scholarly journals Factors influencing return to work after surgical treatment for carpal tunnel syndrome

2008 ◽  
Vol 58 (3) ◽  
pp. 187-190 ◽  
Author(s):  
R. De Kesel ◽  
P. Donceel ◽  
L. De Smet
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Return To Work ◽  
Carpal Tunnel ◽  
Factors Influencing ◽  
Tunnel Syndrome

scholarly journals Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

2020 ◽  
Vol 24 (3) ◽  
pp. 360-366
Author(s):  
Jagar Doski ◽  
Reber Sindy ◽  
Farhad Hamzani ◽  
Hishyar Omar
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Return To Work ◽  
Carpal Tunnel ◽  
Operative Time ◽  
Daily Life ◽  
Daily Life Activities ◽  
Tunnel Syndrome ◽  
Group 2 ◽  
Group 1

Background and objective: There are different methods and incisions to release the transverse carpal ligament in carpal tunnel syndrome. This study aimed to compare the surgical outcome of the conventional extended incision with the limited mid palmar one. Methods: The study was a prospective comparative one. Patients with carpal tunnel syndrome were divided into two groups: Group 1 was patients operated on by the conventional extended incision, Group 2 with a limited mid palmar incision. Results: The patients included were 79 with 89 hands. The age mean was 41 years. Group 1 included 47, and Group 2 included 42 hands. The differences between both groups were statistically significant regarding the operative data (the incision length and the operative time) and the post-operative data (the duration of analgesia needed, the date of starting to use the hand in daily life activities, and return to work). However, the date of improvement of the sensory symptoms from the fingers showed no significant differences. The sum of the overall complications that occurred for the cases of Group 2 was about a third of that occurred for Group 1. The highly significant difference was in the scar tenderness in the third month of the post-operative period. Conclusion: The limited mid palmar incision to release the entrapment of median nerve in carpal tunnel syndrome offers a shorter operative time, less analgesia needed post-operatively, less complication rate, less scar tenderness, earlier use of the hand in daily life activities, and return to work in a shorter period. Keywords: Carpal tunnel syndrome; Surgical treatment; Incision.

scholarly journals Clinical Study of Surgical Treatment of Carpal Tunnel Syndrome: Open versus Endoscopic Technique

2000 ◽  
Vol 8 (2) ◽  
pp. 19-25 ◽  
Author(s):  
Masato Okada ◽  
Osamu Tsubata ◽  
Sadayuki Yasumoto ◽  
Norihiko Toda ◽  
Tadami Matsumoto
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Endoscopic Technique ◽  
Tunnel Syndrome ◽  
Open Versus

A prognostic model for the patient-reported outcome of surgical treatment of carpal tunnel syndrome

2018 ◽  
Vol 58 (6) ◽  
pp. 784-789 ◽  
Author(s):  
Angela Bowman ◽  
Stephan Rudolfer ◽  
Peter Weller ◽  
Jeremy D. P. Bland
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Prognostic Model ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Tunnel Syndrome

scholarly journals Effect of preoperative gabapentin on pain intensity and development of chronic pain after carpal tunnel syndrome surgical treatment in women: randomized, double-blind, placebo-controlled study

2016 ◽  
Vol 134 (4) ◽  
pp. 285-291 ◽  
Author(s):  
Eduardo Jun Sadatsune ◽  
Plínio da Cunha Leal ◽  
Rachel Jorge Dino Cossetti ◽  
Rioko Kimiko Sakata
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Surgical Treatment ◽  
Postoperative Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Postoperative Analgesia ◽  
Pain Syndrome ◽  
Double Blind ◽  
Tunnel Syndrome

ABSTRACT CONTEXT AND OBJECTIVES: Effective postoperative analgesia is important for reducing the incidence of chronic pain. This study evaluated the effect of preoperative gabapentin on postoperative analgesia and the incidence of chronic pain among patients undergoing carpal tunnel syndrome surgical treatment. DESIGN AND SETTINGS: Randomized, double-blind controlled trial, Federal University of São Paulo Pain Clinic. METHODS: Forty patients aged 18 years or over were randomized into two groups: Gabapentin Group received 600 mg of gabapentin preoperatively, one hour prior to surgery, and Control Group received placebo. All the patients received intravenous regional anesthesia comprising 1% lidocaine. Midazolam was used for sedation if needed. Paracetamol was administered for postoperative analgesia as needed. Codeine was used additionally if the paracetamol was insufficient. The following were evaluated: postoperative pain intensity (over a six-month period), incidence of postoperative neuropathic pain (over a six-month period), need for intraoperative sedation, and use of postoperative paracetamol and codeine. The presence of neuropathic pain was established using the DN4 (Douleur Neuropathique 4) questionnaire. Complex regional pain syndrome was diagnosed using the Budapest questionnaire. RESULTS: No differences in the need for sedation, control over postoperative pain or incidence of chronic pain syndromes (neuropathic or complex regional pain syndrome) were observed. No differences in postoperative paracetamol and codeine consumption were observed. CONCLUSIONS: Preoperative gabapentin (600 mg) did not improve postoperative pain control, and did not reduce the incidence of chronic pain among patients undergoing carpal tunnel syndrome surgery.

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