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Carpal Tunnel Release Procedure and Trigger Finger Release Procedure

November 11, 2022
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Carpal Tunnel, Procedures
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Carpal Tunnel Syndrome (CTS) and Trigger finger (TF) are two common conditions affecting  the hand. Statistics show that about 13 million people in the US are affected by CTS, and  another 9 million with TF.  

Carpel tunnel is present in the lower palm or on the wrist, a relatively narrow place through  which several ligaments and tendons pass, along with the median nerve. CTS is more likely  to occur due to changes in the tendons and ligaments that are part of the tunnel, thus  causing significant pressure or stress on the median nerve. Regretfully, physically active  people are more likely to develop the conditions. Some of its common causes are work  stress, repetitive motion, hormonal changes, and trauma. 

Increased pressure on the median nerve in CTS causes significant disability. It causes  swollen fingers, numbness or tingling sensation, and more. In order to prevent permanent  disability, it is essential to remove pressure from the nerve, or else it may lead to a significant  loss of grip strength and weakening of hand muscles. 

Trigger finger (TF) is quite a different condition from CTS, nonetheless a condition that  affects the hand. In this condition, the finger remains locked in a bent position, as if the finger  is on the trigger. As a result, one may find it difficult to straighten the finger. The ring finger  and thumb are most commonly affected by the conditions. The condition occurs due to the  narrowing of the tunnel through which the tendon of these fingers passes. 

Carpal Tunnel Release (CTR) procedure and Trigger Finger  Release (TFR) procedure 

As one can see, though, CTS and TF are quite different kinds of conditions, but both occur  due to the narrowing of the tunnel through which nerves and ligaments pass, and therefore,  both conditions are treated in a very similar kind of way.  

Doctors would often start treating conditions with anti-inflammatory drugs to reduce local  inflammation, which may reduce pressure in the tunnels. Doctors may also consider local  corticosteroid injections.  

However, experience shows that many individuals fail to benefit from conservative  treatment, thus requiring surgical interventions. 

One of the oldest ways of treating these conditions is through open surgery, through a large  incision, and then by relieving the pressure on nerves and tendons. It is an effective  treatment. However, a large incision means a long recovery time, scarring, and risk of  complications. 

Therefore, doctors have come up with minimally invasive procedures. Such minimally  invasive procedures are ultrasound-guided CTR (UltraGuideCTR™) and ultrasound-guided  trigger finger release (UltraGuideTFR™).

In these procedures, doctors make two miniature holes in the hand. And, for the surgery,  they use a special kind of surgical thread. And as one can guess, they use ultrasound to  visualize. It means that surgery does not cause much trauma to soft tissues. Not only that,  one even does not require stitches after surgery. 

Some distinct benefits of the procedure are: 

  • Ability to return to work or activity within 3 to 6 days 
  • The procedure can be readily performed in office settings or procedure room, and it  does not require hospitalization 
  • The procedure is done using local anesthesia 
  • A tiny incision (rather, two small holes) that does not require suturing and does not  cause much scarring 
  • Minimal risk of any complications 

UltraGuideCTR™ and UltraGuideCTR™ are among the safest and least traumatic  procedures to treat CTS and TF, resulting in quick and prolonged relief. 

See more at: https://iorthomd.com/hand-and-wrist/

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