Thursday, April 9, 2009 | 5:32 am

If you think you have carpal tunnel syndrome, I recommend a conservative initial treatment, including rest, splinting, hot soaks, and antiinflammatory medication. If these initial methods don’t work, injections of corticosteroids will help relieve the swelling of the flexor tendons.

Too many people—and doctors—opt for surgery for carpal tunnel syndrome, but I feel this should be viewed as a last resort. Surgery should generally be reserved for cases that fail to respond to conservative measures. The standard operation involves cutting the transverse carpal ligament, which creates more room in the tunnel for the tendons and median nerve that pass through it. Some surgeons go for a synovectomy, which opens up the sheath that surrounds the nerve, though I think it’s unnecessary. Opening up the transverse carpal ligament is usually enough to relieve the pressure on the nerve.


(posted in General health | tagged General health)

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