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. Local corticosteroid injection can provide relief for more than one month and delay the need for surgery at one year. Nonsteroidal anti-inflammatory drugs, diuretics, and vitamin B 6 are not effective therapies. Options include splinting, corticosteroids, physical therapy, therapeutic ultrasound, and yoga. 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. Additional clues include positive physical examination findings, such as the flick sign, Phalen maneuver, and median nerve compression test. 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. Unless your symptoms are very bad, you may want to put off having surgery and see if your symptoms go away after you have the baby.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. ![]() Its also possible for ice to reduce swelling of the ligaments in your wrist, taking. A hand surgeon may release the carpal tunnel by cutting the ligament compressing the nerve. Ice therapy is a good way to numb the pain of carpal tunnel syndrome. ![]()
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