Tuesday, December 13, 2011
Carpal tunnel syndrome is costly but treatable
In addition to the pain it inflicts, carpal tunnel syndrome is also a leading cause of people missing work. It results in millions of dollars in workers’ compensation costs each year, according to the U.S. Department of Labor.
It is most common in people who perform repetitive motions of the hand and wrist, especially those who do a lot of typing. Sewing, driving, use of tools, playing musical instruments and some sports can also cause pressure on the median nerve, which ultimately causes the numbness, weakness and tingling of the hands and fingers associated with this syndrome.
There are ways to reduce the chances of acquiring carpal tunnel syndrome. For example, your doctor might recommend an occupational therapist or ergonomic expert who can observe your working conditions and habits and make recommendations on usage and placement of equipment, such as your mouse pad or keyboard.
If you do have carpal tunnel syndrome, treatment can include medications, wearing splints, physical therapy and hot and cold compresses. However, if these treatments do not help, surgery should be considered.
Endoscopic carpal tunnel surgery is an effective, low-risk procedure. Technology has progressed to the point where it can be completed in 6-10 minutes, with no hospital stay.
Using an endoscope with a camera attached, the surgeon guides the tube through a small incision in the wrist. The surgeon is able to see structures in the wrist and cut the transverse carpal ligament, which releases the pressure on the median nerve.
This minimally invasive technique is just as effective as traditional open surgery. Its benefits include less pain and faster recovery times.
Thomas Cherry, MD, of Backus Physician Services, specializes in cosmetic and hand surgeries. This column should not replace the advice of your healthcare provider. To contact Dr. Cherry, call 860-425-5300. If you want to comment on this column or others, visit the Healthy Living blog at www.backushospital.org/backus-blogs or e-mail Dr. Cherry or any of the Healthy Living columnists at healthyliving@wwbh.org
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