Скачать или смотреть Carpal tunnel syndrome telugu | cts symptoms treatment | elite pain management | Dr Prakash Gudipudi

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carpal tunnel syndrome telugu | cts symptoms and treatment | carpal tunnel syndrome treatment in telugu | carpal tunnel syndrome symptoms in telugu | carpal tunnel syndrome in wrist telugu | elite pain management | Dr Prakash Gudipudi

What is Carpal tunnel syndrome (CTS)
CTS is a condition where the median nerve is compressed where it passes through a short tunnel at the wrist.

What are the symptoms?
The main symptom is altered feeling in the hand, affecting the thumb index, middle and ring fingers; it is unusual for the little finger to be involved. Many people describe the altered feeling as tingling. Tingling is often worse at night or first thing in the morning. It may be provoked by activities that involve gripping an object, for example a mobile telephone or newspaper, especially if the hand is elevated. In the early stages the symptoms of tingling intermittent and sensation will return to normal. If the condition worsens, the altered feeling may become continuous, with numbness in the fingers and thumb together with weakness and wasting of the muscles at the base of the thumb. Sufferers often described a feeling of clumsiness and drop objects easily. CTS may be associated with pain in the wrist and forearm.

What is the treatment?
Non-surgical treatments include the use of splints, especially at night, and steroid injection into the carpal tunnel. CTS occurring in pregnancy often resolves after the baby is born. Surgery is frequently required. The operation involves opening the roof of the tunnel to reduce the pressure on the nerve (see diagram: the roof of the carpal tunnel is called the flexor retinaculum). The most common method involves an incision over the tunnel at the wrist, opening the roof under direct vision. In an alternative keyhole method (endoscopic release) the roof is opened with instruments inserted through one or two small incisions. The outcomes of the two techniques are similar and your surgeon can discuss the most appropriate method. The surgery may be performed under local anaesthesia, regional anaesthesia (injected at the shoulder to numb the entire arm) or general anaesthesia. The outcome is usually a satisfactory resolution of the symptoms. Night pain and tingling usually disappear within a few days. In severe cases, improvement of constant numbness and muscle weakness may be slow or incomplete. It generally takes about three months to regain full strength and a fully comfortable scar

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DR. PRAKASH GUDIPUDI
Interventional pain physician
MBBS, DA, FIDM, FIPM
MBBS ,DA from Osmania medical College Hyderabad
FIDM fellowship in Diabetics from Chennai
FIPM fellowship in pain management from AESCULAP ACADEMY (Germany)

Elite Spine and Pain center
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