The carpal tunnel syndrome surgery can be traditional or endoscopic. The former involves a 2-3 cm incision of the inner hand side through which the tissue causing pressure is commonly extracted.
The endoscopic treatment is less invasive, as only a centimetre incision is executed and the tissue colliding with the nerve is dissected.
The carpal tunnel syndrome is caused by a long-term pressure of the transverse carpal ligament against the medial nerve due to unknown reasons in a majority of cases. It is believed, however, the disorder affects those who strain wrist and finger flexor muscles. It may more often concern those who carry out repetitive activities for hours, both those working at computers or production lines and professional drivers. The affliction may also arise in sufferers from osteoarthritis, tendinitis, rheumatism, diabetes or wrist injuries. The carpal tunnel syndrome affects women as a rule and the hand that is more often used.
Symptoms of the condition are disturbed sensation of the first, second, and third finger. These pains begin to occur at night. In time, the numbing, tingling, and pains are felt during the day as well. The Patient finds it hard to hold things, the manual motor activity is poorer.
Advanced disorders are treated surgically and consist in dissection or removal of tissues causing the pressure. Once causes of the pressure against the medial nerve are removed, adequate blood supply is restored to the operated location and the nerve begins a gradual regeneration. A combination of the surgery and a properly selected rehabilitation helps to regain full manual proficiency.
