Your explanations are very clear and simple. I learned so very much from your explanations with all the appropriate pictures. Hope all the MDs will learn from your step by step clear unrushed teaching method. Thank you ! Keep up the Good Work !
I'm going to have the surgery soon and as a caregiver for husband with alzheimer I'm very concerned about my ability to do everything as necessary. My doctor explained the procedure perfectly but I didn't know all the questions to ask. Watching your video helped a lot regarding what I need to know and do before my surgery, like have the new refrigerator delivered, fix the fence, try to have all my laundry done and make sure the ice packs are frozen for use. Post surgery hand placement advice is very helpful. Thank you for doing this video.
Your explanation of the CTR process, anatomy & long term prognosis is fantastic!! I’m having an endoscopic procedure tomorrow & you’ve helped me understand the anatomy very well. Thank you!
Thank you for your video Dr. Anzarut. I found your video the most informative video I have found on RUclips on the subject. I have one question about the icing of the hand within the first 48 hours after surgery, 15 min on and 15 min off. How often should this be repeated during this period? Also at night?
Thank you for the video. After an accident 6 months ago, dislocated arm, and temporary general paralysis of my hand, I was diagnosed with CTS last week by means of an EMG. But my thumb and index and middle fingers feel only little stiff and insensitive, while my ring finger, little finger, hand pads and the whole side of the little finger side are very stiff and very sensitive. I can't make a fist. Could this be CTS? (Since the accident I have atrites in my little finger and ring finger)
Thank you for a very informative video. I am curious to know how someone who requires two crutches to mobilise can manage the post op period? Do you have any suggestions as to how this could be overcome? I think i have seen forearm crutches?
I don’t have any pain pins and needles in my thumb or the two fingers next to it but I have pain in between my little finger and ring finger plus pain in my wrist and wrist bone. Sharp pain between the fingers
He explain very well. He did not say is the wrist hurt after surgery😢. After 6 weeks may not be able to do everything, like open a medicine cap. Obviously the numbness won't go away yet😢
Important and clear explanation of the risks of CTS, and its risks. I wish you could add a little bit concerning the increase of the risks with age, for instance CTS on an 87 year old man whose symptoms, essentially numbing with practically no tingling, are real, but limited and not permanent, and when occasionally discovered on awakening, without preventing sleep. The condition will not improve, but the speed of deterioration may be limited. In addition, at this advanced age of 87 the complication is that problems from hand arthritis are becoming more pronounced, without yet being painful. So at that age the risks of CTS do increase considerably, and could become enormous, especially with the need to wait 6 months before complete recovery. During that time, the patient is further aging having to live with limited functionality, as his hand use may become seriously handicapped. So balancing limited symptoms vs risks of CTS changes considerably with age and life expectancy of the patient. The decision to operate varies considerably between a 30-year old and a 87-year old man, taking into account 1) episodic character of symptoms, 2) level of arthritis, and 3) life expectancy of patient. Surely his median nerve is deteriorating, but the question is: Can this median nerve still be used for a few more years before serious deterioration of the nerve? Which makes the decision to operate at 87y much more problematic. What is then needed is dealing with a surgeon who has had enough extensive experience with aging patients, say aged 85 to 90, to be able to evaluate 1) the present level of degradation of the median nerve and 2) its use expectancy, say 8 to 10Y. This period of future use would bringing the 87-year patient to ages 95 to 98, without taking the risk of the CTS now, at age 87.This is a pretty delicate decision that would require a surgeon with enough experience with this advanced age group to have formed a good opinion on the chances and statistics concerning a CTS say at age in the 85-90 y range. Do such statistics exist? Are there any surgeons with extensive experience of CTS for the advance age in this 85-90 range. Do you have access to such statistics?
The complication rate for a carpal tunnel release under local anesthesia should be close to zero if done by an experienced certified hand surgeon. Elderly patients also recover much more quickly. The time to recovery is related to the size of the muscles in the palm and these decrease with age. Alex
@@DrAnzarutPlasticSurgery Thanks for the clear answer and the prompt attention. The incidence of CTS in the late 80s must be relatively rare, n'est-ce pas? (= don't you think?)
Carpal tunnel is caused by ‘ wear and tear .’ For this reason, the older someone is the more common it is to have carpal tunnel. If someone lives long enough they will almost certainly develop carpal tunnel. In a way that is similar to people developing arthritis of the knee or hip.
@@debbiekonkin5768. Deb, this is not Dr. Anzarut. Once the lig is cut, each side shortens, implying that the loose ends will never come together again.
Amazing video. I watched this video before my surgery to make me prepared. Now I'm on my 11th day after my surgery. My pinky and ring finger are still numb since the surgery. Is that normal? My hand is always dry, whenever I take baths I put gloves and plastic over it with rubber band to be sure. And I am raising my hand while taking a shower. I changed my bandage every 2 days when it starts to loose its sticky part. Is there any explanation why I still have numbness on my pinky and ring finger? Thanks in advance
OK this video was awesome but scary. The date is 1/23/23. I’ve been living with I believe severe carpal tunnel in my right hand for at least now a month and a half my hand feels like it’s swollen. I’ve lost strength I wake up every 20 minutes at least 30 to 40 times a night I don’t sleep anymore and during the day my fingers are currently numb.. I have Kaiser it takes forever, but I’m switching over to Medicare and I won’t have Kaiser so I have 2 to 3 more weeks of this just to see my first doctor with Sutter Health. What scares me, is the permanent damage? This will nearly be 2 to 3 months of severe really bad symptoms.
It is still unclear to me what happens with the transverse ligament after it is totally severed. Seems like a piece of mesh could be used to join the two ends together but leaving a gap between the two ends. I just picture these two loose ends flopping around. Doesn't seem good. Please educate me. I thought one video showed "scoring" of the underside of the ligament from left to right which released it but didn't sever it. Can this be done? Thanks.
I was wondering the same thing about the ligament after watching a few videos, until I watched a carpal tunnel surgery video in which the surgeon states that the ligament "eventually heals." The video is from the Mayo Clinic and titled "What to expect: Carpal tunnel surgery in the clinic."
This is what happens with chronic compressive median neuropathy from unreleased carpal tunnel syndrome... ruclips.net/video/eYvZ_hiakeo/видео.htmlsi=3whNxOwIsKdXuhay (Wag nyong paaabutin sa ganito ang CTS ninyo.) This is my dad. He did not consult me for his left hand symptoms for 5 years. I still ended up doing a carpal tunnel release surgery for his left hand after EMG-NCV confirmed the median nerve compromise as the cause of this muscle atrophy. But unfortunately, 5 years of median nerve compression lead to irreversible damage. He benefitted very little from the late carpal tunnel decompression.
![Carpal Tunnel Syndrome - Everything You Need To Know [Diagnosis & Natural Treatment]](http://i.ytimg.com/vi/EaUfxiRw3EQ/mqdefault.jpg)
![Carpal Tunnel Syndrome - Everything You Need To Know [Diagnosis & Natural Treatment]](/img/tr.png)
Thank you for this information. Very thorough.
Your explanations are very clear and simple. I learned so very much from your explanations with all the appropriate pictures. Hope all the MDs will learn from your step by step clear unrushed teaching method.
Thank you ! Keep up the Good Work !
During the past 4 hours I have watched several videos but this one is the best one.
Thanks for sharing such a detailed video.
Excellent video. Well presented and completely understandable.
Just had the surgery 2 hours ago and this information will be very helpful. Thank you.
You have explained everything more thoroughly then even my surgeon. I’m going for carpel tunnel surgery this Monday. Thanks for the video.
Hello A Day In The Life!!!,
Thank you for your kind words.
I am glad this video was helpful. All the best, Alex
I'm going to have the surgery soon and as a caregiver for husband with alzheimer I'm very concerned about my ability to do everything as necessary. My doctor explained the procedure perfectly but I didn't know all the questions to ask. Watching your video helped a lot regarding what I need to know and do before my surgery, like have the new refrigerator delivered, fix the fence, try to have all my laundry done and make sure the ice packs are frozen for use. Post surgery hand placement advice is very helpful. Thank you for doing this video.
Thank you for explaining all of this so well. Very helpful in making a decision about surgery.
Excellent explanation that I can understand before my surgery thanks Dr !!!!
Thank you so much! I will be having surgery next month. That was very informative. You alleviate a lot of my fear. For that I am grateful.
Nicely done. thank you.
Very informative and self-explanatory. Thank you so much.
Your explanation of the CTR process, anatomy & long term prognosis is fantastic!! I’m having an endoscopic procedure tomorrow & you’ve helped me understand the anatomy very well. Thank you!
Thank you for explaining this so clearly. I have to have this surgery soon and do appreciate all the information.
Thank you so much for explaining it in such a way that I can be more conscious about my recovery. Great job Dr Puckett
Just had my 1st CTS surgery on my left hand, right hand next in 2wks. This video was very helpful for post surgery care, thanks Dr.
Having this done soon. Thank you for this. I'll be able to physically & mentally prepare along with securing help during healing. ✌️
Thanks
Very informative video,thank you Doc
Thank you for your video Dr. Anzarut. I found your video the most informative video I have found on RUclips on the subject. I have one question about the icing of the hand within the first 48 hours after surgery, 15 min on and 15 min off. How often should this be repeated during this period? Also at night?
Thank you Dr. for a clear and understandable explaination
!
Thanks for your kind words.
Thank you for the video, very informative.
Thank you for your king words, Alex
Thank you for the video. After an accident 6 months ago, dislocated arm, and temporary general paralysis of my hand, I was diagnosed with CTS last week by means of an EMG. But my thumb and index and middle fingers feel only little stiff and insensitive, while my ring finger, little finger, hand pads and the whole side of the little finger side are very stiff and very sensitive. I can't make a fist. Could this be CTS? (Since the accident I have atrites in my little finger and ring finger)
I got CT surgery 2 years ago and my symptoms started to come back this week. Would I need surgery again?
I had cts yesterday. Thank You so much for the informative video. My surgeon didn't explain it this well. 14:55
Very informative
thank you for helping so many sir
Great discussion
Thank you
Thank you for a very informative video. I am curious to know how someone who requires two crutches to mobilise can manage the post op period? Do you have any suggestions as to how this could be overcome? I think i have seen forearm crutches?
Very well expkained
I don’t have any pain pins and needles in my thumb or the two fingers next to it but I have pain in between my little finger and ring finger plus pain in my wrist and wrist bone. Sharp pain between the fingers
He explain very well. He did not say is the wrist hurt after surgery😢. After 6 weeks may not be able to do everything, like open a medicine cap. Obviously the numbness won't go away yet😢
Important and clear explanation of the risks of CTS, and its risks.
I wish you could add a little bit concerning the increase of the risks with age, for instance CTS on an 87 year old man whose symptoms, essentially numbing with practically no tingling, are real, but limited and not permanent, and when occasionally discovered on awakening, without preventing sleep. The condition will not improve, but the speed of deterioration may be limited.
In addition, at this advanced age of 87 the complication is that problems from hand arthritis are becoming more pronounced, without yet being painful.
So at that age the risks of CTS do increase considerably, and could become enormous, especially with the need to wait 6 months before complete recovery. During that time, the patient is further aging having to live with limited functionality, as his hand use may become seriously handicapped.
So balancing limited symptoms vs risks of CTS changes considerably with age and life expectancy of the patient. The decision to operate varies considerably between a 30-year old and a 87-year old man, taking into account 1) episodic character of symptoms, 2) level of arthritis, and 3) life expectancy of patient.
Surely his median nerve is deteriorating, but the question is: Can this median nerve still be used for a few more years before serious deterioration of the nerve? Which makes the decision to operate at 87y much more problematic.
What is then needed is dealing with a surgeon who has had enough extensive experience with aging patients, say aged 85 to 90, to be able to evaluate 1) the present level of degradation of the median nerve and 2) its use expectancy, say 8 to 10Y. This period of future use would bringing the 87-year patient to ages 95 to 98, without taking the risk of the CTS now, at age 87.This is a pretty delicate decision that would require a surgeon with enough experience with this advanced age group to have formed a good opinion on the chances and statistics concerning a CTS say at age in the 85-90 y range. Do such statistics exist? Are there any surgeons with extensive experience of CTS for the advance age in this 85-90 range. Do you have access to such statistics?
The complication rate for a carpal tunnel release under local anesthesia should be close to zero if done by an experienced certified hand surgeon. Elderly patients also recover much more quickly. The time to recovery is related to the size of the muscles in the palm and these decrease with age. Alex
@@DrAnzarutPlasticSurgery Thanks for the clear answer and the prompt attention. The incidence of CTS in the late 80s must be relatively rare, n'est-ce pas? (= don't you think?)
Carpal tunnel is caused by ‘ wear and tear .’ For this reason, the older someone is the more common it is to have carpal tunnel. If someone lives long enough they will almost certainly develop carpal tunnel. In a way that is similar to people developing arthritis of the knee or hip.
@@debbiekonkin5768. Deb, this is not Dr. Anzarut. Once the lig is cut, each side shortens, implying that the loose ends will never come together again.
Excellent. Thank you.
Im having the surgery in a couple of weeks
How long before I can type on the computer??
Amazing video. I watched this video before my surgery to make me prepared. Now I'm on my 11th day after my surgery. My pinky and ring finger are still numb since the surgery. Is that normal? My hand is always dry, whenever I take baths I put gloves and plastic over it with rubber band to be sure. And I am raising my hand while taking a shower. I changed my bandage every 2 days when it starts to loose its sticky part. Is there any explanation why I still have numbness on my pinky and ring finger? Thanks in advance
Sir I did carpel tunnel syndrome surgery but yet I'm feeling numbness and tingling, what I have to do now please advise me
OK this video was awesome but scary. The date is 1/23/23. I’ve been living with I believe severe carpal tunnel in my right hand for at least now a month and a half my hand feels like it’s swollen. I’ve lost strength I wake up every 20 minutes at least 30 to 40 times a night I don’t sleep anymore and during the day my fingers are currently numb.. I have Kaiser it takes forever, but I’m switching over to Medicare and I won’t have Kaiser so I have 2 to 3 more weeks of this just to see my first doctor with Sutter Health. What scares me, is the permanent damage? This will nearly be 2 to 3 months of severe really bad symptoms.
How did it go? I'm in same situation and still waiting for emg test!
It is still unclear to me what happens with the transverse ligament after it is totally severed. Seems like a piece of mesh could be used to join the two ends together but leaving a gap between the two ends. I just picture these two loose ends flopping around. Doesn't seem good. Please educate me. I thought one video showed "scoring" of the underside of the ligament from left to right which released it but didn't sever it. Can this be done? Thanks.
I was wondering the same thing about the ligament after watching a few videos,
until I watched a carpal tunnel surgery video in which the surgeon states that the ligament "eventually heals."
The video is from the Mayo Clinic and titled "What to expect: Carpal tunnel surgery in the clinic."
Cutting your ligament is ridiculous. And there’s no guarantee.
This is what happens with chronic compressive median neuropathy from unreleased carpal tunnel syndrome...
ruclips.net/video/eYvZ_hiakeo/видео.htmlsi=3whNxOwIsKdXuhay
(Wag nyong paaabutin sa ganito ang CTS ninyo.)
This is my dad. He did not consult me for his left hand symptoms for 5 years. I still ended up doing a carpal tunnel release surgery for his left hand after EMG-NCV confirmed the median nerve compromise as the cause of this muscle atrophy. But unfortunately, 5 years of median nerve compression lead to irreversible damage. He benefitted very little from the late carpal tunnel decompression.
¹+
P 😊😅😅😊