Explaining the symptoms and treatment methods of carpal tunnel syndrome, one of the most common nerve compressions, VM Medical Park Ankara Hospital Brain and Nerve Surgery Specialist Assoc. Dr. Mustafa Hakan Kayalı said, "If you wake up at night with pain and numbness in the hands and fingers, the reason may be carpal tunnel syndrome."
Carpal tunnel syndrome; Stating that it is a disease caused by the compression of the median nerve in the canal in the wrist, VM Medical Park Ankara Hospital Brain and Nerve Surgery Specialist Assoc. Dr. Mustafa Hakan Kayalı, “Although no specific cause can be determined in most cases, as a result of micro-traumas caused by repetitive movements of the hand or wrist, the pressure of the Median Nerve, which makes the movements of the hand and especially the first 3 fingers, and receives the sensation of half of the ring finger along with the first 3 fingers, is pressure in the canal It causes injury to the wrist and to wrist disease with the deterioration of the function of the nerve.”
Knitting, crocheting and carpet shakers are in the risk group.
Assoc. Dr. Mustafa Hakan Kayalı shared the following information about the causes of carpal tunnel syndrome in men and women:
“For women, handicrafts such as knitting, crochet, field tapping, garden hoeing, milking, carpet wiping, shaking, dishwashing; In men, rough positions of the hand or wrist, long-term use of hand tools (drill, compressor, etc.), trauma-inducing factors such as long-term use of screwdrivers, digging shovels, cutting wood, the wrist being stuck between the table and the bones on the table in long-term use of a computer mouse. exposure may play a role in the development of carpal tunnel syndrome. The disease is more common in patients with local trauma, obesity, endocrine diseases, temporarily pregnant, dialysis patients, kidney patients with AV dialysis shunts in the forearm, diabetes patients, and patients with rheumatoid arthritis.
They even have trouble lifting the teapot
Pointing out that the disease is 4 times more common in women than in men, Assoc. Dr. Mustafa Hakan Kayalı said the following about the symptoms: “Characterically, patients wake up at night with a 'numb hand'. They try to alleviate the numbness by waving, dangling or rubbing fingers. They can't find a place to put their hands, most patients need to rest their hands on walls. They feel the need to put their hands under the pillow and keep their hands under hot or cold water, but their pain does not go away in any position. Numbness occurs in the palm, especially in the thumb, index finger, middle finger and half of the ring finger. Subjective involvement of the little finger is also rare for unknown reasons. Hand weakness, especially weakness in shaking hands, weakness such as not being able to even lift a teapot or pot, may be accompanied by muscle wasting. Rarely, it can manifest itself without muscle wasting and no pain. There are patients who state that they have difficulty in raising even a glass.”
Excess weight should be given
Assoc. Dr. Mustafa Hakan Kayalı emphasized that if there are other underlying diseases such as diabetes, it is necessary to comply with basic factors such as not disrupting their maintenance treatment and ensuring their regulation, in order to protect the hand and wrist from movements that will force the hand and wrist, and from mechanical trauma.
Assoc. Dr. Mustafa Hakan Kayalı said that surgery may be necessary only in cases that are resistant to non-surgical treatment or in cases where severe sensory loss, muscle wasting, and loss of strength are present.
Carpal Tunnel a nerve surgery
The operations are performed with the patient under local anesthesia. sohbet Stating that it was done by using and it lasted about 30 minutes, Assoc. Dr. Mustafa Hakan Kayalı said, “In general, patients feel great relief on the night of the operation and get rid of aches and pains. This situation reaches about 95-98 percent in our personal experience. Since the closure of the wound after the operation is mostly done with aesthetic sutures, there is no post-operative suture removal. After the surgery, the patients are discharged to their homes after being observed for approximately 1-2 hours. As soon as they come out of the surgery, they can do their own daily tasks such as eating, changing, and buttoning, but it is recommended not to hang their hands for the first 3 days, and stay away from activities that will force their wrists such as dishes, laundry, carpet wiping-sweeping, knitting-crochet, using a screwdriver for 2 months. They need to stop,” he said.