Carpal Tunnel Surgery is done under twilight anesthesia.
The drugs cause amnesia, so it feels like one has been completely
knocked out. Through an incision on the wrist, the carpal ligament
is severed to relieve the pressure on the median nerve - Hence, the phrase "Carpal Tunnel Release Surgery".
The incision is sutured closed with the expectation that
the ligament tissue will scar back together over several months
leaving more space.
Cost of surgery and rehabilitation is in the range of $5,000 to
$10,000 with some improvement achieved in over 70% of cases.
Full restoration is achieved in less than 60% of surgeries.
Downtime and rehabiliation generally range from six weeks to three months depending on how many lingering symptoms result and the degree of scar tissue formation as the ligament heals back together. Scar tissue formation during recovery from surgery is unpredictable and sometimes results in less space in this narrow anatomical passage of the wrist after the carpal tunnel surgical procedure, causing even more discomfort and numbness after surgery. This complicaton is only reported in less than 15% of surgical procedures.
It is common for people recovering from the surgical procedure to experience some permanent loss of grip strength, a perduring loss of lifting strength in the wrist/forearm and nagging loss of full range of motion of the hand and wrist after surgery. This is due to severing the Transverse Carpal Ligament and then relying on this important ligament at the base of the hand to scar or heal back together. The purpose of the Transverse Carpal Ligament is to wrap around the hand and wrist and hold the many small bones of the hand and wrist securely together. There are over 27 bones in the hand and wrist nested together in a careful combination to enable the miraculous dexterity, movement and strength of the hand, fingers and wrists. Since we are born with this remarkable ability, most of us take it for granted that these bones move and work together seemlessly in full range of motion and without complications. These bones are all held together by fascia tisue, ligaments, and muscle and bound together by the the largest and strongest ligament of the hand, the Transverse Capal Ligament.
It is not uncommon for Carpal Tunnel Syndrome Symptoms to return
within two years of surgery, even when surgery goes well, if repetitive stress activities continue through
routine use of a person's hands at work or at home.
When Symptoms return, hand surgeons will consider performing a second
surgery.
This is why most medical professionals and insruance companies insist that credible non-invasive therapies are tried before resorting to surgery as a last resort. Carpal Tunnel Surgery is not a permanent fix.
For this reason, most surgeons require that the patient changes their hand use
pattern or addresses the work station ergonomics that may be contributing to repetitive stress at work or at home or insist on a career change, before they
will perform a second surgery. Due to the scaring of the carpal
ligament, it is not considered good practice to perform carpal tunnel
surgery more than twice on the same hand.
Most patients do not have the stamina, time, money, resilence or patience to endure multiple surgeries on the same hand. Also, build-up of scar tissue from repeated cutting of this ligament often risk constricting the tight space in this narrow passage further, contributing to worse CTS symptoms, limiting range of motion and further weakening the grip of the hand and the lifting power of the wrist. You can learn more about natural Carpal Tunnel Relief Video options and watch an interview with Dr. Robbin discussing Carpal Tunnel Syndrome in a compelling video program hosted on YouTube and viewed on the link, Carpal Tunnel Treatment .
Because of the risks associated with the invasive nature of
surgery, most surgeons, neurologists, family physicians, hand therapists, medical insurance companies and
healthcare professionals generally advise patients to exhaust
clinically documented conservative treatments for Carpal
Tunnel Syndrome before considering surgery. Also, people often worry about managing the downtime, the risks of potential complications, lingering symptoms during the recovery from surgery, the likelihood of permanent loss of grip strength in their hand and the loss of range of motion in the hand and wrist after surgery. Rehabilitations can be long, time consuming and painful.
For a chronic condition like CTS which has a high probability of reocurring, most people prefer to find a reliable, convenient, safe and natural therapy that does not involve the risks, downtime, and the potential for complications of a surgical procedure. Repeating the drama of surgery is just not a pleasant experience for a patient with any condition, especially after one has endured the ramifications of CTS. There is no cure for CTS, evern after a successful surgical procedure, the symptoms will likely flare up again in time if you keep doing the same activities.
Also, most insurance companies and surgeons insist on a nerve conductivity
study to document inhibition in the response and performance of
the Median Nerve, which passes through the Carpal Tunnel before
they allow the reimbursement or approve the expensive, invasive severing procedure. Some people report the nerve conductivity study to be painful others do not find it painful. It is a relatively costly procedure that ranges between $800 and $1200 to confirm scientifically that you do have median nerve inhibition, which is the essence of Carpal Tunnel Syndrome.
Some people come away with the impression that they have permanent nerve damage after the nerve conductivity test. It is possible to have permanent irreversible nerve damage from CTS, but reported cases of irreversible nerve damage as a result of Carpal Tunnel Syndrome are rare and it is generally thought that unless a person has been exposed to severe CTS symptoms for many years, it would be unlikely to have irreversible nerve damage.
The fact is you do not necessarily need a nerve conductivity test if you know you have the classic symptoms of Carpal Tunnel, unless you are planning on enduring the risks and potential complications of the surgical procedure. Your family physician, neurologist, or hand therapist should be able to help confirm the diagnosis for you and aid you in identifing any other possible contributing factors while you employ proven therapy to gain control of your condition today. In the long-run is important to identify any other potential contributing factors or causes to Carpal Tunnel Syndrome besides repetitive strain injury, which is usually a contributing factor in all cases of CTS. There can be a number of metabolic conditions that contribute or cause this annoying and frustrating disorder.
You can check out a comprehensive list of the possible contributing factors to CTS on this website at the above link and be prepared to discuss and identify possible metabolic factors with your doctor. You will also find a list of commonly asked questions about Carpal Tunnel Syndrome and get the facts about treating this frustrating condition with natural non-invasive methodologies in the Carpal Tunnel FAQ section. The good news is you do not have to wait to start getting control of your symptoms naturally while you set up an appointment to meet with your doctor. Carpal Solution Therapy allows you to start controlling your symptoms today without fear of complications and get back to your active life, while you wait for professional medical input on other potential contributing metabolic factors.
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“When I met with a hand surgeon and told them my symptoms they
scheduled me for nerve conductivity testing and told me that I would
have to change my career and undergo carpal tunnel surgery. That really upset me.
I have trained for years and sacrificed a lot to build my own business
around my hair styling skills. I love what I do ----the service I
provide and the interaction with people. I could not face giving
it all up. Then I read how surgery only works in about 50% of people
and there are lots of complications. I mean, what is the point of
surgery if you have to stop doing what you love?”
“I decided I was not going to give up my career that easily and
started looking for alternatives. I tried the rigid day braces and
those did not do much and they interfered with my work. I tried the
night splints, and thought they sometimes helped me sleep better, but
often I woke up in uncomfortable positions where the rigid splints
would dig into my body or disturb my partner. My husband hated seeing
me go to bed with the big rigid splints on my hand. He called them:
‘Mummy Hands’, as in Egyptian.”
Then a friend told me about the Carpal Solution and I found it on
the internet. This product is amazing! It seems so simple, it looked
like just another brace, but it is completely different in the way it
works. It is comfortable to wear ---not like the rigid splints. Even
my husband doesn’t mind me going to bed with these on. I was most
surprised at how quickly it eliminated my symptoms when everything
else I tried was so lame. I got back to a full nights sleep within
three days and the pain in my hand began to subside after the first
night. Within a week I felt no pain or symptoms and made the mistake
of stopping the treatment. The symptoms returned after a week without
it. So, I went back to Dr. Morgan’s full six-week protocol.
It completely relieved my symptoms for months.
“Sometimes after an intense day at work, my symptoms will start to
come back and I put on the Carpal Solution for one or two nights and it
keeps me going strong. I usually do the once a week protocol, but
sometimes I forget until the symptoms begin to come back. It is so
great to have a reliable way to keep my symptoms under control!
Thank you Dr. Morgan. The Carpal Solution saved my job, got me back to a good nights sleep and prevented risky surgery! I could not be more satisfied!”
Marla, Hair Stylist, Florida. |
It is the impingement of the Median Nerve in the carpal tunnel
that causes the intense pain and numbness associated with carpal tunnel
syndrome. Repetitive stress induced carpal tunnel strain results in
injury to the soft tissue and tendons at the base of the hand.
The injured tissue and tendons swell and crowd the narrow passage
known as the carpal tunnel causing tendons to rub against the
impinged nerve as the hand and wrist are used. Nerves are extremely
sensitive and are directly wired to the pain center in the brain.
It is clear why the pain can be so intense. Long-term nerve damage
can result when constricted in under these conditions for an extended
period of time.
After surgery, some relief from pain is likely, but full
recovery is uncertain:
Patients usually have stiffness or pain at the scar and may have
complications with infection or nerve damage.
The wrist will often lose strength because the carpal ligament has
been severed and scars back together.
Months of physical therapy are required after surgery to restore
some hand / wrist strength.
Often patients with work related CTS still need to adjust
job duties or change jobs after recovery from surgery to avoid
repeated symptoms. For these reasons surgery is generally considered
a last resort after all clinically documented options have been
tried by the patient.
Until the development of the Carpal Solution, conservative
treatments were considered to offer only short term relief from
the symptoms of Carpal Tunnel Syndrome, with complicated side
effects. These include immobilizing hand and wrist splints,
like the cock-up splint and corticosteroid therapy.
The immobilizing splints are constraining, uncomfortable and often
lead to muscle atrophy.
By design, splints and braces limit the use and movement of
the hand. Both oral and local corticosteroid injections usually
offer short-term relief from the pain, but have long-term side
effects associated with steroid use and are not a viable
long-term option.
With the introduction of the Carpal Solution, sufferers of
Carpal Tunnel Syndrome Symptoms now have a viable option that
quickly offers relief from CTS symptoms and can be used for
a life time to allow full use and enjoyment of a person's
hands. After the initial six week Carpal Solution soft
tissue therapy protocol, symptoms will be relieved in most
patients for months. If repetitive stress activities continue,
the CTS symptoms are likely to return over time.
In these cases, Carpal Solution users have found that
applying the Carpal Solution for two to three nights per month
will keep the symptoms from disrupting sleep or inhibiting use
of their hands during the day. You can take control of the pain
and symptoms of Carpal Tunnel Strain and Carpal Tunnel Syndrome
while continuing full use of your hands by following the six week
nightly protocol and then using the Carpal Solution two to three
nights per month for life.
Imagine Active Hands for Life! It is a concept that many
Carpal Tunnel Syndrome sufferers had given up on. Now with the
Carpal Solution, many people are finding that they can get
their active life back.
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" Yes, it is a dream come true!
I was scheduled for surgery on both wrists at KU Medical Center.
I had pain in my right, wrist, finger, elbow and shoulder,
and was taking meds. Then a friend heard about The Carpal
Solution and I ordered a two week supply. The first day
within fifteen minutes the pain was dissipating. I had no pain
when I woke up in the morning. I had no pain in my right arm.
Eight hours later the pain was back and I am now using it every
night and sometimes during the day. As long as I wear the
Carpal Solution I do not have any carpal tunnel pain at all.
I can make a fist, with no pain in my wrist, elbow or shoulder.
It is wonderful! I am so glad I was able to find this solution and
avoid all the risk associated with surgery.
Ken, IRS Computer Worker.
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