Pain Management

Paget’s Disease of the Bone

Paget disease of the bone is a chronic condition that causes the bones to become dense, enlarged and deformed, leading to fragile bones that fracture. It is the most common bone disorder after osteoporosis in adults after the age of 50. The risk of Paget’s disease of bone increases with age and with family history.

Bone remodeling is defined as a process in which new bone tissue replaces old bone tissue. This process is affected by Paget’s disease, resulting in dense but brittle bones.  It most commonly affects the pelvis, skull, spine, and legs. Complications of Paget’s disease of bone can include broken bones, hearing loss and pinched nerves in your spine.

There are two types of Paget’s disease of bone: monostotic (when only one bone is affected), or polyostotic (when multiple bones are involved).
Paget’s is also associated with neurologic complications, such as deafness, facial nerve palsies, radiculopathies, and spinal cord compression
The exact cause of Paget disease of the bone is not known, but genetics are thought to play a role.

There is some evidence that viral infection may also have a role in its development. Proteins derived from the respiratory syncytial virus and measles virus are present in pagetic osteoclasts. Paget’s disease tends to aggregate in families. First-degree relatives of patients with Paget ’s have a 7- to 10-fold increased risk of developing the condition.

While about 70% of patients with PDB are asymptomatic, in the remaining cases, it presents with joint inflammation, bone deformity, pain, and predisposition to fractures.

 

Paget’s disease can cause skeletal deformities, such as bowing of long bones, enlarged skull, pelvic alterations, and osteoarthritis. It can lead to traumatic and pathologic fractures. Very rarely, it can lead to osteosarcomas, which have a poor prognosis (5-year survival rate of approximately 10%). Paget’s is also associated with neurologic complications, such as deafness, facial nerve palsies, radiculopathies, and spinal cord compression. If it affects the skull, that can lead to hydrocephalus, nerve entrapment, and cerebellar dysfunction, causing the symptoms of nausea, ataxia, incontinence, gait disturbance, or dementia. It is also associated with high cardiac output, hypercalcemia, and hyperparathyroidism, but these are all rare.

 

Tests that can be done to confirm/support the diagnosis include:

  • Serum alkaline phosphatase: these levels are raised in any condition of bone growth or an increased activity of bone cells.
  • Bone scan: This is a nuclear imaging test that shows blood flow to the bone and cell activity within the bone, which helps determine areas of abnormally high bone turnover. It detects up to 50% more lesions than seen on x-ray films.
  • X-ray films: It is the main mode of its diagnosis. It shows osteolytic, osteoblastic, or mixed lesions. Other characteristic features include transverse lucent areas, enlargement of bones, expanding lytic changes, thickened cortices, or osteoporosis with lytic involvement in the skull.
  • Bone biopsy: These may be done to confirm the diagnosis through tissue assessment, but they are mostly done if the malignant transformation of the bone is suspected, which is characterized by cortical destruction and the presence of a soft tissue mass outside of the bone.

Treatment is targeted at suppressing osteoclastic activity.  The most commonly used agents are the bisphosphonates (such as Etidronate) that inhibit bone resorption. Intravenous options are also available, such as pamidronate. Salmon and human calcitonin are also FDA-approved and are given subcutaneously.

Occupational Repetitive Strain Injury

Repetitive strain injuries (RSI) are a group of disorders that most commonly develop in workers whose work involves excessive and repetitive motions of the neck and upper extremity. There are quite a few occupations that comprise such activities. It is also quite common in people involved in sports activities.

 

It all starts with taking a careful history, performing a proper physical examination and specific diagnostic maneuvers to detect these musculoskeletal injuries.

 

RSI may be present in a range of ways – cervical syndrome, tension neck syndrome, thoracic outlet syndrome, and frozen shoulder syndrome. Injuries involving the elbow, wrist and hand joints include epicondylitis, carpal tunnel syndrome and ulnar nerve entrapment.

RSI may also occur as a result of sports and recreational activities

RSI is especially common in all kinds of workplaces. The disorders of the forearm flexor tendons are most common among workers at assembly lines and trainees, whereas the cervical rotation and side-flexion are most affected in office workers. RSI may also occur as a result of sports and recreational activities. These injuries result from repetitive and forceful motions, awkward postures, and other sports/work-related conditions and ergonomic hazards.

 

Occupationally induced RSIs are costly, creating a strong incentive for physicians to become familiar with the symptoms, signs, and risk factors so that they can be diagnosed early and properly treated.

 

Hand/forearm-related RSI are common in office settings – such as carpal tunnel syndrome, cubital tunnel syndrome, Guyon canal syndrome, lateral epicondylitis, and tendonitis of the wrist or hand. The diagnosis is clinical but MRI and ultrasonography can be used for the diagnosis, but the role of such imaging in the diagnosis of upper limb disorders remains unclear. Once diagnosed, exercise can be beneficial for non-specific upper limb disorders. Other options, such as the immobilizing hand braces and open carpal tunnel surgery release are beneficial for carpal tunnel syndrome. Nonsurgical management, such as topical and oral non-steroidal anti-inflammatory drugs, and corticosteroid injections are helpful for lateral epicondylitis. Exercise is probably beneficial for neck pain, as are corticosteroid injections and exercise for shoulder pain.

 

In general, mainstay of treatment is mainly conservative and consists of rest, application of ice or heat and anti-inflammatory drugs. It typically takes a few or months to completely resolve.

 

It is very important to make necessary modifications in the workplace in order to prevent many of these injuries. Assessing the exposure of workers to known risk factors is essential The ergonomics of the workplace should properly be studied and accounted for in order to prevent workplace-related RSI. Training staff and performing necessary workplace changes would allow the staff to more effectively use their workplace through increased office ergonomics knowledge and skills. Once such training and interventions are in place, it leads to an increase in workers’ office ergonomics knowledge and awareness, and that results in a significant decrease in work-related musculoskeletal disorders.

 

RSI that is sports-related, can also be prevented by getting professional training to ensure the technique is right and the chance of injury is minimized.

Factors and Different Treatments for the Dreaded Scoliosis

Scoliosis is a condition that causes the spine to curve forming a “C” or “S” shape. The curved spine can irritate and stretch nerves, strain joints comprised of two bones, affect the posture, and make muscles fatigued. It causes pressure on the disks between the spinal vertebrae making them inefficient shock absorbers and causes strain with pressure on facet joints of the spine. The cause is unknown and there is no cure. Managing symptoms associated with the condition is the main course of treatment.

 

The single worst symptom is pain. The condition impacts quality of life and is a long-term disability. The curve is not usually painful but when changes cause it to become painful, it is debilitating. For some patients, over-the-counter medication helps them cope with the pain and discomfort, while others require stronger pain relievers that are taken several times a day. Pain is individualized and each person perceives it differently. Pain medications are not a long-term solution because they have no impact on the source of the pain.

 

There are several factors that affect how well the nerves work to decrease pain. These factors are:

  • Genes
  • Environment
  • Medication
  • Personal beliefs or perception

Surgical intervention is generally recommended when the curve is greater than 40-degrees

The most common pain is due to muscle strain as the individual tries to compensate for the curve while completing activities of daily living. (getting dressed, taking a bath, cleaning…)

The basic treatments for muscle strain include over-the-counter pain relievers, hot packs, cold compresses for inflammation, and rest. Often a brace is worn but can be uncomfortable and burdensome. Surgical intervention depends on the progression of the condition.

 

Finding appropriate treatment(s) begin with:

  • Talking to your healthcare provider
  • Participating in alternative therapies
  • Wearing a brace for support, if able to tolerate
  • Possible surgical intervention

 

Physical Therapy can help with pain management by incorporating exercises to improve back strength and flexibility. Stretching often is recommended. If an activity causes increased pain, stop doing it and rest. Other recommended therapies and programs include Pilates and Yoga to promote balance, develop deep and superficial muscles, and relax the mind.

 

Other treatments and therapies that can help alleviate pain and improve coping skills include:

  • Chiropractics
  • Massage Therapy
  • Acupuncture
  • Hydrotherapy
  • Steroid or Anesthetic Injections
  • Counseling
  • Surgical spinal fusion

Counseling can include Cognitive Behavioral Therapy (CBT). Cognitive Behavioral Therapy allows a counselor and patient to identify ways to manage and cope with pain and limitations. It can help the individual to overcome beliefs or behaviors that aggravate or cause more spinal damage and leads to the identifying techniques, like meditation, that help with mental ability to deal with pain (coping skills).

 

Surgical intervention is generally recommended when the curve is greater than 40-degrees. It is done to ensure the curving stops. Without surgery, the spinal curve would continue to increase by 1-2 degrees annually. But surgery has risks, so alternative therapies are recommended first.

Causes of Abdominal Pain and How to Avoid Them

Generalized abdominal pain is felt in more than half of the belly between the chest and the groin. There are three types of abdominal pain including:

 

  • Localized pain – which is felt in only one area of the stomach
  • Cramp-like – that results from gas and bloating and usually is not serious
  • Colicky – which comes in waves and begins and ends suddenly. Pain is often severe.

 

Typically, abdominal pain is caused by viruses, indigestion or gas. If the pain is more severe it may be caused by other illnesses. The abdomen is full of organs including the small and large intestines, female organs, spleen, gallbladder, spleen, kidneys, and stomach.

 

Less serious causes may include:

  • Constipation
  • Irritable Bowel Syndrome
  • Allergies or Lactose intolerance
  • food poisoning
  • stomach flu

 

Other, more serious causes include:

  • bowel blockage
  • gallbladder issues
  • kidney stones
  • GERD
  • Pancreatitis
  • Ulcers and Crohn’s Disease

Seek medical attention if the pain is so severe that you cannot sit still

Sometimes pain is due to a problem elsewhere in the abdomen such as, menstrual cramps, endometriosis, urinary infection, and even muscle strain. If the pain lasts more than a week or longer, and does not improve within 24 – 48 hours, medical treatment with your healthcare provider should be sought. When more serious symptoms are present then 911 should be called.

 

Serious symptoms include (but not limited to):

  • constipation and vomiting
  • vomiting blood or having bloody stools
  • chest, neck and shoulder pain
  • tenderness in the abdomen
  • abdomen is rigid and hard to touch
  • recent abdominal injury
  • difficulty breathing
  • severe pain
  • fever
  • yellowish tint to skin
  • weight loss

 

Seek medical attention if the pain is so severe that you cannot sit still, movement increases the pain, and you can’t find a comfortable position to rest. Avoid over – the – counter medicines like Advil because they can cause additional irritation.

 

Diagnosis, whether done by your provider or other emergency personnel, begins with a history and a physical. These are done so the doctor can develop a plan for treatment and determine what the possible cause might be and if the pain is injury related.

 

The doctor will ask about the characteristics of the pain if there were any recent injuries, and when the onset of pain began. Depending on the cause a variety of tests may be used to help diagnose the cause of the abdominal pain.

 

Diagnostic testing may include:

  • An ultrasound to check for fluid and need for a paracentesis
  • stool sample to check for Dif. Or parasitic infection
  • bloodwork like CBC and WBC to determine if there is anemia or an infection
  • CT scan with contrast to see the internal organs
  • Colonoscopy to check for bowel blockage

 

Lifestyle changes and prevention are important to avoid future events of abdominal pain. This includes nutritious meals, plenty of water, and taking medications as prescribed.  Don’t hesitate to seek medical attention. The sooner treatment starts the better the chances of avoiding long-term damage or the need for surgery.

For Patients with Lymphoedema – Decongestive Lymphatic Therapy Could be Key

What is Lymphoedema?

Lymphoedema is a chronic disorder characterized by swelling tissue (usually a lump) with fluid rich in proteins. It can either be a developmental problem (meaning there is no cause per se) or secondary and associated with some sort of precipitating event. These secondary causes include:

● Surgical causes:
○ Sometimes removal of lymph nodes – such as in breast cancer surgery – can result in lymphoma
● Radiation treatment for certain cancers can scar the nodes and vessels.
● Cancer. Certain types of cancer can invade the lymphatic vessels and this can result in lymphoedema
● Infection often invades the lymph nodes and causes them to swell.

If you have lymphoedema you might suffer from a number of symptoms including:

● Swelling of a limb. This can occur in part of the leg or arm or the entire limb.
● The affected limb will typically cause heaviness and tightness
● The limb will have restricted movement
● There may be aching or discomfort
● There may be recurrent infections of the surrounding skin (cellulitis)
● There might be a hardening of the skin.

What is decongestive lymphatic therapy?

A decongestive lymphatic drainage is a specialized form of physical therapy offered at a number of specialist centers across the country. The decongestive lymphatic therapy consists of four distinct components:

● Compression bandages are applied to complement the exercises in the therapy to move fluid out of the limb.
● Skincare is undertaken to reduce the chances of skin breakdown (which is a big infection risk in these patients)
● Exercises will be undertaken with a physiotherapist to improve the lymph drainage in the affected limb
● The therapist will also undertake specialist massage techniques known as manual lymphatic drainage that stimulated the flow of fluid through the system and reduces the swelling.

The treatment is intensive and can be every day for a number of weeks. After this initial phase patients typically move to the maintenance phase whereby they maintain good lymph flow with exercise and home self-massage techniques.

Does decongestive lymphatic therapy work?

There is a growing body of literature that suggests decongestive lymphatic therapy is a safe and effective treatment for patients with lymphedema that resulted following breast cancer surgery (eg a mastectomy with axillary clearance). A study conducted at the University of Texas looked to see whether the therapy worked on this patient group even if they had had the therapy before. They found that in both patients who had had the therapy before and naive patients, there was a statistically significant reduction in the mean size of the limb. This is great news for sufferers!

If you our somebody you know is suffering from lymphoedema, either following a surgical procedure or for development reasons – contact a specialist physiotherapy center who and provide one to one support and a personalized treatment plan to help reduce the swelling and get you back on your feet.

Stories of Trigeminal Neuralgia

Trigeminal Neuralgia“When an attack actually happens, it feels like you’ve been placed into an electric chair for about five minutes. It feels like your face is being scraped off, acid being thrown on it, and it’s a burning, searing sensation that will travel on my whole right side,”

These are the words of Tim Haynes – who recently talked to Daily-Journal.com about his struggles with the severe facial pain disease Trigeminal Neuralgia.

“You can’t see it. You can’t tell it’s there until you live with it,” Haynes said. “It’s a life-changing, debilitating disease, and you wouldn’t want your worst of the worst enemies to have it. … And I don’t have it nearly as bad as a lot of people that have it.”

Amy Cook is another young sufferer of the disease. At just 21 she is also plagued by the sharp stabbing pains. She talked to the Daily Mail saying

“It has almost taken over my life in a sense because when it’s really bad I cannot function.”

From Johannesburg in South Africa, Amy said

“I have decided to raise awareness of it. It made me happy to know that I was not alone in this rare condition.”

What is Trigeminal neuralgia?

Trigeminal neuralgia is a disease whereby the trigeminal nerve that supplies the sensation to the face comes into contact with blood vessels in the brain. When this happens, the nerve is stimulated and it shoots signals off to the brain that tell the central nervous system there is severe injury happening to the face. As such patients feel a shooting electric intense pain for just a few seconds. This happens periodically as the blood vessel touches up against the nerve.

How can trigeminal Neuralgia be treated

Is there any hope for Amy, Tim and the others afflicted with this rare disease? In fact, there is. Treatments are currently available and recent reports suggest new drugs are on the horizon. However, people need specialist help to get the treatment they desperately need. Treatments can include:

● Avoiding triggers. This seems simple but specialists can often provide invaluable tips and tricks to avoid the shooting pains. Knowing what triggers the pain, like a scarf touching your chin or the blowing of the wind can help patients avoid these situations
● Epilepsy drugs are the major treatment options. Anticonvulsants, as they are often called, were not originally intended to treat pain but they calm activity in the nerves and as such work well in conditions like trigeminal neuralgia. The most commonly used is Carbamazepine – which is effective in lots of patients. Others, however, are available such as pregabalin and baclofen.

If you or somebody you know are suffering from sharpshooting facial pains then consider getting in contact with a specialist clinic to help relieve their condition. Often family doctors are ill-equipped to deal with this rare and debilitating disorder and specialist help can often make all the difference.

Could Texting Cause Carpal Tunnel Syndrome?

Have you ever felt a numbness, tingling or shooting pain in your hands? If so you might be one of millions of people worldwide who suffer with Carpal Tunnel syndrome. The causes of Carpal Tunnel have long been contested, and previously doctors argues that it might be caused by “overuse” of the wrist – ie people sat still at a desk typing all day. New research points the finger at our smartphone addiction, with a possible link between smartphone use and Carpal tunnel recently being reported by the DailyMail and CNN after research in Hong Kong found a link.

 

Carpal Tunnel Syndrome Due to textingWhat is Carpal Tunnel Syndrome?

 

The carpal tunnel is a small passageway in your wrist that the median nerve travels through. It is thought that this passageway can become compressed and in turn compress the median nerve. This results in a number of symptoms such as:

 

  • Pins and needles in your hand (known to medical professionals as paresthesia)
  • Thumb Weakness (the median nerve controls your thumb)
  • A dull ache in your hand

 

Could Carpal Tunnel Be Linked with texting?

 

The study, published in the Journal Muscle and Nerve asked a small number of patients (48_ to fill out questionnaires on their wrist pain before taking tests to see whether they has numbness and tingling – the classic symptoms of carpal tunnel. They found that patients who used their devices for 4-5 hours a day or more often had enlarged median nerves (seen in carpal tunnel) and had more pain in their wrists.

 

The director of Arthritis Research UK talked to the DailyMail, and said of the results

 

‘Previously we only saw this type of repetitive strain injury in people using a mouse and keyboard at work.

‘Now we have these new repetitive movements, swiping and tapping, in our leisure time, as people are barely ever without their smartphones and tablets.

‘This is a real new challenge for the 21st century and I would encourage anyone suffering symptoms of burning and tingling to contact their GP promptly.”

 

He also noted that the sample size of the study was small – and more research is needed.

 

What Can Be Done About Carpal Tunnel?

 

A number of specialist clinics across the united states can provide excellent care if you think you are suffering from carpal tunnel syndrome. The treatments usually include the following:

 

  • Self Care: Take it easy – rest up! If you are over using a keyboard then stop!
  • Medication: Drugs like Ibuprofen can reduce swelling and inflammation in the nerve and reduce pain
  • A splint or brace: These can be bought cheaply online and keep the wrist in a position that doesn’t hurt.
  • Steroid injection: Corticosteroids can be injected right into the wrist – these are much more powerful than simple painkillers.
  • Surgery: Some clinics will offer a surgery that opens up the roof of the passageway (the carpal tunnel) and reduces pressure on the median nerve.

 

If you or someone you know are suffering from carpal tunnel, contact a specialist clinic today.

What is Tendonitis and How can it Be Managed?

TendonitisThe tendons are thick, fibrous cords that attach muscles to bones and they can become inflamed and cause pain similar to that experienced by muscle injury and inflammation. This is them referred to as tendinitis and the causes of this condition may be due to:

  • Sudden injury sustained to the affected limb or joint.
  • Repetitive movements over a period of time that results in increased stress being placed on the affected tendons.
  • Occupations that involve the individual being placed into awkward positions to perform duties in, frequent overhead reaching, forceful exertion, and being exposed to repetitive vibrations.
  • Using improper techniques to perform certain jobs or sport-related movements.

Types of tendinitis

Some common names of tendonitis pathologies include:

  • Golfer’s elbow – involvement of the medial (inside) tendon of the elbow.
  • Tennis elbow – involvement of the lateral (outside) tendon of the elbow.
  • Swimmer’s shoulder – impingement of the rotator cuff tendon between the acromion of the shoulder blade and the greater tuberosity of the humerus (bone of the upper arm). This is seen in swimmers who specialize in freestyle and front crawling swimming strokes.
  • Pitcher’s shoulder – inflammation of the long head of the biceps muscle that attaches to the shoulder which is called bicep tendonitis and may occur in baseball and softball pitchers. This condition may also occur in swimmers where the bicep muscle is involved as well as in any other sports where throwing activities are performed such as javelin and cricket, and where contact occurs such as in wrestling, gridiron football, and martial arts.
  • Jumper’s knee – inflammation of the tendon of the patella (knee-cap) or even the quadriceps tendons caused by repetitive straining from too much running and/or jumping.

Signs and symptoms

Patients may present with the following clinical signs and symptoms when dealing with tendinitis:

  • Pain that is often described as a dull pain that is felt over the affected area.
  • Increased pain when moving the affected limb or joint.
  • Tenderness and swelling over the affected area.
  • Decreased range of motion of the affected limb which is restricted due to pain.

Management

Tendonitis is managed conservatively with the following therapies:

  • Resting the affected limb and not performing movements that cause pain.
  • Using pain medication such as acetaminophen and anti-inflammatory medications such as ibuprofen or naproxen.
  • Applying ice packs or cold compresses over the affected areas to help reduce swelling and inflammation.
  • Physical therapy to help incorporate exercises and to learn correct techniques that will help prevent inflammation of the tendons.
  • Steroid and local anesthetic medications can be injected into an affected joint or around an involved tendon to also help reduce inflammation and pain.
  • Regenerative medicine in the form of platelet-rich plasma (PRP) can be administered where the platelet cells help to repair damage to a tendon caused by chronic inflammation.

If these therapies are ineffective, then surgical intervention may be warranted. Procedures may include:

  • Focused aspiration of scar tissue (FAST) which is performed to remove scar tissue on tendons caused by chronic inflammation of the tissue.
  • Arthroscopic tendon repair using small instruments if the inflamed tendon has torn or ruptured.

Conditions That Affect Hand Function

The hands are vital parts of the human body and without them, very little essential and social activities can be performed such as feeding, being productive to be able to make a living and support dependents, and interactions with others. Losing the ability to use one’s hand can be a very emotional and debilitating problem that can lead to increased stress and anxiety that may result in the development of mental health issues such as depression. Therefore, the proper diagnosis and management of conditions affecting hands is extremely important.

The following are conditions that can result in the hands becoming unable to function properly and how they are managed.

Dupuytren’s contracture Hand SurgeryDupuytren’s contracture

  • Progressive thickening of the tissue in the palm of the hand results in shortening of this tissue and causes flexing contractures of the fingers (makes the fingers close).
  • The most commonly affected fingers are the fourth and fifth digits and this can be quite a disabling condition.
  • Management includes physical and occupational therapy and surgical intervention in severe cases.

Trigger finger

  • Referred to in medicine as stenosing tenosynovitis.
  • Trigger finger causes a similar issue to Dupuytren’s contracture. The difference though is that where the latter involves pathology of the tissue covering the palm of the hand, trigger finger is caused by thickening of the tissue that covers the tendons which allow the fingers to close.
  • The condition is characterized by the affected finger seeming like it is stuck in a trigger-pulling position. Since it is difficult for the finger to be straightened, when it becomes unlocked it resembles the pulling of a trigger.
  • Management includes trigger finger surgery and when the thumb is involved is referred to as trigger thumb surgery.
  • These surgeries may be performed through minimally invasive access or open procedures if the cases are severe.

Carpal tunnel syndrome

  • This condition is associated with compression of the median nerve through the carpal bones in the wrist.
  • Compression of the median nerve results in the decreased sensation of the thumb and first two fingers which can complicate and lead to decreased power in the hand with an inability to use the limb.
  • Management of this condition involves initial conservative therapy with pain relieving measure and the use of splints to help take pressure off the median nerve.
  • If these therapies are ineffective, or the case is severe, then carpal release surgery is performed.

Rheumatoid arthritis

  • An autoimmune condition where antibodies are produced by the immune system that attacks and damages the synovial tissue around joints, especially of the wrists and fingers.
  • This process results in damage to the joints leading to deformities of the fingers making them stiff and difficult to use.
  • Management of this condition includes using medications such as steroids and non-steroidal anti-inflammatories such as ibuprofen or naproxen. Early therapy may also include medications such as disease-modifying anti-rheumatic drugs (DMARDs) like azathioprine, sulfasalazine, and methotrexate to help reduce disease progression as well as induce more remissions.
  • Surgical interventions may be warranted in cases where the medications are not working and the patient’s use of their hands has becomes severely debilitating.

Quick Recovery with New Carpal Tunnel Treatment Option

Carpal tunnel syndrome is a condition which causes numbness, weakness, and pain in wrist and hands. It is caused due to the raised pressure on the median nerve. This nerve sends sensations to the index, middle fingers and thumb. The median nerve is responsible for providing strength to the base muscles of the thumb.

Individuals who are most at risk of suffering from the carpal tunnel syndrome are people with activities or jobs involving a repetitive movement of fingers, or high force motion of wrist and hand.

Carpal tunnel syndrome is a condition which causes numbnessOther possible causes can include:

  • Wrist fracture
  • Deformity of hand or wrist
  • Thyroid imbalance
  • Diabetes
  • Tumor
  • Arthritis or gout disease
  • Pregnancy

Treatment options:

  • Non-surgical

The non-surgical treatment involves the use of anti-inflammatory drugs to relieve pain. Cortisone injections may be used to provide temporal relief, however, is not a permanent cure. Physiotherapy and a change in hand motion are recommended to alter the movement of the wrist.

  • Surgical treatments

In case non-surgical treatments do not show the result, surgery is recommended to increase the tunnel size to relieve pressure on the tendons and nerves. Carpal tunnel surgery recovery may range from six months to over a year. Patients who undergo surgical methods will have to restrict movement. The stitches are removed after 2-4 weeks (depending on the size of the incision). The skin may take more than 8 weeks to recover fully.

New innovations in treatment

A new innovation in the treatment for carpal tunnel surgery is the SX-One Microknife. It is an innovative surgical device that allows a 4-5mm long single incision and is used with the help of ultrasound-based imagery.

Dr.Cobb, a board-certified orthopedic surgeon explains in simple terms how the TCL blade is activated after positioning to release pressure from the ligament, enabling a pain-free smooth movement. The procedure involves the following steps:

  • The blade remains closed till required with the help of Stealth Microgaurds.
  • These Microgaurds prevent tissue damage and safe positioning of the scalpel around the damaged area.
  • As the procedure ends, the blade closes back up and is released from the same incision.
  • The use of SX-One technology requires no stitches, an adhesive bandage proves sufficient to heal the incision.

Benefits vs traditional surgery

  • Compared to the traditional carpal tunnel surgery which employs more than a half an inch of the incision and requires a longer time to heal, the SX-One Microknife is less invasive.

 

  • Traditional surgical methods put patients at a higher risk of tendon and blood vessel damage. In respect to that specialists believe that this new innovation in technology may be more effective.

 

  • It is cost effective and faster in both the procedure and healing.

 

In conclusion

 

An ultra-low profile device for surgery, SX-One Microknife allows surgeons to release carpal tunnel through a single 4-5mm incision. This new advancement in technology is most definitely more effective than the traditional surgical methods. Not only does it saves cost but also minimizes the period of healing. It is believed that the carpal tunnel syndrome can be effectively catered to millions of people using this less invasive tool.

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