What are patients saying about their carpal tunnel surgery experiences. How does endoscopic carpal tunnel release compare to traditional open surgery. Why do patients recommend Dr. Ichtertz for carpal tunnel treatment.

Innovative Carpal Tunnel Treatment: Dr. Ichtertz’s Approach

Dr. Dolf Ichtertz, a renowned hand surgeon at the Nebraska Hand & Shoulder Institute, has been garnering attention for his innovative approach to treating carpal tunnel syndrome. Patients from various backgrounds have shared their experiences, highlighting the significant improvements in their quality of life following treatment by Dr. Ichtertz.

One of the key aspects that sets Dr. Ichtertz apart is his use of endoscopic carpal tunnel release (ECTR) surgery. This minimally invasive technique has been praised by patients for its quick recovery times and excellent outcomes.

What is Endoscopic Carpal Tunnel Release?

Endoscopic carpal tunnel release is a surgical procedure that involves making a small incision in the wrist and using a tiny camera (endoscope) to guide the release of the transverse carpal ligament. This technique is less invasive than traditional open surgery and often results in faster recovery times.

Patient Testimonials: Life-Changing Results

Multiple patients have shared their positive experiences with Dr. Ichtertz’s carpal tunnel treatments. These testimonials provide valuable insights into the effectiveness of his approach and the impact it has had on their lives.

Jessica K’s Comprehensive Treatment

Jessica K, a patient who underwent treatment for both carpal tunnel syndrome and cubital tunnel syndrome, shared her experience:

• Suffered from neck and shoulder pain for over 5 years
• Diagnosed with carpal tunnel syndrome and cubital tunnel syndrome in her right hand and elbow
• Chose to have both surgeries simultaneously
• Reported significant improvements in grip strength, reduced tingling/numbness, and increased stamina
• Most notably, her neck and shoulder pain disappeared completely

Jessica emphasized the relatively easy surgery and recovery process, as well as the barely visible scars. She expressed gratitude for the improvement in her quality of life, stating, “I’m grateful to Dr. Ichtertz every day and catch myself thinking, ‘Remember when I couldn’t do this because of my hand/elbow/neck/shoulder?'”

J. Malot’s Comparative Experience

J. Malot provided a unique perspective, having undergone both traditional open release surgery and Dr. Ichtertz’s endoscopic approach:

• First carpal tunnel surgery was an open release, resulting in heavy bandages for two weeks and significant pain
• Second surgery by Dr. Ichtertz used the endoscopic technique
• Reported minimal bandaging and ability to use the hand carefully almost immediately
• Described the difference as “unbelievable”

J. Malot also noted Dr. Ichtertz’s success in treating trigger finger, demonstrating the doctor’s versatility in addressing various hand-related issues.

Professional Perspectives: Healthcare Workers’ Experiences

Healthcare professionals who have undergone carpal tunnel surgery with Dr. Ichtertz offer valuable insights into the procedure’s effectiveness, particularly given their understanding of medical treatments.

Tina M, RN’s Journey

Tina M, a registered nurse, shared her experience:

• Suffered from tingling and numbness in her hands for approximately 13 years
• Tried various treatments including braces, magnetic therapy, and exercises without success
• Underwent endoscopic carpal tunnel release on both hands in October 2008
• Reported amazing results, able to play volleyball just 2 weeks after each surgery
• Emphasized the importance of post-operative exercise therapy

Tina’s experience highlights the potential for quick recovery and return to normal activities following Dr. Ichtertz’s endoscopic procedure.

Long-Term Sufferers Find Relief

Several patients who had endured carpal tunnel symptoms for extended periods reported significant improvements after treatment by Dr. Ichtertz.

W. Jean D’s Delayed Treatment

W. Jean D, a 68-year-old patient who had experienced symptoms since age 35, expressed regret at not seeking treatment earlier:

• Worked in various office positions throughout her career
• Underwent endoscopic carpal tunnel release (ECTR)
• Reported immediate relief from thumb pain that had persisted for years

W. Jean D’s testimony underscores the potential benefits of seeking treatment, even for long-standing carpal tunnel issues.

Rapid Return to Work: A Common Theme

Many patients highlighted their ability to return to work quickly after undergoing Dr. Ichtertz’s endoscopic carpal tunnel release procedure.

Cosmetologist’s Swift Recovery

A cosmetologist with 22 years of experience shared:

• Underwent ECTR surgery
• Returned to work just three days after the procedure
• Able to perform all work-related tasks immediately

This testimony is particularly significant for individuals in professions that require extensive use of their hands, demonstrating the potential for minimal disruption to their careers.

Versatility in Treatment: Beyond Carpal Tunnel

Dr. Ichtertz’s expertise extends beyond carpal tunnel syndrome, with patients reporting successful outcomes for various upper extremity conditions.

Glenda T’s Wrist Repair

Glenda T, a baton twirler and Ms. Senior Kansas 2008, shared her experience:

• Suffered a severe wrist injury while being towed behind a boat
• Dr. Ichtertz repaired both wrists using ECTR
• Able to resume baton twirling at age 66
• Participated in the Ms. Senior America Pageant, performing various baton twirling routines

Glenda’s story showcases Dr. Ichtertz’s ability to address complex wrist injuries and enable patients to return to their passions, even in physically demanding activities.

Comprehensive Care: Multiple Procedures, One Doctor

Several patients reported undergoing multiple procedures with Dr. Ichtertz, highlighting his versatility and the trust patients place in his skills.

A Nurse’s Perspective on Multiple Surgeries

A nurse with 36 years of experience shared her observations of her husband’s treatments:

• Husband underwent hand surgery, carpal tunnel surgery, elbow surgery, and shoulder surgery with Dr. Ichtertz
• Dr. Ichtertz performed a laparoscopic shoulder surgery that might have required total shoulder replacement under other doctors’ care
• Reported quick recovery and minimal downtime after each surgery

This testimony not only speaks to Dr. Ichtertz’s surgical skills but also his ability to provide less invasive alternatives to major surgeries when possible.

Family-Wide Care

The same nurse also shared experiences of other family members:

• Her grandfather had successful hand surgery with Dr. Ichtertz
• Her 82-year-old mother underwent carpal tunnel surgery
• Mother was able to resume activities like clipping coupons immediately after surgery

These multi-generational experiences demonstrate Dr. Ichtertz’s ability to tailor treatments to patients of various ages and conditions.

The Importance of Proper Diagnosis and Treatment

While carpal tunnel syndrome is a common condition, it’s crucial to receive an accurate diagnosis and appropriate treatment. Dr. Ichtertz’s approach emphasizes thorough evaluation and personalized care plans.

Can carpal tunnel syndrome be misdiagnosed?

Yes, carpal tunnel syndrome can sometimes be misdiagnosed. Symptoms similar to carpal tunnel syndrome can be caused by other conditions such as cervical radiculopathy, cubital tunnel syndrome, or thoracic outlet syndrome. Dr. Ichtertz’s comprehensive approach, as evidenced by Jessica K’s case where both carpal and cubital tunnel syndromes were identified and treated, highlights the importance of accurate diagnosis.

Are there non-surgical options for carpal tunnel syndrome?

While many patients in these testimonials underwent surgery, it’s important to note that non-surgical options are often considered first. These may include:

• Wrist splinting
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Corticosteroid injections
• Physical therapy and exercises
• Ergonomic modifications

Dr. Ichtertz’s approach, as mentioned in Jessica K’s testimony, involves discussing both surgical and non-surgical options with patients to determine the best course of action.

How long is the recovery period after endoscopic carpal tunnel release?

Based on the patient testimonials, recovery time after endoscopic carpal tunnel release can be remarkably quick. Many patients reported being able to use their hands carefully within days of the surgery. For instance:

• The cosmetologist returned to work after just three days
• Tina M, the nurse, was able to play volleyball two weeks after each surgery
• J. Malot noted being able to use the hand almost immediately, in contrast to their experience with open surgery

However, it’s important to note that recovery times can vary depending on individual factors and the specific nature of each case.

Is endoscopic carpal tunnel release suitable for everyone?

While endoscopic carpal tunnel release has shown excellent results for many patients, it may not be the best option for everyone. Factors that may influence the choice of surgical technique include:

• The severity of the condition
• Patient’s overall health
• Presence of other hand or wrist conditions
• Surgeon’s expertise and preference

Dr. Ichtertz’s approach, as evidenced by the testimonials, involves careful evaluation of each patient’s specific situation to determine the most appropriate treatment plan.

The Role of Post-Operative Care in Successful Outcomes

While the surgical technique is crucial, proper post-operative care plays a significant role in ensuring optimal outcomes. The testimonials highlight several aspects of post-operative care that contributed to patients’ successful recoveries.

How important is post-operative exercise therapy?

Post-operative exercise therapy is extremely important for optimal recovery from carpal tunnel surgery. Tina M, the registered nurse, specifically emphasized this point in her testimonial. Exercise therapy helps to:

• Restore flexibility and strength to the hand and wrist
• Prevent stiffness and adhesions
• Promote proper healing of the surgical site
• Facilitate a quicker return to normal activities

The success of patients like Tina M, who was able to play volleyball just two weeks after surgery, underscores the effectiveness of proper post-operative care and exercise therapy.

What should patients expect in terms of post-operative pain and discomfort?

Based on the patient testimonials, post-operative pain and discomfort following endoscopic carpal tunnel release appear to be minimal compared to traditional open surgery. Key points include:

• J. Malot reported significantly less pain and discomfort compared to their previous open surgery experience
• Many patients mentioned being able to use their hands carefully almost immediately after surgery
• The cosmetologist was able to return to work, which requires extensive use of hands, just three days after surgery

However, it’s important to note that individual experiences may vary, and patients should follow their surgeon’s specific post-operative instructions carefully.

How soon can patients return to normal activities after surgery?

The testimonials suggest that many patients were able to return to normal activities relatively quickly after endoscopic carpal tunnel release. Examples include:

• The cosmetologist returning to work after three days
• Tina M playing volleyball after two weeks
• Glenda T resuming baton twirling, a physically demanding activity
• W. Jean D’s immediate relief from thumb pain

However, the timeline for returning to specific activities may vary depending on the individual’s healing process and the nature of the activity. Patients should consult with their surgeon for personalized advice on resuming various activities.

In conclusion, the patient testimonials for Dr. Ichtertz’s carpal tunnel treatments, particularly his use of endoscopic carpal tunnel release, paint a picture of highly successful outcomes with minimal downtime. Patients from various backgrounds and professions reported significant improvements in their symptoms and quality of life. The rapid return to normal activities, including work and hobbies, stands out as a common theme across these testimonials. However, it’s important to remember that each case is unique, and patients should consult with a qualified hand surgeon to determine the most appropriate treatment plan for their specific situation.

Written Testimonials | Omaha

Dr. Ichtertz and his staff deserve more than 5 stars! I could write a book detailing the pleasant experience and very successful surgery outcome I have had. I first went to Nebraska Hand & Shoulder Institute in Lincoln for neck and shoulder pain. The dull, aching, burning “tightness” in my neck and back shoulder prevented sleep, started to worsen, had occurred for over 5 years and did not respond to other medical treatments or medicine. Dr. Ichtertz diagnosed me with Carpal Tunnel Syndrome and Cubital Tunnel Syndrome in my right hand and elbow. He suggested non-surgical options for my elbow but I chose to have both surgeries at the same time. Our goals for the surgeries were to help my weakening grip, stop the tingling/numbness in my pinkie and ring finger, stop the fatigue my elbow exhibited while doing tasks like brushing my teeth AND relieve my neck and shoulder pain if it was caused by a pinched nerve. I am thrilled to say that having both surgeries have improved my life tremendously! Dr. Ichtertz accomplished all of the goals we set, the surgery and recovery were relatively easy and the scars are barely visible. And the absolute best part of my experience? My neck and shoulder pain are GONE! I’m grateful to Dr. Ichtertz every day and catch myself thinking, “Remember when I couldn’t do this because of my hand/elbow/neck/shoulder?” instead of constantly icing, stretching and wondering if I had to live with discomfort for the rest of my life.

— Jessica K

My first carpal tunnel surgery was open release. I was in heavy bandages for about two weeks. It hurt a great deal for a long time. Could not eat with my right hand at all. It was very awkward. Couldn’t do much of anything for nearly three weeks.

When I had my second carpal tunnel surgery on my left hand by Dr. Ichtertz it was so different. I had bandages for a couple days and then it was more like bandaids! I could use my hand (carefully!) almost immediately. The difference was unbelievable! Wish I had found Dr. Ichtertz for the first surgery.

Dr. Ichtertz was also available to fix trigger finger—my left hand little finger. Cleared up right away. Thank you, Doctor.

— J. Malot

I am a nurse and had problems of tingling and numbness in my hands for approximately 13 years. I tried several types of treatment on my own – braces, magnetic therapy, & exercises – none of these worked. I went to see Dr. Ichtertz in Sept. 2008 when I could no longer take a patient’s pulse without my fingers going numb and unable to start an IV due to the numbness. I had my right (endoscopic) carpal tunnel release on Oct. 2, 2008 and the left on Oct. 30, 2008. Both were very successful! I have been amazed with the results! I play volleyball and I played just 2 weeks after each surgery! The exercise therapy is very important. Thanks Dr. Ichtertz!

— Tina M, RN

I had symptoms since age 35, I am now 68. I have worked in offices in various positions my whole life. If I had known there would be this much improvement, I would not have waited so long to do it (ECTR). The thumb that had been hurting all along has not hurt since immediately after surgery months ago.

— W. Jean D

I have been a hair stylist for 22 years. Working with my hands is very important. When I went back to work three days after surgery (ECTR), I was able to do everything. I highly recommend Dr. Ichtertz.

— Cosmetologist

Several years ago while being towed behind a boat, I held on too tightly to the rope and severely injured my left wrist. My local doctor in Kansas recommended Dr. Dolf Ichtertz in Nebraska. As a baton twirler I need both wrists and because Dr. Ichtertz repaired both wrists-(ECTR)- I am able to twirl again! I was selected as the 2008 Ms. Senior Kansas and I will go to Atlantic City, New Jersey October 2008 for the Ms. Senior America Pageant. I will be twirling two batons, ribbons chain flag, two knives and a lighted baton to “Danger Zone” from Top Gun for the talent part. I am extremely grateful to Dr. Ichtertz for the excellent surgery he did on my wrist and making it possible for me to twirl at age 66!

— Glenda T, Horton, Kansas

I wanted to tell you that Dr Ichtertz is one of the most effective, affordable, ethical doctors I have ever encountered in my 36 year nursing career!

I have seen the outcome of multiple surgeries he has performed on my husband including hand surgery, carpal tunnel surgery, elbow surgery, and shoulder surgery. Dr Ichtertz was able to perform a laparoscopic shoulder surgery on my husband that would’ve been a total shoulder replacement under most doctors care! My husband recovered extremely quickly with almost no downtime after each surgery!

My grandfather had hand surgery with him with amazing outcome! My 82 year old mother had surgery for her carpal tunnel problem and went home and continued to clip coupons with that hand the very same day. My uncle has had his hand restored to full function by Dr Ichtertz also!

I referred my brother to him who is a retired military veteran and now almost retired from Burlington Northern Santa Fe. He has restored my brother to full function after a carpal tunnel and elbow surgery, both the same day. My brother fixed his daughter’s car and worked on his lawn the same day that he had surgery in the morning! He was back to work at BNSF two days later! Functioning fully!

My son also had a work up for his broken hand. Many doctors would have done surgery on that hand and gotten away with it. Dr Ichtertz was able to review the situation and confirm that my son did not need surgery. His hand recovered just fine.

The thing I find the most fascinating about Dr Ichtertz is his moral ethical standard! In my 36 year nursing career I have observed many doctors doing procedures that were not best for the patient because they could and because they get paid. There are very few monitoring systems set up for doctors in America! The outcomes for many patients are very detrimental! Dr Ichtertz only does what is needed and best for the patient. He is never driven by money. He makes it possible to pay out of pocket when insurance doesn’t cover it! And he does his procedures for reasonable prices! He takes great pride in his profession and furthering the science for the benefit of mankind.! I have an amazing amount of respect and awe for Dr. Ichtertz for all the reasons mentioned above!

— Crystal T.

My experience with Dr. Ichtertz and his staff was fantastic. I had carpel and cubital tunnel syndrome by relieving pressure on the median nerve at the wrist and the ulnar nerve at the elbow. The surgery was a success. I followed the post op. instructions and Dr. Ichtertz called me the next day to see how I was doing. Before I had the surgery, I was waking up in the middle of the night in pain, after the surgery I wasn’t waking up to the pain anymore. I was able to go back to work in three days. I recommend doing the surgery to everyone it sure helped me.

— Thomas H.

I am thrilled to recommend Dr. Ichtertz and Staff at Nebraska Hand & Shoulder Institute to any person living with neck, shoulder, wrist or hand pain. Several of my family members have been treated by Dr. Ichtertz and the surgeries were all successful. I am an active wife, mother of two, dog walker, baker, quilter, school volunteer and substitute teacher. I lived with neck and shoulder pain in my right side for over 5 years before seeing Dr. Ichtertz. The pain was constant, numbing, burning and waking me up at night, every night. I also noticed my grip strength was weakening and my ring finger and pinkie were tingling. Chiropractic care, stretches, ice, heat nor medicine worked. I finally submitted to a nerve conduction study and PSSD tests, which proved I had carpal tunnel syndrome and cubital tunnel syndrome. The test results explained my symptoms and why no other prior intervention helped my pain. I was scheduled for surgery (for both my wrist and elbow) in the morning. Surgery went smoothly and I was home by lunchtime. By mid-afternoon the day of surgery, I realized my neck and shoulder pain were gone and my finger and pinkie were no longer tingling. I would not believe this success story if it didn’t happen to me! I am now eight months out from surgery and forget I ever had issues with my neck and shoulder, finger and pinkie. I have small incisions you can barely see for the carpal tunnel surgery and a tiny scar near my elbow from the cubital tunnel surgery. I have no restrictions and my only regret about the whole experience is that I didn’t see Dr. Ichtertz for my pain much sooner than I did.

— J. K.

Patient Testimonials – Minimally Invasive Carpal Tunnel Surgery Omaha Nebraska

10 min Procedure – Local Anesthetic – Small Incision – Bandaid

Thank you so much for fixing my carpal tunnel during the 8th month of my pregnancy. I thought I would share with you the cause of it! We love him so much! Thank you again for making it possible for me to enjoy my little love.  

Rachel Beaudoin

The pain in my hands was so intense that it would wake me up several times in the night. I knew it was time to look into carpel tunnel surgery. I am so glad I found Dr. Izadi! Everything was clearly explained to me and all my questions were answered before each surgery. His nursing staff was extremely pleasant and helpful. I was fully awake during the surgeries and very comfortable. I am happy to say that today my hands feel like new. There is no numbness or tingling and no more sleepless nights. I would highly recommend Dr. Izadi to anyone. Thank you so much!

Sharon Meegan

I am a jazz keyboard player and after 35 years of playing, the dreaded carpal tunnel decided to make an appearance. It was so bad in both hands that it was waking me uI am a jazz keyboard player and after 35 years of playing, the dreaded carpal tunnel decided to make an appearance. It was so bad in both hands that it was waking me up at night and I could barely get through a musical piece without pain and numbing. I was recommended to go see Dr Izadi and boy am I glad I did. One week after the operation, I was back playing the piano again like I was 20 years old. It feels great to be pain free. Thank you Dr. Izadi and your great staff for giving me a second wind in my music. 

Kevin Pederson

After more than a decade of wearing wrist braces every night and tolerating my carpal tunnel symptoms, I visited Dr. Izadi for a consultation. As a result, Dr. Izadi performed carpal tunnel release surgery on both my wrists within a six week span. That was just over a year ago and here I am totally free of all carpal tunnel symptoms. I can’t thank Dr. Izadi enough. Well, here let me try: thank you, thank you, thank you! This was also my first experience with any kind of surgery and I was shocked at how effortless Dr. Izadi made the whole process seem–he is truly a master of the art of hand surgery and I cannot recommend him highly enough. Again, thank you, thank you, thank you, Dr. Izadi. 

Shelley Bishop

I had carpal tunnel surgery 2 wks ago. My left hand was numb, I waited too long. Dr Izadi asked if he could try something new, I said yes. He did the surgery, then put dissolvable stitches inside and glued the incision. I had normal restrictions, but was able to get it wet after 2 days. I had tenderness, but on the 2 week mark, my hand was back to what is supposed to be normal. A friend of mine had the same surgery done by Dr. Izadi at the first of the year, when I told her mine had been glued and how wonderful it was, her comment was I wish I would have had it done that way. I will need surgery on my right hand, I will not wait as long as I did with my left and Dr. Izadi will be the surgeon. I had a wonderful experience and wish I would have done it sooner. 🙂

Linda Miller

Dr. Izadi…the arm just keeps getting better and better. I’m absolutely thrilled with the results so far and cannot thank you enough for your help. I’ve had a fair number of surgeries in my day and want you to know that the care provided by you and your team was by far some of the best care I’ve ever received.  Everyone, yourself included of course, was friendly, courteous, knowledgeable, and very helpful.  I’m not sure you can make surgery enjoyable but you got close, very close. 

Bob Wilczewski II

I had the great fortune of being referred to Dr. Izadi for treatment of my carpal tunnel in February 2012. I had worn splints at night for 12+ years. The symptoms progressed to the point the numbness was constant and I was losing my grip regularly. I even started wearing the splint on my right hand during the day. February 2012 Dr. Izadi performed the procedure on my right hand. I did not need to be put under as the procedure was done with a local anesthetic. This allowed me to drive myself to the procedure. Recovery time was great. I was back to work the next day and everything healed fantastically. March 2012 Dr. Izadi performed the same procedure on my left hand. My recovery was just as fast and I have had no problems with my left hand either. I am an avid golfer and am happy to say I am playing golf better than I ever had. I continually refer friends and family who are suffering with carpal tunnel to Dr. Izadi as he and his staff could not have been more friendly and helpful. If you are contemplating surgery, Dr. Izadi is definitely the surgeon you want operating on your hands.   

Heather Hagenau

Dr Izadi did carpal tunnel surgery on both of my hands. I am very pleased with the results. Just wished I would have had him do it sooner!! My hands no longer fall asleep while driving, I’m able to quilt without my hand hurting and having to stop every 5-10 minutes for my hand to wake up and stop tingling. I recommend Dr Izadi and his team, they are just great.  

Joyce Book

After suffering with carpal tunnel syndrome for over 20 years, an article in the Methodist magazine, The Meaning of Care (Spring 2012) changed my life. It featured a story about Dr. Kayvon Izadi, at Methodist Physicians Clinic Orthopedics, performing carpal tunnel release surgery without anesthesia and completed in under one hour. I had been waiting a long time for someone to develop this procedure without anesthesia and here it was! It actually took me over a year to contact their office as I was caring for my father, who was a cancer patient, but that article stayed on my desk just waiting for its turn. This fall I saw Dr. Izadi and he confirmed I needed surgery for my now moderate carpal tunnel and both hands were completed within four weeks. No more wearing splints, tingling or pain! And the only medication I needed after the surgery was over the counter pain medication. What a change from my friends’ surgeries – they couldn’t believe that I was out to dinner with my husband two days after surgery with only a small bandage covering the incision. No post surgical splints; no ugly incisions or staples; no anesthesia or hospital stay. I can’t say enough good things about Dr. Izadi, his staff and his surgical team. Thank you!

Jean Peckham

CALL US TODAY! (402) 390-4111

Surgery for Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Inflammation of the tissues and resulting compression of the musculoskeletal structure of the hand and wrist leads to damage to the nerves of the hands. This is one of the most common carpal tunnel syndromes.

It is known firsthand by those whose work or daily practice involves sitting at a computer for a long time and straining their hands while manipulating a computer mouse. And also – athletes, especially cyclists, as well as people with congenital pathologies, hormonal and endocrine problems, survivors of a hand injury, and so on.
If the carpal syndrome is not treated in a timely manner, it is possible to completely lose the functionality of the hand, due to the impossibility of resuming the work of the median nerve.

Signs of the disease

The syndrome manifests itself with the following signs:

• pain, especially at night;
• numbness and “naughtiness” in the hand;
• loss of motor activity of the fingers, especially the thumb and forefinger;
• desensitization.

If you are familiar with these symptoms, your hands get tired quickly, and at night they “twist” from relentless pain – it’s time to contact an experienced doctor! Specialists will help you choose a conservative or surgical treatment, prescribe a rehabilitation program, and you will return to a full life filled with movements. Do not miss the opportunity to undergo diagnostics and treatment in a reliable medical center specializing in orthopedic treatment for more than 25 years – the outpatient department of the Longevity clinic is equipped with hardware and laser therapy, and the operating room is equipped with high-quality expert-class anesthesia and surgical equipment.

Conservative and surgical treatment

Experienced specialists understand the following popular methods as conservative measures:

• physiotherapy;
• shock wave therapy;
• injection with painkillers;
• magnetic and laser therapy;
• massage, and others.

In some cases, conservative treatment causes a stable prolonged effect and is sufficient to restore the functionality of the wrist. However, cases are not uncommon, especially if the patient did not apply at the initial stage of the disease, when conservative treatment is not enough, or it is not initially suitable. In this case, a surgical intervention is prescribed, which is performed by the operating doctors of the Longevity clinic – orthopedic traumatologists Kapranov Alexander Ivanovich, Belyaev Maxim Sergeevich, Sterlikova Natalya Vladimirovna.

Operation and rehabilitation period

Operation of the median nerve at the level of the carpal tunnel of the hand is performed under local anesthesia, less often under general anesthesia. The intervention, the purpose of which is to increase the volume of the carpal tunnel by dissecting some muscles of the carpal tunnel, is carried out either in an open way or endoscopically, using an endoscope and microinstruments that penetrate inside without traumatic tissue dissection. The choice of intervention technique will depend on the anatomical features of the patient and the complexity of the case.

After the operation, the patient can go home, a splint will be placed on the wrist to fix the status. However, further the patient will have a difficult rehabilitation period, which can take from several weeks to six months and will require considerable effort and determination. It will be necessary to work on restoring the activity of the hand – and the exercises prescribed by the attending physician and an individual rehabilitation program, usually including several types of physiotherapy, will come to the rescue.

But first, consult your doctor! Registration is carried out by phone: +7 (812) 671-01-70.

Carpal tunnel syndrome – carpal tunnel syndrome

Carpal tunnel syndrome (carpal tunnel syndrome, carpal tunnel syndrome) is a disease in which the median nerve is pinched and inflamed. The carpal tunnel syndrome first leads to a violation of the sensitivity of the human hands, and in the future – to a decrease in their motor activity. The cause of this disease is compression of the median nerve in the anatomical canal.

Carpal tunnel syndrome description

Vessels, nerves, tendons and synovial membranes pass through the carpal canal. The median nerve is also located in this place – the main nerve of the hand, which runs from the brachial plexus to the fingertips. The median nerve is responsible for fine motor skills of the hands, coordinates their movements. It also serves as a regulator of the sweat glands, is responsible for the expansion and contraction of blood vessels, depending on the effects of external factors and stimuli.

Due to the fact that the carpal tunnel itself is quite narrow, various kinds of pathologies may occur in it. Any compression and narrowing of the vessels and processes of nerve fibers in this place leads to a violation of the blood supply. As a result – the development of pathological processes that develop slowly at first, and then more and more strongly and can lead to motor, trophic disorders.

Symptoms of carpal tunnel syndrome

1. 1. Reduce the sensitivity of the brush. The patient notices numbness of the fingers immediately after sleep. At first, these periods are short-term, but in the future they increase. There is pain, a feeling of heat or cold, a burning sensation. At the same time, we note that with carpal tunnel syndrome, sensitivity often increases in one area of ​​the hand, and disappears in another.

2. 2. Burning pain in the palms, with shooting through the fingers. The patient feels pain in the area of ​​the pinched median nerve, which eventually spreads throughout the arm: from the shoulder to the fingertips. The wrist is swollen. In right-handed people, the right hand most often suffers, in left-handed people, the left hand, but there are also bilateral manifestations of the disease.

3. 3. Decreased motor activity of the hand. Due to compression of nerve fibers and further inflammation, the hand loses muscle strength, which leads to restrictions on its movements. It becomes difficult for a person to interact with small objects, for example, it is difficult to tie shoelaces or fasten a button. The function of grasping and holding objects is also impaired. As a result, muscle atrophy and hand deformity occur.

4. 4. Defeat of the autonomic nervous system. The skin of the patient’s hands is dry and becomes pale or bluish, and the nails become brittle.

As a result of carpal tunnel syndrome, if a patient does not arrive on time for an appointment with a traumatologist , their quality of life decreases. A person can no longer perform the usual actions – his working capacity decreases, pain disturbs not only during the day, but also at night, interfering with proper sleep and rest. At the same time, if you put your hands down, shake your hands or stretch them, the pain recedes, albeit not for long. But this is precisely the reason why patients do not seek help from a specialist. As a result, the disease progresses and can lead to serious consequences.

Causes of carpal tunnel syndrome

The development of carpal tunnel syndrome (carpal tunnel syndrome) can be influenced by various factors, for example, compression of the median nerve as a result of traumatic exposure, followed by swelling of the surrounding tissues. Microtraumas received by a person as a result of labor activity can also lead to the disease, for example, if his work is associated with heavy physical exertion, with vibrational loads or sudden changes in temperature.

Occupations at risk:

• active PC users: programmers, gamers, managers;
• pianists, drummers;
• artists;
• seamstresses;
• sign language interpreters;
• assembly line workers, etc.

Carpal tunnel syndrome can occur in both men and women at any age, but women over 40 are most susceptible to it (due to their professional activities or hormonal changes in the body).

Factors that can cause the development of carpal tunnel syndrome:

• traumatic injuries with subsequent limb edema: injuries, dislocations, fractures;
• chronic heart failure and other diseases of the cardiovascular system;
• presence of tumors and neoplasms of tendons, ligaments;
• the presence of diabetes mellitus or thyroid disease;
• tuberculosis;
• chronic sclerosis, vasculitis, arthritis;
• renal insufficiency;
• the presence of obesity in the patient;
• alcoholism, smoking.

Any of the above factors can cause the development of carpal tunnel syndrome of the hand. The disease develops slowly: first, traumatization occurs, then non-infectious inflammation, and swelling of the subcutaneous fat layer in the wrist area appears. If no action is taken, the situation becomes cyclical – again traumatization and even more inflammation and swelling. The disease progresses and passes into its chronic stage.

Diagnosis of carpal tunnel syndrome

Carpal tunnel syndrome of the hand is characterized by definite symptoms. Usually, doctors can make an accurate diagnosis already at the first examination by interviewing the patient and conducting a series of tests. Note that with carpal tunnel syndrome, the little finger is not affected – it continues to function normally.

Tests performed by our doctors to diagnose the disease:

• Hoffmann-Tinel test: the doctor taps the area of ​​the median nerve. In this case, the patient feels a burning sensation in the palm, slight tingling or numbness.
• Phalen’s test: the patient’s hand is maximally bent at the wrist – there are sensations of pain and numbness of the palm.
• If the patient’s arms are raised vertically upwards, he cannot hold them in this position for more than 1 minute due to pain and numbness.
• The patient tries to touch the thumb of the little finger – usually this does not work in a patient with carpal tunnel syndrome.
• In order to correctly diagnose the disease, doctors refer the patient to additional studies: electroneuromyography (to assess the conduction of nerve impulses) and ultrasonography (to detect inflammation and damage.

Treatment of carpal tunnel syndrome

The basis of the treatment of carpal tunnel syndrome is the elimination of the cause of compression and narrowing of the median nerve. Treatment is both conservative and surgical.

Conservative treatment of carpal tunnel syndrome

With conservative treatment, in addition to the use of medications, the patient is offered to wear special orthoses that hold the wrist joint in a certain position, preventing squeezing of blood vessels and nerves. The orthosis is worn regularly, it is not removed even at night. According to statistics, orthotics have a good effect in the early and middle stages of the disease. Also, a person is recommended to reduce the intake of fluids and salts – in this way, swelling of the limb can be removed.

Of the drugs, the patient is prescribed non-steroidal anti-inflammatory drugs, corticosteroids, diuretics, vascular drugs and vitamin B6. To speed up the processes of therapy, physiotherapy is prescribed: magnetotherapy, electrophoresis, UHF. Well helps with carpal tunnel syndrome massages and a course of exercise therapy. Clinical practice suggests that approximately 59% of all patients, when all doctor’s prescriptions are fulfilled, remission occurs. The rest have to undergo surgery.

Surgical treatment of carpal tunnel syndrome

In the case when conservative therapy has not helped, surgical treatment of carpal tunnel syndrome is prescribed. All operations are carried out by highly specialized specialists – hand surgeons. In their practice, they use 2 ways to open the carpal tunnel:

• Open surgery. In this case, a 3 cm long incision is made in the wrist. Next, the surgeon cuts the ligament, thereby increasing the volume of the carpal tunnel.
• Endoscopic surgery. For endoscopy, the incision is made in two incisions, each 1.5 cm long. A microcamera is inserted through them and the ligament is dissected with the help of it.

Both the first and second options are performed by doctors under local anesthesia and only after consultation with an anesthesiologist. One operation lasts approximately 20 minutes, but sometimes it takes a little more time, for example, in the case when it is necessary to excise the tissues around the tendons and nerve, which have cicatricial changes. After the operation, the patient may feel pain in the area of ​​scars and physical weakness of the wrist, but after a couple of months, the limb functions will be fully restored. Particular attention during this period should be given to the course of rehabilitation.

According to statistics, about 90% of patients who underwent surgery on the wrist return to their usual lifestyle without losing the physical activity of the hands. The symptoms of carpal tunnel syndrome are completely gone. And only in 8-12% of cases there are relapses that require repeated intervention.

Alternative Treatment for Carpal Tunnel Syndrome

It is possible to remove the symptoms of carpal tunnel syndrome without the use of medicines and operations. For this you need:

• Significantly reduce physical stress on the wrists and hands.
• Fix the injured arm with an orthosis, apply a splint or bandage it with an elastic bandage.
• Remove swelling of the limb with ice, limit fluid and salt intake.
• Regularly do hand gymnastics, which is aimed at stretching the joints. However, we recommend doing these exercises under the supervision of a physiotherapist.

If after all these manipulations there is no improvement, we recommend that you consult a doctor. Carpal tunnel syndrome is a disease that develops slowly, but if measures are not taken in time, complete atrophy of the muscles of the hand and loss of its motor activity can be achieved. Unfortunately, this process is irreversible and it will be impossible to return full functionality.

Prevention of carpal tunnel syndrome

Preventive measures for developing carpal tunnel syndrome include:

• Performance of any physical activity without sudden movements in the wrist area and its overstrain.
• Exclusion of activities associated with the monotonous work of the hands.
• Keeping the correct posture in the process of work, observing all the rules for choosing furniture and office equipment.
• Performing daily hand exercises, organizing breaks in the course of work.
• Leading a healthy lifestyle.

If you often sit at your computer while working, we recommend the following:

• An office chair should be comfortable, adjustable to fit your height, have a backrest and armrests.
• The keyboard and mouse must be ergonomic and the hands relaxed. In the process of working on the keyboard, we recommend using special stands for the hands.
• The correct position of the hands when working at the computer is the location of the hand in relation to the forearm at a right angle. The brush should lie relaxed on the working surface, and not be suspended.
• The correct fit is a right angle between the lower back and the hips. Place the monitor at eye level or slightly below. Do not bend your neck. Shoulders when working at the PC should be relaxed, lean with your back on the back of the chair. The feet should be on the floor.

The implementation of preventive recommendations does not require special efforts and time costs from you, but it allows you to avoid the appearance and development of carpal tunnel syndrome.