Carpal Tunnel
Syndrome
Carpal Tunnel Syndrome
Carpal tunnel syndrome is the most common peripheral nerve entrapment syndrome.
The syndrome usually occurs on both sides, with more than 50% of patients requiring treatment.
Our renowned hand surgeon, Prof Dr Robert Hierner, has a rich 30+ years of experience and provides meticulous treatment for Carpal Tunnel syndrome Dubai. To learn more about this disorder, go through the comprehensive piece of information laid down by him.
What causes carpal tunnel syndrome?
Carpal tunnel syndrome is a chronic nerve compression syndrome. It occurs in what is known as the carpal canal, where the median nerve has to pass through a narrow anatomical space bounded by rigid structures. Factors such as age (mechanical disorders), metabolic disorders (diabetes, pregnancy, mucopolysaccharidosis) or toxic nature (dialysis) favour the occurrence of compression syndromes.
What are the consequences of carpal tunnel syndrome for us?
The resulting functional disturbance depends on the extent and duration of the constriction. It can range from slight discomfort (“hands go to sleep”) to slight motor weakness (increasing clumsiness) to complete (sensorimotor) paralysis. Nighttime pains are also typical, waking the patient up and causing him to shake their hands or hang them down from the bed.
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How to treat carpal tunnel syndrome dubai?
For the treatment of patients with carpal tunnel syndrome Dubai, we use an integrative therapy concept: In principle, conservative and surgical therapy are available, but a wait-and-see approach is also possible.
- Basic Nerve Care
The best therapy for age-related carpal tunnel caused by wear and tear due to repetitive motions, excessive strain, lack of exercise, and poor diet is to avoid it.
Vitamin B complex is a necessary component for the development of peripheral nerves. Deficiency of the same can lead to increased susceptibility of the nerves to chronic pressure.
- Non-operative (Conservative) Treatment
When symptoms manifest, especially during the initial stage, non-surgical treatments as stated below can be used successfully:
- Night splinting
- Cortisone injection
- Physiotherapy
- Anti-inflammatory treatment
- Correction of water balance
- Operative Treatment
If symptoms persist for a longer period of time, surgery is the treatment of choice.
The carpal canal can be relieved either via a mini-incision or endoscopically.
Adequate postoperative pain therapy must be ensured. Medications (e.g. Arcoxia 90 mg, 1-0-0) should be taken a day before surgery. After surgery, the hand should be moved immediately. Physiotherapeutic follow-up should be started early.
A large bandage or even immobilisation on a splint is not necessary. Suture removal is performed 10 – 14 days after the surgery. After suture removal, scar massage with Vaseline 3-5 times/day for 4 – 6 weeks is recommended.
Patients with a desk job are able to resume work after 1 – 3 days and manual workers after 2 – 3 weeks.
Nocturnal pain should persist immediately after surgery. Pre-existing sensory disturbances disappear depending on the severity and duration, which is usually only after 3 – 12 months.
Each case is special and thoroughly investigated by our hand surgeon in Dubai before proceeding with any hand surgery plan.
Patient Information
This patient information only gives a general introduction for a better understanding of aesthetic and medical surgeries. It cannot replace the personal and detailed doctor-patient discussion. To answer your questions about your personal, individual situation, arrange your non-binding personal consultation appointment.