Carpal tunnel syndrome treatment Mumbai

Carpal tunnel syndrome is a condition that causes weakness, numbness, and tingling in the hand due to nerve compression. The condition can be caused by a range of factors that include lifestyle conditions and work environments. In recent years, the excessive use of hand-held devices like mobiles has resulted in a dramatic increase of the condition. Fortunately, this condition is easy to treat and can be reversed with simple interventions if caught early. Even in more severe cases, the treatment has a good prognosis with most patients recovering the full range of motion of their wrist.

Carpal tunnel syndrome conditions are classified as follows.

Grade 0- Normal

Grade 1- Very mild

Grade 2 – Mild, can be detected with most sensitive tests

Grade 3 – Moderate, nerve conduction test shows slow velocity on finger/wrist

Grade 4 – Severe

Grade 5 – Very severe

Grade 6 – Extremely severe

• Fracture, injury, or dislocation of the wrist
• Fluid retention due to health conditions like diabetes, thyroid, and kidney disorders 
• Occupational risk factors- Using hand tools that vibrate or work where the same wrist movements are repeated over a long time. 
• Smaller carpal tunnel area in women

• Carpal Tunnel Syndrome could increase the extent of damage to the median nerve and cause permanent disabilities. 
• If untreated, patients are prone to developing chronic wrist or hand pain. 

The complications in carpal tunnel treatment depend on the severity of the condition and other underlying health conditions. There are possibilities of developing carpal tunnel syndrome in both hands. 

In case of mild symptoms, special care should be taken to not add strain to the wrist by avoiding activities that involve repetitive wrist actions. It is advisable to wear a splint at night to keep the hand in a neutral position. If the condition worsens and the feeling of numbness in the hand persists, immediate medical help should be sought. Consulting a doctor in case of severe carpal tunnel pain is crucial.

Carpal tunnel release surgery will be recommended by the physician in case of constant numbness, muscle weakness, or atrophy. Surgical treatment cannot be avoided in case of such severe symptoms. The procedure involves cutting through the ligament pressing the carpal tunnel. The surgery is done with either local or general anesthesia depending on its severity. Post-surgical care might involve using a wrist splint and a light compression dressing. Doctors recommend the resumption of the normal use of the hand at a slow pace. Physical therapy might also be required to strengthen the wrist. Recovery time after the surgery could take several weeks.

The pressure on the carpal tunnel that can cause CTS is due to repetitive wrist movements, health conditions like hyperthyroidism, rheumatoid arthritis, or diabetes. Preventing CTS can be therefore easy if these conditions are treated and risk factors are eliminated or controlled. Adjusting daily routines and working habits to reduce strain on the wrist and minimizing repetitive hand movements can also help avoid the condition. Lifestyle changes like being physically active, reducing smoking and alcohol consumption are also necessary measures to prevent carpal tunnel syndrome.

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