How to choose your surgeon for your carpal tunnel syndrome ?

How to choose your surgeon for your carpal tunnel syndrome ?

How to choose your surgeon for your carpal tunnel syndrome ?

Do you think you are suffering from carpal tunnel syndrome?

How to choose your surgeon

i. When conservative methods are not sufficient to relieve numbness, hand and wrist pain and loss of perception of touch, carpal tunnel decompression surgery becomes necessary immediately to avoid permanent and irreversible sequelae.
The median nerve can be decompressed by two approaches: traditional open surgery or endoscopic surgery.
To get the best results and reduce the risk of permanent complications or sequelae, it is essential to choose your surgeon.
Here are the steps to follow in order to take an informed decision:

1. Do your research
It is important to do your own research to understand your problem and the alternatives for healing. Each patient is a unique individual and each person deserves to be treated in a personalized way. Choices must be made according to the specific characteristics of the lifestyle of the person affected by carpal tunnel syndrome.
It is helpful to ask your family doctor and others to recommend a specialist. It is also recommended to do your own research on doctors specializing in the field and access to information technology makes it possible today to do it from the comfort of your home.

2. Opt for a specialist in hand surgery
Like the eye, the hand is an extremely complex instrument of the human body that is used for all activities of daily living, including communication and environmental perception.
When surgery is necessary, it is therefore prudent to entrust your hands to an experienced specialist whose practice is devoted to hand surgery. Studies show that results improve with experience and therefore the number of procedures carried out by the specialist.
Do not hesitate to learn about the training and experience of your practitioner. This is no minor surgery, because the consequences can be serious and permanent.

3. Consultation
Prepare for your consultation by thinking about the questions you want to address. It is always useful to be accompanied to help retain information. Do not hesitate to ask for a written report of your consultation for your doctor and yourself. You probably want to reread it.
A relationship of trust is essential before surgery, because complications are always possible even if they are rare. It is important that a patient feels comfortable addressing his/her worries and concerns.

4. Check payment methods
It is necessary to inquire about the related costs that may be involved in your procedure. Also check the options for financing or reimbursement by insurance, or in some cases, the employer.

ii. Frequent errors by the patient and his doctor

1. Ignoring the diagnosis
It is never normal to have numbness or loss of sensitivity in the hand. It is important, as soon as symptoms appear, to document, to do research, to consult a doctor or other health specialist to get a diagnosis. Irreversible and perpetual sequelae (permanent loss of sensitivity and paralysis of the thumb) are possible when delays before treatment exceed 6 to 12 months.

2. Delayed treatment
Waiting for treatment because of difficulty of access or negligence. Patients sometimes wait for “it will go away by itself.” Permanent sequelae are often the consequence of excessive delays.

3. Wearing an orthosis too long
An orthosis should be worn at night for three to six weeks and should then be discontinued in order to verify the effectiveness of the treatment (complete resolution of the symptoms). It is wrong to continue wearing an orthosis for several months because irreversible sequelae can occur (permanent loss of sensitivity and paralysis of the thumb). It is important to identify the cause of the pathology and correct it.

4. Repeated cortisone injections
This is a common mistake that can lead to permanent and irreversible sequelae as cortisone temporarily relieves symptoms. Compression can continue while the symptoms are artificially masked. This decision should be made by a specialist in hand surgery.

5. Insufficient information
Get operated on without being fully aware of the different options that exist. Endoscopic surgery is an excellent option because it is less invasive than traditional surgery. Do not hesitate to carefully document and interview your surgeon.

Do you think you are suffering from carpal tunnel syndrome?

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