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Is surgery the best cure for CTS? I found that simple exercises can stop the symptoms and although diagnosed with this about 8 years ago, I do not suffer with it. I also wonder does the surgery always work or can it reoccur? A couple of the employees have had this surgery which has led them to being off work for 6 weeks per hand.
I would be interested in any opinions on this.
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One for a medical people to answer I guess, the only insight that I can give is that my friend had the surgery and it did very little for her at all, although I am sure that there are many cases to the contrary as well.
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Rank: Super forum user
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Firestar967 wrote:Is surgery the best cure for CTS? I found that simple exercises can stop the symptoms and although diagnosed with this about 8 years ago, I do not suffer with it. I also wonder does the surgery always work or can it reoccur? A couple of the employees have had this surgery which has led them to being off work for 6 weeks per hand.
I would be interested in any opinions on this.
Not had to deal with RSI or CTS much in the real world yet but foun this great wee website last year when doing my PGc.
http://www.rsi.org.uk/te...hazard/computer_user.asp
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Rank: Super forum user
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Thanks for the replies and yes I have had a good look on the web. The reason for this question is that this may be preventable in the first place and being the health part of health and safety. It has just cost my company approximately £7,000 for one man (Sick pay, overtime, etc). Maybe by promoting some simple exercises and making it common knowledge that there is an alternative to surgery may be beneficial to both the employee and the company?
Like Phil said about his friend and that it had little benefit, apparently this is not uncommon, that is if you believe all you read on the web. Unfortunately I'm not a doctor and do not have the resources to carry out an in depth analysis of this but would like to know.
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Rank: Super forum user
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Firestar
if you are asymptomatic then no need for surgery anyway, but I know that you are asking what if you do become symptomatic. What then happens is that the median nerve in the wrist gets effectively squashed by the thickening of the nerve sheath, the Carpal Tunnel in question. If that happens, then exercise will only go so far, as you may increase local flexibility, but will not diminish the thickness of the sheath covering the nerve. In that case then the docs may advise surgery, but depends on each individual case.
So it depends on how much the sheath is thickened. Some with CTS get high levels of numbness, some like you have been diagnosed but are not suffering.
Info comes from my wife who is not a doctor but has been a nurse, OPD and now is an operating theatre manager, 22 years experience in operating theatres. Best speak to your doctor if it becomes an issue in the future.
all the best
Martin
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Thanks Martin to you and your wife for the information.
It wasn’t really about me as I gave some MHO training the other day and covered WRULD and was asked the question on CTS and how I never had the operation while the other person did. I didn’t mention the exercise as I could not justify it, yes it works for me but I had no real hard facts. I now have that and can answer honestly that it depends on the condition.
Best regards
Paul
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Rank: Super forum user
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No probs Paul
as I said, it does depend on the specifics. I am actually awaiting a date for a hernia repair, and have no symptoms whatsoever, but I have been advised to get surgery in case it causes a problem in the future. Don't really want the op as I have no symptoms but seems the realities are that if I don't have it, the potential resultant problems could be nasty, so there we are.
All the very best
Martin
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Rank: New forum user
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My wife recently had the CT operation... Before the operation her hand would go knumb in the night unless she wore the wrist splint. She would not be able to feel the ends of her fingers whilst watching the TV.
The Specialist stated it would get worse and her fist would begin to curl inward!
After the operation, it took about three weeks before she could swing a golf club steadaly and a month before she got back to using her hand. I would say she felt the after effects for about 10 weeks.
But now she is glad to have had the operation.
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How interesting a number of the correspondants have identified their wives as having the condition. I recently asked a question of our OH doctor and got this reply:
"It should also be borne in mind that CTS is quite common in the population at large, affecting around 12% of women and we term this idiopathic CTS. There is a strong hormonal predisposition. It is impossible to differentiate between idiopathic CTS and work related CTS clinically. So any PI claim can be resisted on this basis. Of course where the prevalence in a particular workforce is higher and the work is forceful and repetitive then the balance of probability of it being work related shifts"
Surgery works for some and not for others and when under consultation many medics will not give any assurance of success. Clearly work rotation being mindful of causatory factors - force/repetition and a removal from any vibration is essential - see para 329 of HSE guidance - HAVs guidance on the regualtions
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Hi, I had surgery last march. Whilst it has greatly improved the symptoms I still have some discomfort. I had the surgery because I was in considerable pain etc. and often was disturbed in my sleep. The surgery is apparently not a "for life cure" and in most cases has to be repeated on average after 5 years. This, I guess, depends on what type of work you do and how much " protection" you can offer the wrist. The surgery it's self was carried out under local anaesthetic. I did experience considerable pain for around 2 weeks after the surgery.
It is possible that I contributed to the situation that, I am not "discomfort" free by delaying the surgery (pressure of work), for 2 years after being told I required it. Indeed I only had it done when the hospital consultant told me if I delayed any further I would risk permanent damage. I also, for similar reasons to above came back to work after under 3 weeks, although I was told to take 4 to 5 weeks off by the doc. and didn't pay proper attention to the advice that, whilst the surgery wasn't particularly "difficult" or intrusive, the recovery time was crucial. I guess it's really up to the individual if they wish to go down the surgery route.. for me it has helped but not returned my wrist to pre the onset of the condition.. Like all these things prevention is the best option.
Hope this helps.
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Hmmm, my wife also! And not to be outdone my Daughter as well. Possibly hereditary...maybe?
Wife has never texted or used a computer in her life, nothing repetitive that would have caused it...both also had ganglion's too http://www.patient.co.uk/health/Ganglion.htm
I often wonder if you are going to get CTS, you will, no matter what preventative or controlling measures you take.
CFT
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Me too!
I had the surgery in 2005, and although it hasn't been a complete cure, it's been much better and "liveable-with". From memory I was able to do most normal things as soon as the stitches came out, but it was a while before I could swing a hammer or anything like that.
I wonder if the fact that I haven't had a recurrence is because, having been through it once, I've been a lot more careful about the things that are said to cause it - correct posture at the PC etc?
The main advice I give people now is as soon as you notice symptoms, see your GP straight away - I left it until it was bad enough that the over-the-counter painkillers weren't controlling it, and then had to go on a 2 year waiting list for treatment. If I'd seen the doc straight away, it might never have got to that stage.
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