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A New Way to Treat
Carpal Tunnel
Carpal tunnel release is the surgical procedure for reducing pressure on the median nerve, relieving carpal tunnel syndrome symptoms. Open release surgery has been the traditional procedure; it involves making a two-inch incision in the wrist, then the carpal ligament is cut to enlarge the carpal tunnel.
An endoscopic surgical procedure is now available that may allow for faster recovery and less postoperative pain than the traditional release surgery. Vincent C. Phan, M.D., hand surgeon at Methodist Orthopaedic Specialists of Texas (MOST), is one of the few fellowshipped trained hand surgeons in Fort Bend County who performs this procedure. This technique uses a thin, flexible tube with a camera attached (an endoscope) to allow the surgeon to see inside the wrist easily, without having to open the entire area with a large incision. The cutting tools used in endoscopic surgery are tiny and are also inserted through the small incisions in the wrist and/or palm.
Following either surgical procedure, patients undergo physical therapy to help restore wrist strength.
To learn more about treatment options, call 866-567-4130 to schedule an appointment with Dr. Phan.
Q & A on Carpal Tunnel Syndrome
Vincent C. Phan, M.D., Hand Surgeon
It can be difficult for sufferers of carpal tunnel syndrome to understand why and how the condition developed, or where to turn for treatment. The following
Q & A with Vincent C. Phan, M.D., board certified hand surgeon at Methodist Orthopaedic Specialists of Texas, brings some common concerns to light.
A. Carpal tunnel syndrome is caused by a malfunctioning nerve that relays signals between the brain and the body. In people with carpal tunnel syndrome, the signals have difficulty passing through the tight space of the carpal tunnel.
Q. What does it feel like?
A. Carpal tunnel syndrome may start with an aching in the wrist, possibly extending to the hand or forearm. You may also experience tingling or numbness in the fingers or a sense of weakness in your hands. In severe cases, you may experience a constant loss of feeling in some fingers.
Q. What causes carpal tunnel syndrome?
A. There are numerous culprits – heavy use of computers or hand-held devices, repetitive hand movements on the job (tool operation or assembly line work in particular), or hobby-related hand strain (sewing, crafting or woodworking). Some people are genetically predisposed to developing carpal tunnel syndrome. Gender is also a factor – because a woman's wrist is generally smaller than a man's (and her carpal tunnel may be narrower), she is three times more likely than a man to develop carpal tunnel syndrome.
Q. Are there other risk factors?
A. Health conditions such as rheumatoid arthritis, diabetes and thyroid disorders, or changes due to menopause or pregnancy, can make you more susceptible to carpal tunnel syndrome. (Symptoms in pregnant women typically subside after the baby is born.)
Q. When should I seek medical advice?
A.. See your doctor if hand pain interferes with your normal activities or disrupts your sleep. Untreated carpal tunnel syndrome may get progressively worse, leading to possible permanent nerve and muscle damage.
Q. What treatments are available?
A. Wrist splints may help relieve symptoms in mild to moderate cases. Nonsteroidal anti-inflammatory drugs may also be recommended if you have an inflammatory condition related to carpal tunnel syndrome. In some cases, a doctor may inject cortisone to relieve pain. Carpal tunnel release surgery may be an option if symptoms persist for six months or longer.
Q. What can I do on my own to minimize symptoms?
A. Whether you're on the job or enjoying leisure activities, take short, frequent breaks to give your hands a rest whenever you notice symptoms. Try doing hand exercises before activities and/or before bed. (For example, make a fist and release it, then stretch wrists.) Also be aware of your posture and try to keep wrists in a straight position whenever possible.
Get Expert Help
We can help determine the cause of your pain and recommend treatment options for a speedy recovery. To schedule an appointment with Dr. Phan, please call 866-567-4130.