Basal Joint Arthritis: Treatment In Carrollton, TX

by Administrator 4. May 2017 07:04

The joints in the human body have a thin layer of cartilage lining between the bones, for their smooth and frictionless movement. Basal Joint Arthritis refers to a condition in which the cartilage in the thumb joint (at the base of the thumb) degenerates, causing the bones to rub against each other. The condition may occur due to excessive wear and tear of the joint cartilage or with age. This form of Arthritis is commonly seen in women above the age of forty years.


  • Women are more likely to develop Basal Arthritis
  • Past injuries such as fractures and dislocations may predispose a person to such problems
  • Overuse injuries
  • Rheumatoid Arthritis
  • Genetic factors such as Joint Ligament Laxity
  • Joint malformation
  • Obesity


  • Considerable pain may be felt in the joint and surrounding muscles
  • Burning sensation in the joint
  • Inability to use the thumb or hand comfortably to perform daily tasks such as opening a container or a bottle lid, turning a door knob etc.
  • Weakened grip
  • Inflammation and tenderness in the affected part
  • A hard bony lump may form at the base of the thumb


  • X-ray imaging may help to reveal bone spurs and cartilage damage
  • Analysis of the patient’s lifestyle, past medical records and symptoms reported
  • A detailed physical examination may be conducted by an orthopedic doctor to check for visible deformities and changes in joint structure
  • Pressure may be applied by moving the thumb in different directions to check if it causes pain or a grinding sensation


Basal Arthritis can be treated through conservative methods in the initial stages. In the advanced stages, surgical intervention may be recommended. The methods may include the following:

  • Prescription of anti-inflammatory medication and pain killers
  • Resting the affected joint and abstaining from any stress-causing activities
  • Application of ice packs at regular intervals
  • Splints may be used to lend support to the joint
  • Injecting cortisones into the affected area may provide immediate relief from the symptoms.
  • Arthroplasty- surgical removal of the damaged joint and replacing it with a bone graft or an artificial piece of bone.
  • Arthrodesis- permanent fusion of the bones of the joint
  • Osteotomy- surgical repositioning of the bones in the joint
  • Trapeziectomy- removal of the trapezium bone from the joint for more stability

To know more about Basal Joint Arthritis and its treatment options, consult the doctors at OrthoTexas. Call at (972) 492 – 1334 for an appointment or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Ulnar Collateral Ligament Injury: Orthopedic Treatment In Carrollton

by Administrator 24. December 2016 10:19

The Ulnar Collateral Ligament is a band of ligaments that connects the upper arm bone (humerus) to the lower arm bone (ulna). These soft tissue structures stabilize the elbow joint and allow a person to perform overhead arm movements such as playing tennis or throwing a ball. An ulnar collateral Injury occurs due to stretching, loosening or tearing of these ligaments. The condition may result in physical limitations and is a common injury observed in sportspersons. Ulnar Collateral Ligament damage does not occur due to stress form daily activities as this type of damage requires a considerable amount of force that exceeds the threshold of the ligaments to cause lengthening or tears. This injury has a high incidence of re-occurring post treatment.


  • Overuse injuries caused by repeated overhead movement such as playing volleyball or basketball
  • Inherent weakness of the muscles and ligaments
  • Improper throwing techniques
  • Not warming up before indulging in a sport
  • Elbow Dislocations
  • The ligaments may be damaged due to surgical procedures applied on the elbow joint or the upper arm


  • Pain in the elbow joint and the arm, which may increase while performing tasks that require lifting the hands or arms above the head
  • Swelling and tenderness in the inner side of the elbow joint or the upper arm
  • Limited range of motion
  • A tingling sensation in the arm and inner side of the elbow
  • Weakness in the elbow joint
  • Numbness in the fingers (particularly little finger) and hand
  • Loss of grip
  • A popping sound at the time of injury
  • Stiffness
  • Change in color of the fingernails


  • Analysis of the existing symptoms reported by the patient
  • MRI scan may be required to view the ligaments
  • The doctor may use palpation and pressure to identify the exact location of pain


  • The patient may be recommended to take rest and abstain from any physical activities that cause pain
  • Physical therapy with special focus on ROM (range of motion) exercises may be recommended to accelerate recovery
  • Anti-inflammatory medicines may be prescribed by the doctor
  • Ice packs may be applied to ease pain and swelling
  • Protective splint or elbow brace may be recommended
  • In case of complete tear, surgery may be suggested. It will aim at reconstructing the ligament and removing the damaged parts, if any
  • It may also be advised to avoid arm movements that aggravate pain or increase the risk of injury

The surgeons at OrthoTexas offer complete treatment for Ulnar Collateral Ligament Injury. To schedule an appointment, call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Shoulder Tendonitis: Causes, Symptoms And Treatment

by Administrator 5. December 2016 10:34

Shoulder Tendonitis is a medical condition which involves swelling and irritation of the tendons and muscles in the shoulder joint. The tendons are strong connective tissues that support the joint, help in the movement and keep the constituent bones in place. A set of muscles called the rotator cuff form an important part of the shoulder joint that prevents the humerus from slipping out of the glenoid cavity. They help in the upper arm movement such as lifting, swinging etc. Tendonitis majorly affects the rotator cuff muscles as the maximum movement is centered on this area and is thus also referred to as Rotator Cuff Tendinopathy or Impingement Syndrome. Although Shoulder Tendonitis is a progressive condition, it can be rectified with appropriate treatment.


  • Repeated stress and micro-traumas caused to the rotator cuff
  • Growth of bone spurs
  • Shoulder Bursitis- inflammation of the small fluid filled sacs in the joint called bursae
  • Impingement of the rotator cuff into the acromion bone may be a potential cause of swollen tendons
  • Poor posture may cause problems in the neck and thoracic spine which may alter the biomechanics of the shoulder joint
  • Sport activities that require repeated or high speed movement of the arms such as badminton, tennis, baseball, swimming etc.
  • Inherent weakness in the supporting joint muscles
  • Habitual sleeping or lying on the same side of the shoulder


  • Pain and discomfort while lifting the arms overhead, placing the hands behind the head, lifting weights or lying on the affected shoulder
  • In case the condition aggravates, pain may be experienced even while resting
  • A feeling of cracking or joint locking may be felt when the shoulder is moved
  • Loss of strength in the shoulder and upper arm
  • Swelling and tenderness
  • Limited range of motion and stiffness


  • Details of the patient’s medical history, past injuries and symptoms reported may be taken into consideration
  • The doctor may check the affected shoulder by palpation and ask the patient to move the arm in different directions
  • X-ray imaging may be required to check bone spurs
  • Ultrasound and MRI imaging may provide a detailed picture of the tendons and the location of inflammation. It may also be useful in diagnosing tears in the tendons and muscles


  • The affected shoulder needs to be rested and any strenuous activity should be avoided
  • Applying ice packs at regular intervals for 24-72 hours may help to reduce pain and swelling
  • Shoulder straps, slings, taping and bandages may be used for light compression and support
  • Anti-inflammatory medicines may be prescribed by the orthopedic doctor to relieve discomfort
  • Physiotherapy and light exercises may be carried out to improve flexibility as well as keep the joint active
  • Corticosteroids may be injected into the joint for relief
  • Arthroscopic surgery may be recommended to treat the rotator cuff muscles
  • Maintaining a good posture, not sleeping on the affected shoulder and avoiding carrying heavy objects close to the body are other measures that can prevent flaring up of the problem

For effective diagnosis and treatment of Shoulder Tendonitis, visit OrthoTexas. To schedule an appointment with the shoulder pain specialists in Carrollton, call at (972) 492 – 1334.

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The Benefits Of Hand Therapy

by Administrator 15. August 2016 06:52

Hand therapy is a type of rehabilitation procedure performed by physical therapists to treat conditions of the hands, shoulder, arm, wrist and elbow joint. These parts of the upper body are collectively referred to as the upper extremities. The joints play a major role in almost all our daily activities and are, therefore, quite susceptible to injury. Hand therapy aims at restoring normal functioning and strength of these body parts. It is a non-operative process that makes use of specific instruments, exercises and manual manipulations to promote a faster recovery.

The procedure is performed by a certified physical therapist who is trained to combine the knowledge of anatomy, kinesiology (study of movement of the body) as well as physiology to treat upper extremity disorders. Hand therapy may be used as a sole treatment option or to help patients recover from an injury/illness.

Orthopedic Conditions That May Require Hand Therapy

  • Wounds or scars in upper extremities
  • Loss of nerve sensation due to neurological problems
  • Tendon injuries
  • Congenital or acquired  joint deformities
  • Direct trauma to any part of the upper extremity
  • Pain and swelling
  • Arthritis
  • Fractures
  • Joint Instability
  • Peripheral nerve compression, such as Carpal Tunnel Syndrome or Cubital Tunnel Syndrome
  • Soft tissue injuries
  • Tennis Elbow, etc.

Benefits Of Hand Therapy

  • It assists in a faster and healthier recovery from a surgery
  • Patients can find relief from acute or chronic pain in the upper extremities
  • The therapists aim at enabling patients to get back to work and recreational activities as early as possible
  • They also guide the patient in pain management so that the psychological trauma of injury is reduced
  • It may help to improve range of motion and flexibility of the affected joint
  • Hand therapists provide wound assessment and management to minimize the formation of scar tissue
  • It helps in the fabrication of a custom orthotic or splint to provide complete support to the injured joint and treat any deformities
  • The therapists may recommend specific exercises that can be performed by the patient to maximize functionality of the upper extremity joints
  • They also guide the patient in proper techniques of using the hand to minimize pain and prevent further injuries
  • The therapy aids in desensitization following a nerve injury or trauma
  • Specialized hand therapy programs may help in improving the patient’s gripping ability and gross motor coordination

OrthoTexas provides comprehensive hand therapy to the patients suffering from acute or chronic hand/wrist pain. To schedule an appointment with our physical therapists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Pelvic Fracture: Causes, Symptoms And Treatment

by Administrator 4. June 2016 14:19

The pelvis is a structure of bones - coccyx, hip bones and sacrum located between the base of the spine and legs. The hip bones are further divided into the pubis, ilium and the ischium. The pelvis forms a bowl-like cavity which contains as well as protects the reproductive organs, bladder and bowels. A break or crack in any of these bones is termed as Pelvic Fracture. The injury is often accompanied by damage to the ligaments as well. It can be classified as follows.

  • Stable Fracture- Fractures or cracks in the pelvis ring caused by a low energy force which does not disrupt the positioning of the bones
  • Unstable Fracture- High impact fractures which may lead to displacement of the bone pieces and often involve multiple breakages


  • Vehicular collision
  • A sudden fall on the hip or back
  • Direct trauma to the joint
  • Sports injuries which may lead to the separation of the ischium bone from the adjoining muscles
  • Missing a step while climbing or descending the stairs
  • Loss of bone calcium


  • Dull or severe pain
  • Bone piece may pierce out of the skin, in severe cases
  • Inability to bear body weight
  • Instability in the back and lower limbs
  • Stiffness
  • Swelling
  • Numbness in the legs or groin
  • Bruising and tenderness
  • Difficulty walking or standing
  • Pain is aggravated by movement
  • Rectal or vaginal bleeding
  • Hematoma


  • Detailed physical examination of the injured area, hips and lower limbs
  • The doctor may check for loss of sensation due to nerve damage
  • Evaluation of the patient’s symptoms, medical history and mode of injury
  • X-ray imaging may be done to assess the level of damage and bone displacement
  • A cross-sectional image of the pelvis may be obtained through CT scan
  • MRI scan to assess soft tissue, ligament, blood vessel injuries
  • Ultrasound may be suggested to check internal bleeding


  • In case of low impact injury, use of a walker, cane or crutches may be recommended to avoid bearing weight on the leg
  • Pain killers and anti-inflammatory medicines may be prescribed to relieve pain
  • Anticoagulants may be prescribed to reduce the risk of clotting
  • Pins and screws may be fixed externally to keep the pelvic bones in place
  • Skeletal traction may be helpful to realign the bones
  • Surgery may be required to reposition and hold together the broken bone fragments with the help of metal plates or screws.
  • Physical therapy may be required to boost recovery and regain mobility of the hip

OrthoTexas provides effective treatment for pelvic fracture and other hip conditions. To schedule an appointment with our orthopedic hip surgeons in Carrollton, TX, you can call at (972) 492 – 1334.

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Shoulder Fracture: Causes, Symptoms And Treatment

by Administrator 5. April 2016 08:03

The shoulder joint attaches the arms to the body and comprises of three main bones- Scapula or the shoulder blade, Clavicle or the collar bone and the Humerus which is the upper part of the arm bone. Several ligaments, tissues, nerves, muscles, tendons and tissues connect these bones as well as enabling their movement. These bones form three important joints within the shoulder namely; the sternoclavicular, the glenohumeral and the acromioclavicular joints. A fracture may disrupt the functioning of any of these joints and can result in physical discomfort as well as loss of motion.

On the basis of location of the injury, shoulder fractures can be classified as:

  • Clavicle Fracture- This type of fracture damages the collar bone or the clavicle which lies between the ribcage and the shoulder blade. It is a common injury that may affect people of any age group.
  • Scapula Fracture- It is a rare type of fracture that affects the triangular shaped shoulder blade (scapula). This bone marks the meeting point of 18 different muscles and scapula fracture mostly occurs in association with some other injury as it is protected by the ribcage.
  • Proximal Humerus Fracture- This type of fracture damages the upper part of the humerus bone and is most common in women and elderly who suffer from calcium deficiency.


  • Trauma suffered during a motor accident
  • Falling on the shoulder or an outstretched arm
  • Sports that involve direct combat
  • A direct hit to the shoulder or upper arm
  • Weakening of bones due to calcium deficiency or Osteoporosis


  • Severe pain in the arm, neck, hands and shoulder
  • Swelling in the arm or around the shoulder
  • Inability to move the arm
  • Bruises and scrapes
  • Stiffness
  • Discoloration, redness
  • Tenderness in the shoulder joint
  • Visible deformity in some cases
  • A grinding feel may be experienced when moved
  • Visible bump appears
  • Numbness or tingling sensation


  • Evaluation and physical examination of the shape and position of the injured shoulder
  • The orthopedic may ask questions regarding the cause and time of injury besides the patient’s medical history
  • The doctor may look for additional bruises and scrapes near the point of injury
  • X-ray imaging may be done to assess the severity of damage to the bone structure
  • CT scan gives a detailed picture of the damage to nerves, soft tissues and muscles


  • Wearing a sling for 6-8 weeks depending on the severity of the injury
  • The injured arm needs to be supported with a cushion while resting or sitting
  • Pain killers, muscle relaxants and anti-inflammatory drugs will be prescribed
  • Ice packs may be applied at regular intervals for 2-3 days
  • Surgical fixation of the fractured or displaced bones using screws, pins, plates is done in case of compound fractures
  • Surgical replacement of the shoulder joint
  • The therapist may recommend suitable exercises for strengthening and flexibility restoration

We, at OrthoTexas, Provide comprehensive diagnosis and treatment for shoulder fracture. To schedule an appointment with our orthopedic surgeons in Carrollton, TX, you can call at (972) 492-1334.

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Pulled Hamstring: Causes, Symptoms and Treatment

by Administrator 16. January 2016 13:16

Hamstring refers to a group of muscles located at the back of the thighs that enable the bending of the leg at the knee joint. Pulled Hamstring or straining of the hamstring muscles is a common injury borne by athletes, runners, basketball players, footballers, dancers, gymnasts and skaters.

There are three main muscles that constitute the hamstring; the biceps femoris semitendinosus, and the semimembranosus. These begin at the lower end of the pelvis and move down to the shin bone. Stretching and overuse of these muscles leads to pain which can be severe and may lead to tearing of the muscles. Mild hamstring pulls can heal on their own while severe tearing of the muscles require timely medical assistance. Hamstring Pulls can be graded as follows on the basis of their severity;

  • Grade I- Mild pain and discomfort may be experienced by the patient but the mobility will be intact. There could be some swelling and resistance while bending the knee of performing other activities
  • Grade II- The injured person may limp and experience swelling and pain particularly when the hamstring muscles are touched or when the knee is bent
  • Grade III- It is categorized as a severe injury involving partial or complete tearing of the hamstring accompanied by sharp pain, swelling, bruising and weakness in the limbs.


  • Running
  • Jumping or activities that involve sudden starts or stops
  • Inadequate or refraining from warm up exercise before an activity/sport
  • Tight quadriceps in front of the thighs may exert pull on the hamstring muscles
  • Presence of weak glutes (skeletal muscles in the buttock) may lead to straining of hamstrings
  • Medical conditions which arise in pelvis and lower back may become a cause for hamstring stress


  • Mild to severe pain depending on the severity of stretching/straining of the hamstring
  • Difficulty in standing or walking around
  • A feeling as if something has snapped/popped at the back of the thigh
  • Pain may radiate up to the buttocks when moved
  • Bruising, soreness and tenderness


The doctor may conduct a physical examination of the affected area besides analyzing the cause of injury. MRI may help to assess the exact damage caused to the hamstrings.


  • Resting the injured leg and refraining from any activity that stresses the thigh muscles
  • Use crutches if required to avoid putting weight on the leg
  • Apply ice packs at regular intervals
  • Soft elastic bandage/thigh support may be used for compression
  • Keep the injured leg elevated and provide support by placing a pillow under it
  • Pain killers and anti-inflammatory drugs may help ease the pain
  • Physical therapy under supervision helps strengthen the muscles and prevent repeated straining
  • Surgery may be required in severe cases when the muscles are torn

For comprehensive treatment of Pulled Hamstring, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Carrollton, TX, call at (972) 492 – 1334.

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Piriformis Syndrome: Causes, Symptoms And Treatment

by Administrator 14. December 2015 10:38

Piriformis Syndrome refers to a neuromuscular disorder that affects the Piriformis muscle located in the buttock. This muscle begins at the lower spine and connects it to the femur (thigh bone) with the sciatic nerve running beneath it. The Piriformis muscle enables the rotation of the hip and forward leg movement. The syndrome is a result of stress or irritation caused to the muscle which, in turn, compresses the underlying sciatic nerve. It may lead to pain, spasm or numbness in the buttock radiating downwards to the thigh, lower leg and calf muscles. It is a complex medical condition that needs to be diagnosed and treated at the earliest as it may lead to a host of other pathological problems.


  • Mild to severe pain in the buttock, leg or thigh
  • Numbness or tingling sensation
  • Discomfort while moving the hip joint
  • Tenderness in the buttock muscle
  • Pain tends to increase while walking up an incline, climbing stairs or sitting for a long duration
  • Discomfort while sitting on the affected buttock
  • Pain or discomfort during bowel movement
  • Pain generally diminishes once the patient lies on his/her back
  • Numbness in feet or difficulty in walking
  • Women may experience Dyspareunia
  • Some patients may experience pain in neck or head


  • Sitting for long hours may tighten the Piriformis muscle
  • Sportspersons who indulge in running, rowing or cycling tend to bend forward most of the time leading to weakening of buttock muscles
  • Overuse of the hip joint or muscle that leads to stress or spasms
  • Trauma to the gluteal region or the buttock


Piriformis Syndrome is a complex condition that requires various tests and methods of examination for accurate diagnosis. These may include:

  • Review of the patient’s medical history to rule out other causes of pain
  • Physical examination of the leg and hip by the doctor
  • X-ray, MRI, CT scan and few other nerve conduction tests
  • Reflex, strength and sensory testing of the deep tendon
  • Assessment of disparities in length of legs
  • Tenderness in the gluteal region


  • The orthopedic doctor may recommend heat therapy to reduce stress and encourage flow of blood to the affected muscles
  • Specific stretching exercises may also help to strengthen the Piriformis muscle, hamstrings, hip flexors and abductor muscles
  • Anti-inflammatory drugs and muscle relaxants may be prescribed
  • The doctor my ask to avoid activities that lead to stress or pain
  • Rest for a prescribed period of two to three weeks
  • Surgical intervention may be required in cases where conservative therapies fail to provide relief.

OrthoTexas provides comprehensive diagnosis and treatment for Piriformis Syndrome. To schedule an appointment with our orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334.

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Knock Knees: Causes, Symptoms And Treatment

by Administrator 14. September 2015 10:55

Knock Knees, also known as Genu Valgum, is an orthopedic condition that causes the knees to bend inwards and touch each other. The condition is common during a child’s developmental stage, till the age of 2 or 3 years and gets self-corrected with age. However, in rare cases when knees begin to knock after the age of 6 years, it can be an indicator of an underlying bone disorder.


  • Osteomyelitis, a bone infection
  • Rickets
  • Scurvy
  • Infection or injury to the shinbone
  • Obesity
  • Overpronation
  • Irregular bone growth
  • Genetic skeletal abnormalities


  • More than 10 cm of gap between both ankles
  • Changes in gait patterns
  • Excessive inward angle of knees
  • Pain at the anterior part of the knee, in severe cases


Diagnosing Knock Knees involve a thorough physical examination and a review of the patient’s medical history. The orthopedic doctor may observe the positons of the patient’s lower legs, ankles and knees. He may measure the distance between the inner parts of the ankle joints to assess the severity of the condition. The doctor may also evaluate certain other factors including:

  • Height, weight and body mass index (BMI)
  • Walking pattern
  • Skeletal alignment of the lower leg
  • Range of motion of the lower leg


If the condition does not subside after the age of 7 or 8 years, the orthopedic doctor may recommend the following treatment:


Wearing a brace during nighttime may help to straighten and restore the normal alignment of the knees. Depending upon the severity of the condition, the doctor may recommend a customized knee brace for effective results.


Performing certain exercises, as prescribed by the physical therapist, may help to strengthen the knee muscles so that they are better able to bear the weight of the body.


In severe cases, the patient may be recommended to undergo any of the following surgical treatment.

  • Osteotomy: This involves manipulating the knee bones to bring the joint back to their normal position. The procedure also helps in even distribution of weight through the knee.
  • Guided Growth Surgery: This surgery slows down the growth of knee bone. Guided growth surgery is usually recommended for children who are in their developmental stage. 

The surgeons at OrthoTexas specialize in the treatment of Knock Knees and other medical conditions. To schedule an appointment, you can call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Carpal Tunnel Syndrome: Causes, Symptoms & Treatment

by Administrator 4. March 2014 06:00

One of the most common issues that bring patients to wrist surgeon is Carpal Tunnel Syndrome. It is a condition that causes numbness, tingling, pain, and weakness in the fingers and thumb. It is basically caused due to compression of the median nerve, which is located in the wrist and is responsible for imparting sensation to the first three fingers and thumb.

The major cause of Carpal Tunnel Syndrome is pressure on the median nerve. This pressure is due to swelling or any condition that makes the carpal tunnel smaller. Some other causes that lead to the syndrome include:

  • Obesity
  • Pregnancy
  • Diseases such as Rheumatoid arthritis, hypothyroidism, and diabetes
  • Wrist injuries
  • Certain wrist movements, which are made repeatedly
  • Smoking also causes the syndrome by reducing blood flow to the median nerve


  • Some of the common symptoms of Carpal Tunnel Syndrome are:
  • Numbness, tingling, weakness, and pain in the thumb, index finger, middle finger, and ring finger except little finger
  • Pain in arms between elbow and the hand
  • These symptoms may be more noticeable at night and the problem often subsides by shaking hand.
  • The doctors often diagnose this problem by physically examining hands, neck, shoulders, arms, and wrists. They may ask many questions to the patient related to their health and activities. They may also conduct some blood and nerve tests to confirm the problem.

Initially the symptoms can be treated at home by taking proper care for wrist and hands. It is important that the patient should start the treatment as soon as possible, as this will prevent long-term damages.

  • A patient may feel better by giving rest or icing the wrist for a few minutes.
  • A patient can also take anti-inflammatory drugs to relieve pain and reduce swelling.
  • Patients are advised to wear wrist splint at night, which helps in keeping wrist in a neutral position.

Though mild cases may be treated with braces, injections, or self management techniques, moderate and severe cases need surgery. During surgery, a wrist surgeon makes an incision from the palm to the wrist, or a limited incision in the palm. The surgery is also done with an endoscopic carpal tunnel release that uses a fibro-optic instrument. Surgery for Carpal Tunnel Syndrome can have a recovery time of three to four months.

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