Peripheral Nerve Surgery

CARPAL TUNNEL SYNDROME
  • Causes: Carpal tunnel syndrome can be caused by a variety of factors, including repetitive hand movements, injury to the wrist, and certain medical conditions such as arthritis and diabetes.
  • Symptoms: Symptoms of carpal tunnel syndrome can include tingling, numbness, and weakness in the hand and fingers, especially the thumb, index, and middle fingers. Pain may also be felt in the wrist and arm.
  • Diagnosis: Carpal tunnel syndrome is diagnosed through a physical examination and nerve conduction studies, which measure the electrical activity of the median nerve.
  • Treatment: Treatment options for carpal tunnel syndrome include non-surgical treatments such as splinting, physical therapy, and medications, and surgical treatments such as carpal tunnel release surgery. The choice of treatment depends on the severity of the symptoms and the patient’s overall health.
  • Prognosis: With proper treatment, the prognosis for patients with carpal tunnel syndrome is generally good, and most patients experience relief from their symptoms.
  • Managing symptoms: Patients may also need to make changes to their work environment and modify their daily activities to reduce the strain on their wrist and hand.
  • It is important to work closely with your healthcare team to develop a comprehensive treatment plan that is tailored to your individual needs and goals. The team will be able to provide you with more detailed information about your specific situation and help you understand what to expect.

    CUBITAL TUNNEL SYNDROME
  • Numbness or tingling: Typically felt in the ring finger and little finger.
  • Weakness: Weakness may occur in the hand, particularly affecting grip strength and coordination.
  • Pain: Pain may be experienced in the inner side of the elbow or radiate down the forearm.
  • Difficulty with fine motor skills: Tasks requiring precise finger movements, such as typing or gripping small objects, may become challenging.
  • Treatment for cubital tunnel syndrome may involve both conservative and surgical approaches, depending on the severity and duration of symptoms. Conservative treatments include:
    Rest and activity modification: Avoiding activities that aggravate symptoms and modifying hand and arm positions to reduce pressure on the nerve.
    Splinting: Wearing a splint or brace to keep the elbow straight during sleep or activities that exacerbate symptoms.
    Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or other pain medications may be prescribed to alleviate pain and reduce inflammation.
    Physical therapy: Specific exercises and stretches can help improve flexibility, strength, and nerve gliding to alleviate symptoms.

    If conservative treatments do not provide relief or if the condition is severe, surgery may be recommended. Surgical options for cubital tunnel syndrome include cubital tunnel release, which involves relieving pressure on the ulnar nerve by widening the cubital tunnel or relocating the nerve to a different position.

    It is important to work closely with your healthcare team to develop a comprehensive treatment plan that is tailored to your individual needs and goals. The team will be able to provide you with more detailed information about your specific situation and help you understand what to expect.

    Carpal tunnel syndrome