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Can you still take phentermine the day of your carpal tunnel surgery?
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Is very mild carpal tunnel still a form of Carpal?
yes
Should there be thumb numbness post carpal tunnel release after 2 weeks?
I'm not sure if you are saying that there is NEW thumb numbness or if you are saying that the thumb numbness you had from your carpal tunnel syndrome condition is still there? If the latter yes it can be normal and it may take several weeks to months but it should gradually improve once that compression on the median nerve has been released. If it's new, then possibly the median nerve still has some swelling and inflammation about the nerve from the surgery itself, and it should improve as your condition improves. The other possibility is that the median nerve was knicked, which is a risk factor for carpal tunnel surgery
Following carpal tunnel bilateral surgery 6 weeks later my hands are still swollen around the thumb joint on my palm is this normal?
Swelling after surgery is quite common. Any surgery on the hand requires the hand to be elevated in a sling otherwise you may get some swelling.
What can I do if my carpal tunnel surgery symptoms have returned 2 years after having the surgery but not the same job?
This is certainly possible, surgery can help relieve pressure off of the median nerve, but scar tissue and inflammation of the tendons can result in reoccurence of carpal tunnel symptoms. Also if you have risk factors such as diabetes, hypothyroidism, arthritis etc..you will be prone to carpal tunnel syndrome. You can change jobs but if you are doing something similar it may still cause problems. Generally, the best thing to do is start with the basics again. Such as limiting your hand useage, using ice wrist wraps after hand/wrist useage 3 x day, sleeping in nocturnal splints every night! Start hand stretching/CTS wrist exercises, using advil or equivalent per label. If you still are having symptoms after 4-5 weeks I would contact your provider.
Can you still pursue for dental hygiene if you have carpal tunel?
It would be best to ask the doctor treating your for the Carpal Tunnel problem about this, as each person is different. Certainly you would not want to pursue a career that would make your Carpal problem worse.
Does drinking alcohol effect carpal tunnel?
Carpal tunnel syndrome is caused by repetitive actions, such as typing, or playing a musical instrument. Drinking will not cause Carpel Tunnel as long as you switch hands every 2.7 minutes.. :) Sorry. Couldn't resist a little levity. I was diagnosed with Carpal Tunnel Syndrome many years ago. The Orthopedic Surgeon said that in my case it was most likely caused by the repetitive motions required when playing musical instruments. I had heard that gout could be aggravated by alcohol intake and so I asked him if that was true about CTS. His answer was, "There is no evidence of that that I am aware of." Still, I switch hands every 2.7 minutes, just to be on the safe side. BTW, the surgery was almost painless.
Does very mild carpal tunnel still mean you have it?
Does a mild headache still mean you have a headache? Does a mild sprained wrist mean you have a sprained wrist. Yes, you either have carpal tunnel or you don't. The severity depends on whether you need an Advil or an operation. It's not a measure of degree of whether you have it or not, it's a measure of severity. Can you function with it or not? Talk to your doctor.
Can carpal tunnel come back after surgery?
Yes there will be some pain, discomfort etc..because you had surgery..your skin and tissue beneath the skin were cut. Your numbness and tingling in the fingers should subside from that day to several weeks just depending on how much swelling you are having. There are also many other factors that can delay your CTS surgery healing from smoking to lawyers! Check link for complete details.
I had carpol tunnel surgery 10 years ago could I have it again and would work comp pay for it again?
I have heard that it is very easy to get carpal tunnel again after you've had surgery for it once. This is especially so if you continue to do repetitive motion work. You may or may not be able to have the workers comp insurance company from before pay for doctors bills. This depends on how you settled your original claim. If it was setteled as an open ended claim you may still be able to collect. I am not sure if there is a time cap on that. But if this is a new injury after you were declared as fully healed after your last surgery you will need to obtain workers comp again through your new employer or if its the same employer file a new claim. (they may not have the same insurance company still). Please note I am not a lawyer and this is just from what I have read and understand to be true since my husband has received carpal tunnel surgery and is involved in a workers comp suit.
DOL OWCP denied my claim after the doctor diagnosised it as carpal tunnel syndrome DOL stated that the injury could not have caused carpal tunnel syndrome is there any recourse?
You have not given enough information. Carpal tunnel is an occupational disease. I think that is what it is called. It is caused from repetitive motion. It is not caused from one specific injury. If you had a specific injury it could not have caused the carpel tunnel. However, you may still have an OWCP claim for the carpel tunnel if you return to your doctor and ask them what caused the carpel tunnel . If there is a repetitive component to your job,i.e keying mail? Keyboard? this may be the cause of carpel tunnel, then it is indeed a claim for OWCP. You did not say what the injury was or what the results were but the carpel tunnel was just something the doctor happened to find when he examined you after the accident . You have had it all along , not just because of the accident.
How do you get carpal tunnel?
Carpal tunnel can be caused by many different things. The most common one that people know about is repetitive hand/finger use. This can cause your tendons in your wrist to become inflamed and enlarged and this can but pressure or squeeze the median nerve to give you carpal tunnel symptoms. These structures travel through the area in your wrist called the carpal tunnel. There are other causes or risk factors that can cause CTS as well, like diabetes, pregnancy, and hypothyroidism to name a few.Carpal tunnel syndrome (CTS) is a collection of characteristic symptoms and signs that occurs following entrapment of the median nerve within the carpal tunnel. Usual symptoms include numbness, paresthesias, and pain in the median nerve distribution. These symptoms may or may not be accompanied by objective changes in sensation and strength of median-innervated structures in the hand. Given that carpal tunnel syndrome (CTS) is associated with low aerobic fitness (and increased BMI), it makes inherent sense to provide the patient with an aerobic fitness program.A recent literature citation suggests that there is still little guidance on the level of exposure to physical work demands that is associated with carpal tunnel syndrome.[1] This study is augmented by the fact that specific risk factors for carpal tunnel syndrome remain controversial; there are few clinical data to show that repetitive or forceful hand and wrist movement can result in carpal tunnel syndrome. No single ergonomic risk factor is sufficient; multiple, simultaneous ergonomic risk factors must be present for work or recreational activity to contribute to development of carpal tunnel syndrome.[2] Furthermore, there are any number of underlying conditions that may increase the risk of developing carpal tunnel syndrome, which would include rheumatoid arthritis, renal failure, diabetes mellitus, acromegaly, multiple myeloma, amyloidosis, obesity, recent tuberculosis, and bacterial or fungal infection that spreads into the carpal tunnel[1] van Rijn RM, Huisstede BM, Koes BW, et al. Associations between work-related factors and the carpal tunnel syndromeda systematic review. Scand J Work Environ Health 2009;35:19-36[2] Carpal Tunnel Syndrome Fact Sheet." National Institute of Neurological Disorders and Stroke. 10 Apr. 2008. National Institutes of Health (NIH). 15 Dec. 2008
Carpal tunnel release?
DefinitionCarpal tunnel release is surgery to treat carpal tunnel syndrome. Carpal tunnel syndrome is pain and weakness in the hand that is caused by pressure on the median nerve in the wrist.DescriptionThe median nerve and the tendons that flex (or curl) your fingers go through a passage called the carpal tunnel in your wrist. This tunnel is narrow, so any swelling can pinch the nerve and cause pain. A thick ligament (tissue) just under your skin makes up the top of this tunnel.First, you will receive anesthesia (numbing medicine) so that you will not feel pain during surgery. You will be awake but also receive medicines to make you relax.In carpal tunnel release, the surgeon will cut through this ligament to make more space for the nerve and tendons.First your surgeon will make a small incision (cut) in the palm of your hand near your wrist.Then your surgeon will cut the carpal transverse ligament to ease the pressure on the median nerve. Sometimes, tissue around the nerve is removed as well.Your surgeon will then close the skin and tissue underneath with sutures (stitches).Sometimes surgeons do this procedure using a tiny camera that is attached to a monitor. The surgeon inserts the camera into your wrist through a very small incision and looks at the monitor to see inside your wrist. This is called endoscopic surgery. The instrument used is called an endoscope.Why the Procedure Is PerformedPatients with symptoms of carpal tunnel syndrome usually try non-surgical treatments first. These are:Anti-inflammatory medicinesOccupational therapyWorkplace changes to improve your seating and how you use equipment at workWrist splintsShots of corticosteroid medicine into the carpal tunnelIf none of these treatments help, some surgeons will test the electrical activity of the median nerve with an EMG. If the test shows that the problem is carpal tunnel syndrome, carpal tunnel release surgery may be recommended.If the muscles in the hand and wrist are getting smaller because the nerve is being pinched, surgery will usually be done right away.RisksRisks of carpal tunnel release are:Allergic reactions to medicinesBleedingInfectionInjury to the median nerve or nerves that branch off of itRarely, injury to another nerve or blood vessel (artery or vein)Scar sensitivityBefore the ProcedureAlways tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.You may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen, (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.Ask your doctor which drugs you should still take on the day of your surgery.If you smoke, try to stop. Ask your doctor or nurse for help. Smoking can slow healing.Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.You will usually be asked not to drink or eat anything for 6 to 12 hours before the procedure.Your doctor or nurse will tell you when to arrive at the doctor's office.After the ProcedureThis surgery is done on an outpatient basis. You will not need to stay in the hospital.After the surgery, your wrist will probably be in a splint or heavy bandage for about a week. After the splint or bandage is removed, you will begin motion exercises or a physical therapy program.Outlook (Prognosis)Carpal tunnel release decreases pain, nerve tingling, and numbness better, and restores muscle strength. Still, most people are helped by this surgery.The length of your recovery will depend on how long you had symptoms before surgery and how badly damaged your median nerve is. If you had symptoms for a long time, you may not be completely free of symptoms after you recover.ReferencesWright PE II. Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 73.Jarvik JG, Comstock BA, Kliot M, Turner JA, Chan L, Heagerty PJ, et al. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomized parallel-group trial. Lancet. 2009;374(9695):1074-1081.Keith MW. American Academy of Orthopaedic Surgeons clinical practice guidelines on the treatment of carpal tunnel syndrome. J Bone Joint Surg Am. 2009;91(1):218-219.Cellocco P, Rossi C, Boustany SE, di Tanna GL, Costanzo G. Minimally invasive carpal tunnel release. Orhtop Clin North Am. 2009;40(4):441-448.
