Carpal tunnel syndrome is a painful condition
that is characterized by loss of strength and
coordination in the hand. It is the most common
nerve entrapment disorder and it is caused
by muscle imbalance that creates pressure on
the median nerve.
Surgery is one option for treating this condition;
however, it remains a controversial choice
and it is important to fully understand the
risks and benefits involved. There are many
treatments for carpal tunnel syndrome including
medication, exercise, wrist splinting, and
corticosteroid nerve injections. Surgery is
by far the most invasive procedure and it merits
careful forethought. The vast majority of patients
do quite well with conservative treatment and
it is estimated that less than 1/3 require
surgical intervention. Indeed, surgery is only
recommended when there is persistent, debilitating
pain, deteriorated grip or grasping, or muscle
flattening.
There are multiple forms of surgery for carpal
tunnel syndrome including open hand surgery
and endoscopic surgery, a less invasive incision
made through the muscle in the palm. Symptoms
such as pain and numbness usually begin to
improve in about six weeks. Muscle coordination,
control, and strength may initially worsen
following surgery, and a return to pre-operative
status may take several months. Significant
improvement to pre-illness status may take
as much as two years to achieve, if it comes
at all.
The complications associated with surgery as
well as the timeline to substantial recovery
make it as last choice resort for most patients.
Thankfully, there are numerous effective alternatives
that are much less invasive, such as a good balancing
exercise and stretching program for the hand,
wrist and forearm. Once the muscles are in balance,
compression of the median nerve is eliminated
and the symptoms disappear. Visit
www.repetitive-strain.com to
explore safe, efficacious options for the
treatment of carpal tunnel syndrome.