Carpal tunnel syndrome
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Carpal tunnel syndrome is a very common disorder. The disorder can be caused by repetitive movements with the hands and wrists which can lead to an overload of the median nerve. Symptoms of carpal tunnel syndrome can be that you feel numbness and tingling in your hand. You may also experience reduced strength, especially in the middle finger, index finger and thumb. Symptoms are often worse at night.
The most common cause is inflammatory reactions that cause fluid formation and swelling in the canal. This can occur in connection with pregnancy, low metabolism, diabetes. The pressure can also be caused by the bones in the wrist having changed as a result of injury or arthritis.
Diagnosis is often made on the basis of your medical history, and a physical examination when you come for consultation. Carpal tunnel syndrome is treated with us with surgery under local anaesthetic.
The treatment consists of splitting the connective tissue band. The operation is performed under local anaesthetic. combined with light anesthesia and takes approx. 15 minutes. The surgeon makes an incision of approx. five cm at the wrist.
After the operation
With modern anesthetic methods, you will recover quickly. The operation is performed as day surgery, and you go home shortly after the treatment at Kalbakkenklinikken. You must be prepared that the hand will be painful for some time after the operation. It is important to take painkillers as agreed on the journey home. It may take 3 – 6 months before the problems you have had disappear completely. Control will be 4-6 weeks after the operation.
The arm must be held high for the first 24 hours. The fingers must move freely. You must not lift or grip hard with the operated hand for 2 – 3 weeks.
During the first 1 – 3 days, you may have a slight rise in fever, up to 38.5 °C. If the fever rises further or does not go down after 2 – 3 days, your GP must be contacted.
A compressive bandage is placed on the wound. The bandage is reduced after 4 – 5 days. The wound/bandage must be covered until the stitches are removed. The bandage MUST NOT get wet when you shower.
The stitches are removed by your own GP after 10 – 14 days.
You will be issued with a sick leave after the treatment. The sick leave period depends on the type of work you have. Any extension of sick leave must be done via your GP.
Complications rarely occur. Possible complications can be nerve damage, numbness, weakness in the hand and pain in the scar. There is a certain risk of infection and bleeding. Infection manifests itself as an increasing local redness of the skin and possibly fever. Appears as a rule 4 – 6 days after the operation.
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