Invasive Treatment options - Do They Actually Work For Carpal Tunnel Syndrome?
byon 07-04-2012 at 08:37 AM (196 Views)
"If you have received a good carpal tunnel diagnosis, most medical doctors will push for cortisone injections and/or surgery, procedures that have poor success rates and ones that should only be performed as a final re...
If you have been diagnosed with Carpal Tunnel Syndrome (CTS), you might be asking yourself what subsequent? Beneath you will uncover details concerning the most frequent (not the best) therapy options currently in use in the medical market and their achievement and failure rates.
If you have received a positive carpal tunnel diagnosis, most physicians will push for cortisone injections and/or surgery, procedures that have poor success rates and ones that really should only be performed as a last resort, after all other conservative therapy approaches have been utilized.
The following details provides details about what each current procedure entails as properly as statistics that reveal why conservative therapy really should be implemented over the following invasive treatment techniques.
CORTISONE INJECTIONS FOR CARPAL TUNNEL SYNDROME:
Cortisone is medication that treats inflammation only. Often the carpal tunnel pain will subside due to the fact the inflammation of the median nerve is decreased from the use of the cortisone, but this is only a temporary impact.
The 1 main problem with cortisone is that for 21 days following the injection, the tendons have the consistency of rubber and can be seriously overstretched and damaged. This is a widespread side effect that most doctors fail to tell their patients. If the patient continues overusing and/or stressing their hands and wrists, the tendons can overstretch and cause the structural integrity of the joint to diminish drastically, causing the joint to become loose and sloppy, resulting in an even higher possibility of additional injury and damage.
Cortisone can be utilised wisely as a element of a carpal tunnel treatment program along with the implementation of proper stretches add exercises, the most important tool that can be employed to recover from carpal tunnel. If cortisone is utilized, it is excellent for the patient to take this time, when the carpal tunnel is not inflamed, to be on a conservative therapy plan to correct the existing muscle imbalance in the wrist joint and get rid of the carpal tunnel symptoms for good. The problem is that most doctors give the cortisone shot and the patient goes home and either does absolutely nothing, or does too considerably, causing higher trauma to the median nerve inside the carpal tunnel and exacerbating the symptoms.
Steroid (Cortisone) Injection Statistic:
*Failure rate (Which includes "partial results" as failure) is 72.6% following 1-year comply with up. Source: Irwin, et al. J Hand Surgery.
SURGERY FOR CARPAL TUNNEL SYNDROME:
Carpal tunnel surgery consists of releasing (severing) the transverse carpal ligament that types the roof of the carpal tunnel. Surgery is utilized to open and widen the carpal tunnel in order to permit far more room for the median nerve, artery and nine flexor tendons to move around. There are several surgical procedures that are utilized to achieve this:
Open Release Surgery: A local anesthetic is injected into the wrist and/or hand and a 2-3-inch incision is created in the palm and cuts the carpal ligament free of charge from the underlying median nerve. This operation takes about 20-25 minutes.
Mini Open Release Surgery: The mini-open release method entails an incision that is about 1.5 inches extended and can be performed in the doctors office with only a local anesthetic. The operation requires only about 12 minutes.
Endoscopic Release Surgery: The Endoscopic technique is less invasive and utilizes includes one or two .5 inch extended incisions in the wrist and or palm, and one or two endoscope (pencil-thin) tubes are inserted. A tiny camera and a knife are inserted through these lighted tubes. While observing the carpal ligament on a television monitor, the surgeon cuts the ligament to totally free the compressed median nerve.
Carpal Tunnel Surgery Statistics:
*Only 23% of all Carpal Tunnel Syndrome patients had been able to return to their previous professions following surgery. Supply: NIOSH
*Carpal tunnel surgery has about a 57% failure rate following patients from 1-day to 6-years. At least one of the following signs and symptoms re-occurred for the duration of this time: Pain, Numbness, Tingling sensations. Source: Nancollas, et al, 1995. J. Hand Surgery.
CONSERVATIVE Treatment FOR CARPAL TUNNEL SYNDROME:
Conservative therapy is really the only essential to preventing carpal tunnel syndrome as well as for the effective recovery and long-term relief of current carpal tunnel signs and symptoms, even for post-surgery patients that have knowledgeable little relief. Always attempt conservative therapy 1st and remove future injections and surgical procedures Try the "Conservative Option". go"