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Wednesday, June 17, 2009

Carpal Tunnel Syndrome surgery should not be your first choice

By Tom Nicholson

Many people who are suffering from carpal tunnel syndrome first imagine that the only way they can get relief is through surgery. For those who have spent days or hours stuck behind a computer trying to plug away at their projects, dealing with the numbness and pain associated with carpal tunnel syndrome, this is not a pleasant sounding option. But it's not only office workers who are considering surgery as an option. It is construction workers, painters and many other types of workers as well.

Carpal tunnel syndrome occurs in the wrists and hands when a person uses a repeated motion for hours at a time through out their day. And if they have bad posture or poor technique then they are likely to make the situation worse. Imagine a person slouched over their computer keyboard for hours on end, never taking a break or stretching their hands and wrists. This person is looking for trouble and they will likely find in with carpel tunnel syndrome.

There is only one way to understand carpal tunnel syndrome and that is to understand its basic physiology. The numbness and pain that is so familiar to sufferers is caused when the wrist tightens and this causes the median nerve to be compressed. For many of the sufferers carpal tunnel syndrome is not only debilitating, it is also agonizingly painful and some form of relief is urgently needed.

While there are many types of intervention, surgery is one option for those who wish to be rid of the pain of carpal tunnel syndrome. Carpal tunnel surgery is usually done under "twilight anesthesia", a somewhat reduces form of anesthesia. The surgery itself involves cutting the transverse carpal ligament to relieve ongoing damage to the nerves. The transverse carpal ligament is a ligament at the wrist that wraps around all the other ligaments running vertically along the arm. The idea is that cutting this ever tightening ligament will immediately reduce pressure on the other ligaments. The transverse carpal ligament will then "scar" together while leaving more room for the other ligaments.

Of course no surgery is risk free and some patients are left with much weaker wrists afterwards. Also, there is a possibility of other nerves and tendons in the area being damaged during the operation. All things considered surgery really should only be the last possible option. To make matters even worse, the patient can expect weeks of recovery after the surgery that can cost as much as ten thousand dollars.

Having an ergonomically designed environment is one suggestion that most therapists make. They also instruct that by ensuring that you maintain the proper posture and technique you can help in preventing yourself from developing the condition. It is also very beneficial if you allow yourself frequent breaks during which you stretch and rest your hands and wrists. Also, massages can be helpful in preventing the syndrome because it helps to loosen and relax the soft tissue in the hands. It is unfortunate how many sufferers of carpal tunnel syndrome undergo surgery because they believe it to be their only option when, in fact, other alternatives do exist.

In order for you to make an informed choice it is important that you take the time to find out about the condition. Remember, maintaining healthy habits is your first step to a pain free life.

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