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Endoscopic Carpal Tunnel Release

Endoscopic Carpal Tunnel Release Endoscopic carpal tunnel release (ECTR) is preferred over mini-open release. Despite the overwhelming advantage of endoscopic carpal tunnel release over open technique which involves much greater tissue injury, discomfort, and delay in return to work, there is still a controversy among many surgeons. Most of them…

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Candidates for Carpal Tunnel Surgery

Carpal tunnel release in patients with nerve conduction studies which are normal. There has been a little bit of a controversy over the years on who is a candidate for surgery of the carpal tunnel. Neurologists have frequently been misguided into thinking that a nerve conduction study is prognostic when,…

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Raynaud’s Syndrome

Can the treatment of carpal tunnel syndrome eliminate Raynaud’s? Is it related to carpal tunnel syndrome? These are both good questions. They have been addressed by a few clinicians over the years with progressively better reviews. Raynaud’s phenomenon, constriction of the blood vessels in the hands, can be painful resulting…

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Pain and Dysfunction After Open Carpal Tunnel Release?

Greater Risk of Pain and Dysfunction After Open Carpal Tunnel Release The article so entitled by Boya et al. published in Muscle and Nerve, November 2008, Volume 38, pages 1443-1446, pointed out the frequent postoperative problems after open carpal tunnel release such as persistent weakness, pillar pain (deep-seated ache or…

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Pregnancy-Related Carpal Tunnel Syndrome

Pregnancy-Related Carpal Tunnel Syndrome A high rate of pregnancy-related CTS was highlighted in an article in the Canadian Medical Association Journal in 1983, vol 128, indicating that 25% of 1000 consecutive postpartum women experienced CTS during pregnancy; 3/4 of them that experienced this had bilateral symptoms. Half of the multigravidas…

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