Endoscopic surgery: Carpal Tunnel Syndrome
Dr. Momeni is among the select doctors in the New York & New Jersey
region area who offer this
advanced and effective treatment for patients suffering from carpal tunnel
syndrome.
 Description
Carpal tunnel syndrome is a frequent cause of numbness and weakness of
the hand. It is caused by pressure on the median nerve by a tight wrist
ligament. The condition is sometimes, but not always, related to work
and strain on the wrists. Patients often experience, numbness,
tingling, pain, and burning sensations of the thumb, index, and middle
fingers. Without proper treatment, the muscles of the hand may
weaken permanently.
Treatments
 Mild symptoms can be
treated by wearing a splint to relieve the pressure on the nerve and with
the use of anti-inflammatory medications. If symptoms persist, or
if they are severe, surgery is much more effective at treating the problem.
The surgery involves releasing the ligament and relieving the pressure on
the nerve. Laser treatment is under study, but has not shown serious
promise yet.
Surgery
For decades, surgeons have successfully treated carpal tunnel syndrome by
making an incision in the palm, finding the tight wrist ligament, and
cutting the ligament to relieve the pressure. They often placed a
splint or cast afterwards. We have learned that the old operation
has a difficult recovery, associated with pain, discomfort, and stiffness.
Instead, Dr. Momeni recommends a minimally-invasive technique called endoscopic release.
 Advantages of
endoscopic release
Endoscopic carpal
tunnel release is done with a special instrument that avoids the need for a
skin incision on the palm. The advantage of the endoscopic procedure is a
significant reduction in recuperation time and faster return to normal
activities. Studies have shown that the pain and weakness of the hand is
decreased in the first several months as compared to the "open" traditional
method.
The Procedure
The procedure is performed under local anesthesia, with an
anesthesiologist in the operating room to administer sedation through an
intravenous line (similar to having a colonoscopy). The surgeon uses a
thin isntrument attached to a fiberoptic camera inserted through a small
incision at the wrist to release the tight ligament. The procedure takes
approximately 20 minutes.
Recovery
Only a light gauze bandage is used, and no cast or splint is used.
Patients are encouraged to begin using their fingers and hand immediately
following the surgery. The stitches are removed in the office two weeks
after the procedure. In most cases, patients notice improvement in their
symptoms early after surgery, and the improvement often continues for weeks
to months. Hand therapy may be prescribed during this period.
 Results
Overall, surgery is very successful, but the results will depend
partly on how long the condition
has existed and how much damage has been done to the nerve before the
operation. For this reason,
it's a good idea to see a doctor early if you think you may have carpal
tunnel syndrome.
Risks
As in any surgical procedure, there is a risk of complications, including
anesthesia reaction, bleeding, infection, and nerve or tendon injury. The
likelihood of a complication following endoscopic carpal tunnel release is
very low. It is very important that your doctor be trained and
experienced in the endoscopic carpal tunnel technique and hand surgery in
general.
 
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Reza Momeni, MD, is a Yale trained plastic &
reconstructive surgeon serving the New York & New Jersey metropolitan area.
Dr. Momeni combines medical and surgical experience with honesty, a personal touch, and respect for his patients. He offers
advanced treatment techniques and superior
training in this and many other procedures. This web site describes Dr. Momeni's general opinions, and recommendations.
Since all patients are unique, but must not be
used by readers for treatment without personal consultation. Readers who are not patients
in Dr. Momeni's practice are advised to consult their physicians.
New York & New Jersey Metro
Summit Medical Group
1 Diamond Hill Road
Berkeley Heights, NJ 07922
(908) 277-8759
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Momeni | Summit Medical Group
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