carpal tunnel release…

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carpal tunnel syndrome, surface anatomy, normal palm, surface anatomy, normal wrist, wrist anatomy, carpal tunnel syndrome, compression, the median nerve, wrist, lead to pain, weakness, in the hand, median nerve supplies sensation, thumb, first two fingers, the third finger, to some, the muscles, the hand, carpal tunnel is composed of two "walls", the deep wall, bones, the wrist, superficial wall, thick ligament located just under the skin on the palm side, the wrist, median nerve, tendons that flex the fingers to form a fist pass, tunnel, certain conditions wrist fractures, inflammatory conditions, rheumatoid arthritis, overuse syndromes, cause swelling, in the carpal tunnel, no identifiable cause, the walls, the tunnel, rigid, swelling increases pressure, nerves, very sensitive to pressure, median nerve is compressed, muscles it supplies, become weak, skin over the thumb, index, middle fingers becomes painful, tingly, numb, carpal tunnel surgery involves 1, 2 small incisions over the palm, the hand, surgery, performed endoscopically, using a small camera attached to a monitor, carpal ligament is directly below the incisions, the palm just past the wrist on the palm, in the direction, the fingers, distal, ligament is cut longitudinally, in line, the arm, releases the pressure on the nerve passing, surgeons, remove tissue surrounding the nerve, tissue is swollen, irritated, found in arthritis patients, surgeon, close the skin, subcutaneous tissues over only the carpal ligament, leaving the carpal tunnel uncovered, surgeons reattach the carpal ligament after lengthening it, surgery, wrist, immobilized, splint, heavy bandage, a week, motion exercises, a physiotherapy program, begin, results of carpal tunnel release, carpal tunnel syndrome, generally very good, patients, symptoms consistent, carpal tunnel syndrome, undergo nonsurgical treatment, anti-inflammatory medications, wrist splints, occupational therapy, workplace modification, fails to improve symptoms, an injection of steroids, carpal tunnel helpful, all treatments, not help, most surgeons, use an emg to test the electrical activity, the median nerve, consistent, carpal tunnel syndrome, carpal tunnel release surgery, option, risks, anesthesia, allergic reactions to medications, problems breathing, surgery, bleeding, infection, risks specific to carpal tunnel release, injury, median nerve, its branches, the surgery to improve symptoms, injury to another nerve, vascular structure, artery, vein, carpal tunnel release is successful in improving strength, decreasing pain in, 85% of properly selected patients, more reliably resolves pain, nerve tingling/numbness than muscle weakness, unfortunately, longer the symptoms have been present, longer the recovery time, variable the extent of recovery, this surgery, done on an outpatient basis, complete recovery, take anywhere from several weeks to a year, depending on the severity of damage, nerve, a splint, reduce wrist motion, the first few days after surgery, motion should not be delayed, too long, the wrist, become stiff, longer the symptoms lasted, surgery, severely damaged the nerve appears at surgery, longer the recovery time.