Carpal Tunnel Syndrome, which is mostly seen in women; It is manifested by numbness in the hands and pain radiating towards the shoulder. Since carpal tunnel syndrome is related to hormones, women’s menopause triggers this disease.
The treatment of carpal tunnel syndrome is possible with drugs used with splints, injection or surgical intervention. After the surgical intervention applied with a 10-minute procedure, people can use their hands in small-scale works. It is possible for people to continue their normal lives after a period of six weeks.
Here are the curious about Carpal Tunnel Syndrome…
What is Carpal Tunnel Syndrome? What kind of disease is it?
Carpal tunnel syndrome means that one of the nerves we call the ‘median’ that comes out of the spinal cord is compressed in the wrist canals. This nerve passes through the carpal tunnel with nine tendons, and when this tunnel narrows its capacity, the nerve is compressed. Numbness in the hand and fingers, a loss of function in the hand muscles. The disease occurs in 90 percent of women. Since it is a hormonal problem, the capacity of the tunnel narrows during menopause and compresses the nerve passing through it.
What are the symptoms of carpal tunnel syndrome?
The most important symptom is numbness in the hands and waking up with a pain spreading towards the shoulder in the morning. The patient feels numbness in three and a half fingers starting from the thumb, wakes up in this way and shakes his hands constantly, raises them in the air. These are the first signs.
Secondly, he says that these complaints increase on the days he does business. If the person is busy with handicrafts, for example, if he spins the laundry, if he cleans, his complaints increase. Apart from that, he sees weakening in his hand skills. They become unable to perform tasks such as crochet and wool knitting that require fine tuning. Likewise, he has difficulty even tying his shoes. They notice that they are constantly dropping items from their hands, which is one of the symptoms.”
Can we call it an occupational disease?
Who is it more common in?
It is said that this disease is seen especially in people who work for years by putting a load on their wrist. For example, repairman, frequent computer users, etc.
It is more common in those who do these jobs than other people, but the main event is that it is more common in women. Among the professions, this disease is seen in those who are engaged in handicrafts, but it is not in the size of an occupational disease.
Who else sees it?
Since the wrist circumference is very close to the carpal tunnel, swelling and tension may occur after wrist circumference fractures. But these are usually temporary.
How is carpal tunnel syndrome diagnosed?
Diagnosis is made primarily by patient questioning. The most typical complaint is: Around four or five in the morning, the hands go numb, the night of the day of work is more frequent. This already makes the diagnosis. Apart from this, there are some techniques, these techniques reveal the disease immediately, but in order to understand the degree of the disease, how much compression there is, it is necessary to have a nerve electrode, which we call EMG (electromyography). It gives information about what the diagnosis is.
Is Carpal Tunnel Syndrome preventable? How can people be protected before this problem occurs?
It’s not exactly a preventable affliction. You can use splints to prevent your hand from twisting at night. These splints relieve the person, but if the disease has started, one should not wait for it to heal on its own.
Inflammation in the area can be eliminated by injecting cortisone into the canal, but if it is done unconsciously and enters the nerve, it can cause serious damage.
As a result, there is a mechanical event, and it is possible to overcome this mechanical event with a 10-minute surgery. A few attempts can be made, but the solution is in minor surgery.
To summarize the treatment options: first; Anti-inflammatory drugs can be used with splints. Latter; Cortisone can be made by injection into the canal. The third is surgical intervention.
In which stage are injections recommended for patients?
Can the patient get full results with this type of treatment, what is the probability of recurrence of the syndrome?
It is possible to try injections at any stage. If the patient does not want to have surgery, this method can be tried, but it may not help at all, or it will help, the discomfort will pass, but it can be repeated. Since there is a mechanical problem, it may not be possible to overcome this problem with external drugs.
Which types of patients are treated surgically?
Can every patient with carpal tunnel syndrome undergo surgery?
In which cases does the patient face surgical intervention?
If the disease has progressed, muscle melting occurs in the muscles operated by this nerve. We can see this in the root of the thumb, if there is such a situation, 100 percent surgery is required. Apart from this, the real solution to the disease is surgery. Even if they are not, surgery can be easily applied to the patient. It is a 10-minute surgery that does not cause any harm when done consciously.
How is the surgery done?
How long does it take, are patients put to sleep with anesthesia?
There is no need for anesthesia, we apply the method we call local anesthesia. The operation takes 10 minutes, it is an easy operation for someone who is used to it.
However, there are situations that need attention, one of them is the motor branch given by this nerve right after it leaves the carpal tunnel. For example, there are times when we see that the tunnel has not been fully opened, but this situation causes the continuation of the complaints. We will make sure that the tunnel is fully opened and it is very important that we do not damage a few critical nerve branches.”
When can a person who has had surgery return to their daily life?
We keep the patient under dressing for three days, and after three days we cover that area with a small band-aid. If there is no weight work, we make you use your hand immediately so that there is no need for physical therapy to gain this function in the future. Full capacity usage occurs after six weeks.