![]() Endoscopic and open techniques are equally effective, but patients return to work an average of one week earlier with endoscopic repair. Patients with severe carpal tunnel syndrome or whose symptoms have not improved after four to six months of conservative therapy should be offered surgical decompression. Conservative treatments such as night splints and activity modifications are widely accepted first-line therapies for mild CTS. You can also learn new ways to move and perform tasks that won’t irritate the compressed nerve. Physical and occupational therapy to improve strength and flexibility. Local corticosteroid injection can provide relief for more than one month and delay the need for surgery at one year. Some nerve compression syndromes improve with nonsurgical treatments, such as: Nonsteroidal anti-inflammatory drugs (NSAIDs) and steroid injections for pain and inflammation. Nonsteroidal anti-inflammatory drugs, diuretics, and vitamin B 6 are not effective therapies. Carpal tunnel release is surgery to treat carpal tunnel syndrome. During this surgery, the surgeon cuts through a ligament in the wrist to make more room for nerves and tendons to pass through. Options include splinting, corticosteroids, physical therapy, therapeutic ultrasound, and yoga. Carpal tunnel release is surgery to treat carpal tunnel syndrome. Conservative treatment may be offered initially to patients with mild to moderate carpal tunnel syndrome. If surgical decompression is planned, electrodiagnostic studies should be obtained to determine severity and surgical prognosis. Although patients with typical symptoms and signs of carpal tunnel syndrome do not need additional testing, ultrasonography and electrodiagnostic studies are useful to confirm the diagnosis in atypical cases and rule out other causes. ![]() You’ll probably need surgery if you have a cyst or an injury that’s putting pressure on the ulnar nerve. Additional clues include positive physical examination findings, such as the flick sign, Phalen maneuver, and median nerve compression test. Ulnar Tunnel Treatment Treatment depends on what’s causing the problem. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect of the thumb, index and middle fingers, and radial half of the ring finger. Carpal tunnel syndrome is a condition that causes pain, numbness, and tingling in the hand and arm. Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel.
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