Stating that carpal tunnel syndrome occurs in a structure called ‘carpal tunnel’ in the palm through which tendons and nerves pass, Assoc. Dr. Ersin Kuyucu gave important information about the disease.

HIGH RISK FOR OVERUSER HANDS

Noting that there are some different diseases that narrow the space inside the carpal tunnel and cause compression of the nerve, Assoc. Dr. Ersin Kuyucu said, “In some cases of fracture-dislocation, diabetes, rheumatic disease, lymphedema, this nerve can be compressed. In addition, in those who use their hands excessively, who work with vibrating tools, and in jobs that require long-term and repetitive wrist twists, this tunnel can narrow again and the main nerve inside, which we call the median nerve, can be compressed.

IT IS MORE FREQUENTLY SEEN IN WOMEN

Noting that carpal tunnel syndrome is more common in women than in men, Assoc. Dr. Ersin Kuyucu emphasized that complaints related to the disease began to come to the fore, especially after the age of 40. Underlining that carpal tunnel syndrome is a relatively slow progressive disease, Assoc. Dr. Ersin Kuyucu said, “Here, what is more important than gender is the patient’s job and whether he is in other risky disease groups that may cause carpal tunnel syndrome. Diseases such as diabetes, rheumatism and lymphedema are among the risk factors that are more dominant than gender.

ESPECIALLY ATTENTION TO PAINS AT NIGHT

Kuyucu gave information about the symptoms of the syndrome and used the following statements:

“The disease usually presents with numbness, tingling sensation and pain in the first three fingers (head, index and middle). The onset of pain, especially at night, is a very important sign. This situation may disturb the comfort of the patient and wake him from sleep. In advanced stages, complaints such as not being able to hold items such as books, phones, glasses, dropping them while holding them, weakness in the hand, weakness, and inability to open even simple lids may be encountered.

DAILY HABITS MUST BE CHANGED FIRST

Saying that the first thing they do in patients with new onset symptoms and patients with few complaints is to regulate the daily habits of the patient, Kuyucu said, “We ask patients to rest their hands frequently, not to keep them in a fixed position and to avoid excessively compelling movements. We also use wristbands to relax the tunnel, tissues and nerve. We can provide some relief in tissues with painkillers. In some patients who are not relieved by this treatment, we can rarely apply injections to this area. However, in patients for whom we did not get a positive response in these methods, we make a surgical incision of about 1-2 cm on the wrist, opening this carpal tunnel by cutting and relieving the nerve.”

THERE MAY BE PERMANENT NERVE DAMAGE IF TIMELY SURGICAL INTERVENTION IS NOT DONE.

Stating that in the advanced end, patients who are never treated and remain under chronic pressure on the nerve, slowing down of the nerves, permanent numbness in the hand, pain in the form of electric shock and weakness due to pain may occur, Assoc. Dr. Ersin Kuyucu continued:

“When there is severe nerve involvement, if the disease is not intervened for a very long time, even if we open the nerve with surgical intervention, there may not be complete relaxation in the nerve or the recovery may take a very long time. Therefore, if the complaints do not go away for 1 or 1.5 months or if the symptoms have progressed, we recommend that the patient be evaluated by a specialist physician and surgical intervention should be performed in order to have a permanent solution.”




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