Invasive Treatments - Do They Really Work For Carpal Tunnel Syndrome

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Invasive Treatments: Do They Really Work for Carpal Tunnel Syndrome?


Overview


If you've been diagnosed with Carpal Tunnel Syndrome (CTS), you might be wondering about your next steps. Here, we explore common treatment options, highlighting their effectiveness and drawbacks to help you make informed decisions.

Common Treatments


Upon diagnosis, many doctors recommend cortisone injections or surgery. However, these invasive procedures often have low success rates and should be considered only after trying all conservative treatments.

Cortisone Injections


Cortisone is used to reduce inflammation, temporarily alleviating pain by targeting the median nerve. However, the relief is short-lived.

Risks:
- For 21 days after injection, tendons become more rubber-like and prone to overstretching, potentially damaging the joint.
- Continued stress can compromise joint integrity, leading to increased risk of injury.

Recommendations:
- Combine cortisone with therapeutic exercises to address muscle imbalances.
- Focus on a therapy program while inflammation is reduced to prevent symptom recurrence.

Statistics:
- Failure rate of 72.6% after one year (Source: Irwin et al., J Hand Surgery).

Surgery Options


Surgery involves releasing the transverse carpal ligament to alleviate pressure on the median nerve. Here are the primary procedures:

1. Open Release Surgery:
- A 2-3 inch incision frees the carpal ligament.
- Duration: Approximately 20-25 minutes.

2. Mini Open Release Surgery:
- A 1.5-inch incision performed under local anesthetic.
- Duration: About 12 minutes.

3. Endoscopic Release Surgery:
- Less invasive with small incisions for endoscope insertion.
- Allows the surgeon to view and cut the ligament via a camera.

Statistics:
- Only 23% of patients return to their previous jobs post-surgery (Source: NIOSH).
- Surgery has about a 57% failure rate over time, with recurring symptoms like pain and numbness (Source: Nancollas et al., J. Hand Surgery).

Conservative Treatment


The key to preventing and managing Carpal Tunnel Syndrome effectively is through conservative therapy. This approach is beneficial not just for new diagnoses but also for those who have had limited success post-surgery.

Benefits:
- Non-invasive and focuses on long-term relief.
- Addresses the root cause by correcting muscle imbalances.

Conclusion:
Always start with conservative therapy to potentially avoid invasive procedures like injections and surgery. Prioritizing these preventive measures can lead to lasting relief from CTS.

You can find the original non-AI version of this article here: Invasive Treatments - Do They Really Work For Carpal Tunnel Syndrome .

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