START TYPING AND PRESS ENTER TO SEARCH

“يا دكتور ، تشعر يدي بالتخدير”. حل “بسيط” لمتلازمة النفق الرسغي

29 يناير, 2015

Intervención_Piñal11-768x520

أدناه يمكنك قراءه ترجمه المترجم البشري باللغة الانجليزيه. لديك أيضا الوصول إلى الاسبانيه الاصليه عن طريق النقر علي العلم في الزاوية اليمني العليا. هذا الرابط يتيح لك الوصول إلى نسخه الترجمة اليه من جوجل في العربية

https://goo.gl/3GnRrZ

Dr Piñal exposes the characteristics, symptoms, causes and solutions for carpal tunnel syndrome.

Waking up with a strong tingling in the hands, putting them in cold water or shaking them at early morning to mitigate the pain, having difficulty performing any task due to numbness and lack of sensitivity (…). This is the daily nightmare faced by people suffering from carpal tunnel syndrome.

It is, therefore, a pathology that hinders the development of a normal life and prevents affected people something as basic as a good rest. However, its origin is clear and its solution, according to Dr. Francisco del Piñal, is simple. We talked with him about it.

Dr Piñal, how would you describe carpal tunnel syndrome or CTS?

One of the most frequent pathological processes of the hand occurs in the carpal tunnel. It is due to the pressure suffered by a nerve that passes through the wrist, in a space surrounded by bones and a ligament. There is, therefore, a compromise between continent and content.

Age and bone degeneration are key and provoke similar effects on the wrist as in other parts of our bone estructure like in our back, for example. As time goes by, the bones ‘widen’ to try to better withstand the loads, occupying space and reducing the room for the nerve.

Through which the nerve passes, nine tendons of much greater hardness also pass. To understand it better, the pressed nerve has a consistency similar to that of a cooked macaroni. Thus, the one who suffers is the nerve to which we are referring.

Sección transversal de la muñeca. Basada en el diagrama de la misma de la anatomía de Gray. Transverse section of the wrist. Based off Gray's anatomy diagram of the same. Fuente/Source: http://dophotoshop.com/carpal-tunnel-exercises.php - por/by DoPhotoShop
Transverse section of the wrist. Based off Gray’s anatomy diagram of the same. Source: http://dophotoshop.com/carpal-tunnel-exercises.php – by DoPhotoShop

Which are the most visible warning signs and symptoms?

The nerve stops working well. That’s why people feel hand’s numbness, things fall off, they can not do ‘fine’ tasks – like buttoning their shirt – because of the loss of sensitivity, etc. In addition, it hurts and generates numerous discomforts.

The pain occurs mainly at night, which is practically exclusive to this pathology. When people wake up in pain or with their hands numb, we have a clear indicator of being facing a carpal tunnel syndrome.

How do we achieve a solution?

As we have said before, it is a continent and content problem. With the latter we can not do anything, which leads us to vary the continent, increasing the capacity of the area through which these nine tendons and the nerve pass. To do this, we open the ligament that is one of the parts that is closing this space.

Is it a complex procedure?

No, from my point of view it is a simple operation. In my case, I carry it out with local anesthesia in five, ten minutes. The patient goes home untroubled, and after a few days we perform a cure.

Dr Piñal in the operating room
For Dr. del Piñal (in the image) we are facing a “simple” surgery and “with immediate results”.

Then, a process begins in which the operated person only has to do some mobility exercises that I recommend. This phase lasts a few weeks, in which plaster or other similar elements are not necessary, and the patient is able to do any basic task can with his hands.

That said, it is essential to put yourself in the hands of a trustworthy team of top medical level, like ours. Patients go through our clinics searching for solutions to unsuccessful carpal surgeries, which have caused them serious consequences in terms of mobility, sensitivity, etc.

One the procedure is performed, when does the patient start to perceive improvement?

The results are immediate. On the same day of the operation the fingers ‘awake’ and the night pain ceases. If there is any appreciative operation in hand surgery it is the intervention of the carpal tunnel. You go quickly from suffering dog’s life to sleep well, to rest properly.

The carpal tunnel syndrome is usually linked to postural issues, such as in an intense use of the computer, is this its main origin?

There is no scientific evidence that the origin of carpal tunnel syndrome is postural, as in using the computer as you say, for example. The key factor is age.

As I posed before, with age the bones degenerate, they occupy space and are infinitely harder than the tendons and, of course, more than that ‘al dente’ macaroni that is the nerve.

Related content: