minimizes scarring and scar tenderness, if any. Single portal endoscopic surgery for carpal tunnel syndrome is also available and can result in less post-operative pain and a minimal scar. It generally allows individuals to resume some normal activities in a short period of time.

Although symptoms may be relieved immediately after surgery, full recovery from carpal tunnel surgery can take months. Some patients may have infection, nerve damage, stiffness, and pain at the scar. Occasionally the wrist loses strength because the carpal ligament is cut. Patients should undergo physical therapy after surgery to restore wrist strength. Some patients may need to adjust job duties or even change jobs after recovery from surgery.

Recurrence of carpal tunnel syndrome following treatment is rare. The majority of patients recover completely.

How can carpal tunnel syndrome be prevented?

At the workplace, workers can do on-the-job conditioning, perform stretching exercises, take frequent rest breaks, wear splints to keep wrists straight, and use correct posture and wrist position. Wearing fingerless gloves can help keep hands warm and flexible. Workstations, tools and tool handles, and tasks can be redesigned to enable the worker’s wrist to maintain a natural position during work. Jobs can be rotated among workers. Employers can develop programs in ergonomics, the process of adapting workplace conditions and job demands to the capabilities of workers. However, research has not conclusively shown that these workplace changes prevent the occurrence of carpal tunnel syndrome.

What research is being done?

The National Institute of Neurological Disorders and Stroke (NINDS), a part of the National Institutes of Health, is the federal government’s leading supporter of biomedical research on neuropathy, including carpal tunnel syndrome. Scientists are studying the chronology of events that occur with carpal tunnel syndrome in order to better understand, treat, and prevent this ailment. By determining distinct biomechanical factors related to pain, such as specific joint angles, motions, force, and progression over time, researchers are finding new ways to limit or prevent carpal tunnel syndrome in the workplace and decrease other costly and disabling occupational illnesses.

Randomized clinical trials are being designed to evaluate the effectiveness of educational interventions in reducing the incidence of carpal tunnel syndrome and upper extremity cumulative trauma disorders. Data to be collected from a National Institute for Occupational Safety and Health-sponsored study of carpal tunnel syndrome among construction workers will provide a better understanding of the specific work factors associated with the disorder, furnish pilot data for planning future projects to study its natural history, and assist in developing strategies to prevent its occurrence among construction and other workers. Other research will discern differences between the relatively new carpal compression test (in which the examiner applies moderate pressure with both thumbs directly on the carpal tunnel and underlying median nerve, at the transverse carpal ligament) and the pressure provocative test (in which a cuff placed at the anterior of the carpal tunnel is inflated, followed by direct pressure on the median nerve) in predicting carpal tunnel syndrome. Scientists are also investigating the use of alternative therapies, such as acupuncture, to prevent and treat this disorder.

Where can I get more information?

For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network (BRAIN) at:

BRAIN
P.O. Box 5801
Bethesda, MD 20824
(800) 352-9424
http://www.ninds.nih.gov

Information also is available from the following organizations:
American Chronic Pain Association (ACPA)
P.O. Box 850
Rocklin, CA 95677-0850
[email protected]
http://www.theacpa.org
Tel: 916-632-0922 800-533-3231
Fax: 916-652-8190
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health, DHHS
31 Center Dr., Rm. 4C02 MSC 2350
Bethesda, MD 20892-2350
[email protected]
http://www.niams.nih.gov
Tel: 301-496-8190 877-22-NIAMS (226-4267)

Centers for Disease Control and Prevention (CDC)
U.S. Department of Health and Human Services
1600 Clifton Road, N.E.
Atlanta, GA 30333
[email protected]
http://www.cdc.gov
Tel: 800-311-3435 404-639-3311/404-639-3543
Occupational Safety & Health Administration
U.S. Department of Labor
200 Constitution Avenue, NW
Washington, DC 20210
http://www.osha.gov
Tel: 800-321-OSHA (-6742)

Carpal Tunnel Syndrome Fact Sheet,” NINDS. Publication date November 2002.

NIH Publication No. 03-4898
Back to Carpal Tunnel Syndrome Information Page
See a list of all NINDS Disorders
Publicaciones en Español
Síndrome del Túnel Carpiano
Prepared by:
Office of Communications and Public Liaison
National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892
NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.

All NINDS-prepared information is in the public domain and may be freely copied.  We Credit NINDS and the NIH.

Feel free to read the transcription below to the video above

everybody’s actually by the game

 

redactor you’re in sport soccers talking

 

to you today about carpal tunnel

 

syndrome this is a study that we’ve

 

covered multiple times but I still get a

 

lot of questions about it and a lot of

 

requests to do videos about it

 

specifically how you impact the gaming

 

community how it impacts people do a lot

 

of typing or texting or keyboarding our

 

mouse use is really extreme so today I’d

 

like to go over the basics of carpal

 

tunnel what it is again the anatomy of

 

carpal tunnel as well as how its treated

 

and how its treated surgically and

 

non-surgically so for myself as no big

 

surgery I see a lot of gamers of course

 

from all over the world a lot of

 

athletes who develop carpal tunnel

 

syndrome and I want to give you some

 

basics today about it how to prevent it

 

hopefully and more importantly how to

 

prevent any type of surgical

 

intervention so let’s begin so what is

 

carpal tunnel carpal tunnel is

 

impingement of the median nerve under

 

the TCL the transverse carpal ligament

 

so if you think about the layers here of

 

the hand over this area there’s skin and

 

then there’s fat and then there’s

 

something comes the palmar aponeurosis

 

and then other that there are some

 

vessels and the next thing is the

 

transverse carpal ligament and the

 

transverse carpal ligament is the median

 

nerve so when there’s a problem like

 

carpal tunnel someone will come in and

 

they’ll have the following problem

 

they’ll have numbness and tingling and

 

their thumb index finger middle finger

 

half of the ring finger they’ll have a

 

decrease in dexterity decrease in stress

 

don’t have pain that wakes them up at

 

night in their hands we have to shake

 

their hands out they will have

 

difficulty driving difficulty playing

 

sports just difficulty in life they’ll

 

also come in and say well definitely I’m

 

dropping all the cups and plates in my

 

home because I have no strength in my

 

hands so if you have those problems of

 

course it can be associated with carpal

 

tunnel syndrome now the issue here is

 

well how

 

treat it who commonly has it what it

 

commonly affects women and it commonly

 

affects people and their late s are

 

early to mid s however what I see now

 

in the gaming community it affects

 

people I’ve seen as young as years

 

old and as old as so and the person I

 

have done surgery on for carpal tunnel

 

oldest was I think he was ninety nine

 

and a half actually so it can affect a

 

wide demographic so if you have those

 

problems as population you have carpal

 

tunnel so it’s important that you talk

 

to your healthcare professional yeah a

 

lot of tests that we can do the first

 

thing that is most important for any

 

position of course will be to get your

 

history and to do a physical exam

 

because once we do that we can see if

 

there really are these issues that you

 

think are bothering you how we can help

 

you now the other tests we can get a

 

test called an EMG nerve conduction

 

study whereby they will place needles

 

and certain specific points of your

 

upper Trinity to check your nerves

 

specifically the median nerve also will

 

often check the median nerve as well as

 

the alternative we do this because

 

there’s something that we’ll talk about

 

another time is cubital tunnel syndrome

 

which is the ulnar nerve is affected

 

here at the elbow but for now carpal

 

tunnel now the other thing that we will

 

get is an ultrasound sometime because an

 

ultrasound can tell us if there is a

 

Gailey insist or some type of mass

 

that’s impinging on the median nerve

 

here at the carpal tunnel now with that

 

said if we do all of those tests and

 

it’s positive that you do have carpal

 

tunnel and there can be a wide variety

 

sometimes it can be from to 

 

percent of the tests especially the EMG

 

can be negative when the person still

 

has carpal tunnel so I want you to know

 

that if you have a negative test it

 

doesn’t mean you don’t have carpal

 

tunnel it just simply means that it

 

wasn’t picked up by that test and all it

 

depends on the sensitivity of the test

 

as well as the operator the EMG you know

 

who performed the tests did they do it

 

really well they do it properly so a lot

 

of variables there now

 

let’s talk about how do we treat carpal

 

tunnel well we can initially treat it

 

with a change in what you’re doing for

 

example if you’re gaming for eighteen or

 

twenty three hours a day

 

well maybe game less that’s important

 

maybe game differently maybe there’s a

 

different Mouse make sure that your

 

setup is ergonomically balanced you want

 

to maybe change the mouse setting to

 

maybe be less less sensitive maybe add a

 

mid-range change your keyboard to make

 

sure it’s ergonomically balanced make

 

sure that you’re sitting properly while

 

you’re gaming that you’re your posture

 

is appropriate that you’re not leaning

 

your shoulders down you’re not dipping

 

your neck down on your game you’re not

 

in this type of position when you’re

 

when you hold a controller for example

 

that you’re your chest is upright your

 

shoulders are square your head is up

 

your neck is relaxed other things that

 

you want to correct of course is your

 

work if you work at a desk that’s not

 

balanced if you’re doing an extreme

 

amount of keyboarding every day these

 

things may have to be collected or your

 

mouth may need it for a mouse you may

 

have to change that to a trackball

 

it depends on what works for your body

 

especially if you’re having problems and

 

want to do things quickly to prevent the

 

progression of carpal tunnel now if

 

those tests are conclusive that you have

 

if the test else that you have instead

 

of symptoms these are the ways that we

 

treat carpal tunnel number one we will

 

ask them to change their work habits

 

whatever you’re doing

 

number two we will treat you an embrace

 

for a short period of time because if

 

you use a brace for a long period of

 

time and actually make the entire

 

Trinity much weaker because you’re not

 

using your hands and your fingers and

 

your wrists properly so you use a brace

 

for a short period of time of course the

 

big thing I use in my practice is

 

acupuncture I love acupuncture is really

 

a underutilized and underappreciated

 

mode of healing so I love acupuncture so

 

I saw up in my practice with acupuncture

 

as well as diet I asked the patient I’m

 

taking care of

 

I’ll ask him about their diet do they

 

have a lot of psyllium in their diet a

 

lot of fried foods a lot of sugar a lot

 

of light rice a lot of white bread you

 

know things that really don’t have a lot

 

of great nutritional value

 

so we talked about that we also talked

 

about the need to exercise we have to

 

exercise exercise like gaming exercise

 

the lifestyle Gaming is a lifestyle so I

 

want you to really consider doing that

 

also it’s so very very important so if

 

acupuncture has not been effective the

 

next thing I do in my practice physical

 

therapy you’ll see an occupational

 

therapist or physical therapist for

 

maybe three to four weeks see if that

 

gives some benefit now if none of that

 

helps then the next thing we can talk

 

about of course is revisiting their work

 

side of their gaming area to make sure

 

that everything is ergonomically

 

balanced and working properly for their

 

body their body type for their height

 

then if none of that helps then we can

 

talk about something more invasive the

 

more basic thing of course would be an

 

injection to the wrist so we’ll inject

 

the carpal tunnel with the steroid now

 

I’m not big on any medication but

 

sometimes course we have to use it to

 

help the patient to get better so we do

 

and we’ll do an injection I in my

 

practice I use kilowog and sometimes

 

I’ll use a diplomate doll but more often

 

can unlock and we’ll do injects with

 

that and marcaine if they have relief

 

from that great now I’ll tell you my

 

practice the statistics that I have are

 

the following

 

% of people get better from two weeks

 

to two to five years and then the

 

symptoms return about thirty percent of

 

people I get injection in my practice

 

again I’m not talking about the

 

literature in general from from other

 

places other studies of the hospital my

 

my practice the doctor leave my client

 

that has no experience food there we see

 

six or seven people get better from two

 

weeks to two to five years then they’re

 

still come back about % of people that

 

I have want one injection the pain

 

numbers continue and decrease Griffith

 

goes away and they never come back again

 

which is great when we call them back to

 

say hey I’m not having problems I don’t

 

need to see which is fantastic then %

 

of people it has no effect at all and

 

then we have to talk about more invasive

 

things like surgery now but I do tell

 

everyone always try to avoid surgical

 

surgery always does we’ll do one of

 

three things make you better make you

 

worse or no change so you talk about a

 

.% chance of getting better so I

 

always say if you can oblige

 

for anything trying to avoid that now

 

with that said I want to go over some

 

basic exercises for carpal tunnel

 

syndrome these can be done in your

 

office at your gaming site in your car

 

that they’re just simple to do so again

 

get a gliding exercise we talked about

 

them before but I added a twist to those

 

so you can do them this way with the

 

hand open you can do them with the fist

 

close this way if you want to reverse it

 

so Ken this way Tim that way can with

 

the hand open ten with the hand open

 

going the opposite direction then you

 

can do these these are flappers up and

 

down up and down up and down and then

 

the up you want to really hold to really

 

stretch out your your form stretch out

 

the extensors of your of your hands go

 

up and hold like that I’m going to hold

 

this for about thirty seconds really

 

really easy I don’t want you to hold it

 

flex for thirty Seconds I watched for

 

carpal tunnel specifically I want you to

 

hold it up for thirty seconds just like

 

that with the elbow straight which your

 

neck relaxed with your shoulders square

 

all right very very simple then the

 

other things that you can do of course

 

are just shaking out your hand shaking

 

out your wrist just like this for our

 

thirty Seconds to shake them out you can

 

do this every hour for about a minute

 

it’s really easy to shake up your wrist

 

we can check them out and go around this

 

way shake them out go around that way

 

really simple so would that say carpal

 

tunnel is one of the most common

 

entities that I treat in my practice not

 

only in the gaming community but with

 

people do a lot of repetitive motion so

 

I hope this video helps you please

 

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gaming is a lifestyle this dr. levo I’ll

 

see you soon

 Thanks to CC license and Dr. C for sharing this valuable info.  Feel free to read the transcription below… 

 

my name is Doug Carlin I’m an orthopedic

 

hand surgeon and I work at the Caroline

 

Surgery Center

 

I’ve board-certified an orthopaedic

 

surgery with a certificate of added

 

qualification and hand surgery once we

 

have the diagnosis established I can

 

recommend treatment options treatment

 

options can range from postural changes

 

particularly at night so that would

 

include wearing a splint at night that

 

keeps the wrist more still if that’s

 

unsuccessful the next treatment options

 

can include an injection into the carpal

 

tunnel which is a cortisone injection

 

which can reduce the swelling around the

 

nerve and potentially give you relief

 

once you’ve crossed the threshold into

 

having persistent or constant symptoms

 

surgery is the best option to avoid

 

further damage to the nerve the role of

 

surgery is to relieve the pressure on

 

the nerve to allow the body to heal the

 

nerve and improve your your symptoms the

 

surgery is done as an outpatient

 

procedure

 

it’s a approximately minute long

 

surgery done with mostly local

 

anesthetic and a light sedation with

 

very low complication rate there’s two

 

ways to do the surgery I do what’s

 

called a mini open carpal tunnel release

 

which is a small incision here that’s

 

often less than two centimeters long i

 

incise the skin I go down through the

 

what’s called the subcutaneous tissues

 

to the transverse carpal ligament which

 

runs this direction and the transverse

 

carpal ligament is divided in the same

 

line as the skin incision which allows

 

the carpal tunnel to open up and become

 

larger to reduce the pressure on the

 

nerve once that’s accomplished three

 

stitches are placed in the skin in this

 

area and a light bandage is placed from

 

from here to here

 

in your hand on your hand that stays on

 

for a total of three days your fingers

 

are free to move to do most household

 

type chores writing typing feeding

 

yourself is all possible after surgery

 

very little discomfort after surgery you

 

have three stitches in the palm of your

 

hand we send you home with a small light

 

bandage that stays on for three days

 

your fingers are free to move

 

immediately

 

essential tasks such as feeding yourself

 

writing typing putting on clothes are

 

all able to be performed immediately

 

after surgery there’s some mild soreness

 

but it’s not a particularly painful

 

procedure typically the surgery is long

 

lasting and we don’t see recurrences of

 

carpal tunnel there’s no particular

 

exercises that need to be done after the

 

surgery to prevent it from recurring the

 

majority of patients can return to work

 

the day following surgery a typical

 

result following surgery is that the

 

tingling that you feel in your hand what

 

I call the hot symptoms the burning type

 

symptoms or tingling type symptoms

 

resolved immediately it’s a common

 

response after surgery for a patient to

 

come back and say I should have done

 

this much sooner

 

the percentage of what a patient would

 

consider a good or an excellent result

 

from carpal tunnel surgery is very high

 

and most literature will quote a success

 

rate of over % it’s one of the more

 

successful procedures that we do in

 

orthopedic surgery

 

you