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The most common complication after surgery is pain persisting in the thumb. Over long term, there is pain relief, but on short term, patients experience pain from the surgery itself. The main complaint is a burning sensation or hypersensitivity over the incision. Some patients develop a complex regional pain syndrome. This is a syndrome of ...
The recurrence rate after primary carpal tunnel release is approximately 2%. The success rate of surgery to relieve symptoms depends on the definition of “success” and the metrics applied. For example, with respect to alleviation of symptoms, up to 90% success is reported. Yet with respect to patient satisfaction, approximately 50% is reported.
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example).
Cheiralgia paraesthetica (Wartenberg's syndrome) is a neuropathy of the hand generally caused by compression or trauma to the superficial branch of the radial nerve. [1] [2] The area affected is typically on the back or side of the hand at the base of the thumb, near the anatomical snuffbox, but may extend up the back of the thumb and index finger and across the back of the hand.
Untreated carpal tunnel syndrome, showing shrinkage (atrophy) of the muscles at the base of the thumb: Specialty: Orthopedic surgery, plastic surgery, neurology: Symptoms: Numbness, tingling in the thumb, index, middle finger, and half of ring finger. [1] [2] Causes: Compression of the median nerve at the carpal tunnel [1] Risk factors ...
Diagnosis of pain conditions relies on the character of the pain with a sharp stabbing character and the presence of particular features such as mechanical allodynia and cold allodynia. Neuropathic pain also tends to affect defined dermatomes and there may be limits to the area of pain. For neuropathic pain, clinicians look for an underlying ...
Although counterintuitive, pain is present in many cases despite the neuropathy. Some sort of trauma or microtrauma is thought to initiate the cycle but often patients will not remember because of numbness. Misdiagnosis is common. [1] The goal of treatment is to avoid ulceration, create joint stability, and to maintain a plantigrade foot. [1]