The Carpal tunnel syndrome is an entrapment of the median nerve as it passes through the wrist. It affects 3% of the population along their life, but up to 5% of women who suffer more than men, and manual workers.
Carpal Tunnel Symptoms and Causes
Patients suffering this syndrome when they go to the doctor's Traumatólogo presented as main symptom numbness of the first three fingers and part of the fourth finger. They also have strength loss, tingling or discomfort at night or when doing repetitive activities that makes them have to get up and move your hand.
Increasingly more cases are occurring because of the so-called "technopathies". Continually we use keyboards, mice, telephones and perform actions that make us have wrists in contorted positions, compressing the nerve. Carpal tunnel syndrome affects those professions where they have to use repeatedly the hand work force or strike or other such activities.
Patients with rheumatic diseases or endocrine diseases such as hypothyroidism, rheumatic joint disease or even pregnant women, occur more often this clinical picture.
Carpal Tunnel diagnosis
The diagnosis is made by clinical examination with a series of maneuvers, compression or bending forced the doctor has tried to interpret cause or exacerbate the symptoms of our patients complain.
It can also be confirmed by electromyography, but up to 10% of cases electromyography out normal because the patient has a syndrome Carpal Tunnel dynamic, only in those positions where it is straining the nerve. Treatment with conservative measures: correction of posture, muscle strengthening has relatively consistent results.
Carpal Tunnel Treatment
The most effective treatment is the release Carpal Tunnel can be done by conventional surgery more or less invasive, with cuts ranging from 4-5 cm 1-2 cm. All these incisions and this type of surgery requires: leave the hand without blood circulation, anesthesia around the arm, deeper, give points and recoveries are much longer, from one month to three months, depending on the box.
Currently, the syndrome can be treated by ultrasound-guided invasive surgery ultramínimamente consisting numb only the area where the nerve is compressed, without ischemia, put the scanner top with an incision in the wrist of a millimeter, which does not require points, we enter the special knife and release the carpal tunnel. With this technique we are permitted to operate both hands at once The advantage is that patients move the hand, they used the next time the operation is complete and many if they have weight problems do not need to take any days off work .