Treatment for Carpal Tunnel Syndrome

The increased use of computers and cell phones has led to an increase in the number of people suffering from Carpal Tunnel Syndrome.
8/1/2019

Ziv Medical Center now offers the latest up-to-date treatment for Carpal Tunnel Syndrome - minor surgery performed under local anesthetic.
The actual operation lasts just 4 minutes and the patient is hospitalized for only one day.

According to Dr. Yoram Ozer, a specialist in hand surgery and director of the hand and wrist clinic at Ziv, “In recent years there has been a significant increase in the number of people suffering from the syndrome.
This is attributed to the increasing use of computers and cellular phones. Constant typing leads to inflammation of the tendons in the fingers and later to Carpal Tunnel Syndrome.
The nerve responsible for the sensation and function of most of the hand is the medial nerve, located in a canal-shaped structure at the wrist. This nerve is surrounded by nine tendons, two tendons per finger and one thumb; the canal consists of bones at its base, with sides and ceiling of delicate tissue. In tendon inflammation, the canal is blocked, and the nerve, which is softer than the tendons, begins to suffer as a result of the increasing density in the canal, gradually losing its ability to function.”

During surgery on the carpal tunnel the tissue on the canal ceiling is cut, releasing the pressure within it and restoring the ability to function.
The surgery is short, very effective and recovery is relatively easy - usually only a few days. The patient regains the feeling in his/her hand, the pain abates and quality of life returns.
Carpal Tunnel Syndrome is the fate of tens of thousands of Israelis. The symptoms reported are numbness in the palms, “pins and needles”, pain and difficulty moving the fingers.
The symptoms usually worsen at night as the body accumulates fluids during sleep. In addition, many people tend to sleep in the fetal position, bending their wrist in a way that causes contraction of the carpal tunnel, creating pressure on the nerve inside it.

As the symptoms worsen, a tingling sensation will also occur during the day, as well as a weakening in the strength of the person’s grip and his/her ability to close his/her fist, difficulty closing the thumb inward towards the finger, and difficulty in grasping small objects. Without treatment, the condition can deteriorate to the point of loss of the use of the muscles at the base of the thumb and irreversible sensory damage, manifested in the inability to distinguish tactilely between heat and cold.
Diagnosis of the syndrome is based on the person’s description of his/her pain as well as a neurological examination of the hand. It is also possible to use the electrical conductivity test of the medial nerve (EMG).