LYCOS RETRIEVER
Carpal Tunnel Syndrome: Pressure
built 648 days ago
In the most severe cases, surgery to relieve pressure in the carpal tunnel is ... an option. During surgery, the carpal ligament (the “roof” of the carpal tunnel) is surgically separated to relieve the pressure. Alternatively, the procedure can be performed endoscopically to reduce recovery time and the size of the surgical wound.
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Any action that causes swelling, thickening or irritation of the synovial membranes around the tendons in the carpal tunnel can result in pressure on the median nerve. Some common causes and associated conditions include repetitive and forceful grasping with the hands; repetitive bending of the wrist; video game playing; improper resting of the wrists when typing on a keyboard; motorcycle or bicycle riding; broken or dislocated bones in the wrist which produce swelling; arthritis, especially the rheumatoid type; thyroid gland imbalance; sugar diabetes; hormonal changes associated with menopause; and pregnancy. Although any of these factors may be present, in many cases the specific cause cannot be identified.
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There are two major procedures in use, both of which involve cutting the transverse carpal tunnel ligament. Dividing this ligament relieves pressure on the median nerve and allows blood flow to the nerve to increase. With time, the nerve heals and as it does so, the numbness and pain in the arm are reduced.
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The surgical procedure is called a carpal tunnel release. It relieves the pressure exerted on the median nerve within the carpal tunnel. This surgical procedure is performed via a small incision using conventional surgery or a fiberoptic scope (endoscopic carpal tunnel repair).
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The area where the nerve enters the hand is called the carpal tunnel. Since the passageway is stiff, any swelling in this area can put pressure on the nerve. This may ... be called entrapment of the nerve.
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Performing repetitive hand motions with the wrist in the same position for long periods of time causes the bones that form the carpal tunnel to lose their ability to move and flex - they become fixated, literally stuck together. The free and unrestricted movement of these bones is essential to prevent pressure on the medial nerve.
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