{"id":38542,"date":"2021-02-16T12:17:01","date_gmt":"2021-02-16T11:17:01","guid":{"rendered":"https:\/\/dev.yuveo.eu\/hand\/carpal-tunnel-syndrome\/"},"modified":"2025-09-01T15:59:44","modified_gmt":"2025-09-01T13:59:44","slug":"carpal-tunnel-syndrome","status":"publish","type":"page","link":"https:\/\/www.yuveo.de\/en\/hand\/carpal-tunnel-syndrome\/","title":{"rendered":"Carpal tunnel syndrome"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"38542\" class=\"elementor elementor-38542 elementor-13470\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b399cdd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b399cdd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-49c243ee\" data-id=\"49c243ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44617c71 elementor-widget elementor-widget-text-editor\" data-id=\"44617c71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Carpal tunnel syndrome<\/strong><strong>, <\/strong>also known as <strong>CTS<\/strong> by plastic surgeons, is the <strong>most common nerve compression syndrome<\/strong>.<\/p><p>In most cases, the cause cannot be determined. The symptoms are caused by a constriction in the carpal tunnel. This leads to <strong>pressure damage to the nerve<\/strong>, which can be short-term or chronic.  <\/p><p>A common cause is <a class=\"broken_link\" href=\"https:\/\/www.yuveo.de\/en\/hand\/tendinitis\/\">tendon sheath inflammation<\/a>. The swelling of the flexor tendon sheaths causes an <strong>increase in pressure<\/strong> in the carpal tunnel and thus carpal tunnel syndrome. <\/p><h2>The following facts about this hand disease are known in hand surgery:<\/h2><ul class=\"list\"><li>The risk of contracting the disease is almost 10 %.<\/li><li>Carpal tunnel syndrome is approximately three times more common in women than in men.<\/li><li>The majority of those affected are between 40 and 70 years old.<\/li><li>In 40-80% (different studies) of cases it occurs on both sides.<\/li><li>In right-handers, the right hand is affected more frequently or earlier than the other hand, and in left-handers, the left hand.<\/li><li>Such problems of the carpal tunnel are rare in children.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-51b6a99c\" data-id=\"51b6a99c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ec8d741 elementor-widget elementor-widget-table-of-contents\" data-id=\"1ec8d741\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;exclude_headings_by_selector&quot;:[],&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tContents\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__1ec8d741\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a4da8a5 elementor-section-height-min-height hosec elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"4a4da8a5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ac2dc4e\" data-id=\"5ac2dc4e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-507472d2 elementor-widget elementor-widget-heading\" data-id=\"507472d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Yuveo Clinic<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a26ffe2 elementor-widget elementor-widget-heading\" data-id=\"a26ffe2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Special features of carpal tunnel syndrome<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-747028d elementor-widget elementor-widget-text-editor\" data-id=\"747028d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This disease of the hand manifests itself through numbness and tingling of the fingers and hand. Depending on the stage, it can be treated conservatively or by surgery at the Yuveo Clinic. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13dc4a51 elementor-align-left elementor-tablet-align-left elementor-widget elementor-widget-button\" data-id=\"13dc4a51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/www.yuveo.de\/en\/make-an-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-long-arrow-alt-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Make an appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-649775d8\" data-id=\"649775d8\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;1&quot;,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;30&quot;}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-57b106ec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"57b106ec\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-24909f50\" data-id=\"24909f50\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3913b9dd elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"3913b9dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tSymptoms\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tPatients often describe tingling and falling asleep in the hands or fingers as well as pain at night.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7326ec7e\" data-id=\"7326ec7e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3acd399d elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"3acd399d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tNerve compression\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tThe symptoms arise because increased pressure is exerted on a nerve for various reasons.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-15a67478 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15a67478\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4c2594a0\" data-id=\"4c2594a0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92add58 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"92add58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tConservative treatment\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tVitamin B6 preparations and non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed. A night-time positioning splint also provides relief. \t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c6f0144\" data-id=\"c6f0144\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a0a8628 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"5a0a8628\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"#\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tOperation\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tCarpal ligament splitting is effective because the carpal tunnel is widened in this way.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-79c2b106 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"79c2b106\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4cfa1aec\" data-id=\"4cfa1aec\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b93432f elementor-widget elementor-widget-heading\" data-id=\"2b93432f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Carpal tunnel syndrome - surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6cd4b2cb elementor-widget elementor-widget-text-editor\" data-id=\"6cd4b2cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In the case of <strong>advanced carpal tunnel syndrome<\/strong> with severe pain and\/or muscle atrophy, it is advisable to <strong>split the carpal ligament<\/strong>.<\/p><p>As part of this procedure, we widen the carpal tunnel. To do this, we make a skin incision between the ball of the thumb and the ball of the little finger, through which the carpal ligament is exposed and split. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-25f50f1 parent-sticky\" data-id=\"25f50f1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b9a76e8 elementor-widget elementor-widget-image\" data-id=\"6b9a76e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"340\" height=\"450\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/daumenballen-atrophie-10120w.jpg\" class=\"attachment-large size-large wp-image-37670\" alt=\"Fortgeschrittenes Karpaltunnelsyndrom\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/daumenballen-atrophie-10120w.jpg 340w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/daumenballen-atrophie-10120w-227x300.jpg 227w\" sizes=\"(max-width: 340px) 100vw, 340px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Advanced carpal tunnel syndrome with atrophy (arrow) of the ball of the thumb muscles  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b330f57 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b330f57\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3e0e03f\" data-id=\"3e0e03f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ad682be elementor-widget elementor-widget-text-editor\" data-id=\"ad682be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"inhalt\"><p> <\/p><h3>The operation for carpal tunnel syndrome is called carpal ligament splitting.<\/h3><p><strong>Conventional open surgery:<\/strong><br>In conventional open surgery, the skin incision is sometimes 5 cm long and extends over the extended lifeline to the transverse wrist crease. Due to the increased scarring, the healing phase usually takes longer than with minimally invasive surgical procedures. <\/p><p><strong> <\/strong><\/p><p> <\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-54217b9\" data-id=\"54217b9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fede988 elementor-widget elementor-widget-image\" data-id=\"fede988\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJ1cmwiOiJodHRwczpcL1wvZGV2Lnl1dmVvLmV1XC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIxXC8wNFwva2FycGFsdHVubmVsc3luZHJvbS1vcGVyYXRpb24tMTAxMjN3LmpwZyIsInR5cGUiOiJpbWFnZSJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"400\" height=\"354\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-operation-thumb.jpg\" class=\"attachment-large size-large wp-image-37835\" alt=\"yuveo\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-operation-thumb.jpg 400w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-operation-thumb-300x266.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\">\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb54c10 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fb54c10\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-344bae4\" data-id=\"344bae4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f22230 elementor-widget elementor-widget-text-editor\" data-id=\"3f22230\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"inhalt\"><p><strong>Open minimally invasive surgery in hand surgery D\u00fcsseldorf:<\/strong><\/p><p>Today, we often operate endoscopically or with the open but minimally invasive technique (see image). With the latter, the skin incision is approx. 2 cm long. With the help of a special instrument, we create a tunnel over the carpal ligament and can cut the ligament under vision using magnifying glasses and a forehead light. If the operation is performed under vision, injury to neighboring structures and the median nerve is virtually impossible.   <\/p><p>It is also important to cut the carpal ligament in such a way that no adhesions occur later between the median nerve and the resulting scar, otherwise electrifying pain can result from the scar pulling on the nerve during wrist movements.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-67c463a\" data-id=\"67c463a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a5038ac elementor-widget elementor-widget-image\" data-id=\"a5038ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJ1cmwiOiJodHRwczpcL1wvZGV2Lnl1dmVvLmV1XC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIxXC8wNFwva2FycGFsdHVubmVsc3luZHJvbS1vcC0xMDEyMXcuanBnIiwidHlwZSI6ImltYWdlIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"400\" height=\"354\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-op-thumb.jpg\" class=\"attachment-large size-large wp-image-37838\" alt=\"yuveo\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-op-thumb.jpg 400w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/karpaltunnelsyndrom-op-thumb-300x266.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\">\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cf41ca4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cf41ca4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-04e7135\" data-id=\"04e7135\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09517b5 elementor-widget elementor-widget-text-editor\" data-id=\"09517b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Endoscopic surgery<\/strong>:<br>Another surgical option for carpal tunnel syndrome is endoscopic surgery (keyhole surgery, see image). Here the incision is somewhat smaller than in minimally invasive open surgery. We use a pencil-thick endoscope to penetrate the carpal tunnel and usually cut the carpal ligament from below with an integrated knife. Incidentally, the incision can be made either in the crease of the wrist or in the palm of the hand.   <\/p><p><strong>Special cases: <\/strong><br>In special cases, if there is severe inflammation of the flexor tendon sheaths (often in rheumatic diseases), a tumor (e.g. <a href=\"https:\/\/www.yuveo.de\/en\/hand\/ganglion-ganglion\/\">ganglion<\/a>, <a class=\"encyclopedia tooltipstered\" href=\"https:\/\/www.yuveo.de\/en\/lexikon\/lipoma\/\" target=\"_self\" data-wplink-edit=\"true\">lipoma<\/a>,&#8230;) or caused by bony malformations, a wide approach is necessary for a good overview. <\/p><p>In these situations, our team of hand surgeons treats carpal tunnel syndrome with the classic long incision. Depending on the findings, this is also often useful for recurrences. <\/p><p>The operations described above can be performed <strong>on an outpatient basis<\/strong> at the Yuveo Clinic in D\u00fcsseldorf if there are no reasons (secondary diseases) for not doing so.<\/p><p>The operation is performed under local anesthesia, <strong>intravenous regional anesthesia<\/strong> (underarm anesthesia), <strong>plexus anesthesia<\/strong> (anesthesia in the armpit), but sometimes also under <strong>general anesthesia<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e5349ac\" data-id=\"e5349ac\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-61afb822 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61afb822\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5d42868\" data-id=\"5d42868\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-733eea3c elementor-widget elementor-widget-heading\" data-id=\"733eea3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently asked questions about carpal tunnel syndrome  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e331f03 elementor-widget elementor-widget-accordion\" data-id=\"7e331f03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2111\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2111\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What are the known causes?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2111\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2111\"><p>There are many possible <strong>causes of carpal tunnel syndrome<\/strong>. The following causes are known: <\/p>\n<ul class=\"list\">\n<li><strong>Anatomy<\/strong> &#8211; Some people have a narrower carpal tunnel than others.<\/li>\n<li><strong>Injuries<\/strong> &#8211; Sometimes even severe strains in the wrist and hand area can cause these complaints.<\/li>\n<li><strong>Fractures<\/strong> near the wrist<\/li>\n<li>Recurrent mechanical stress on the wrist (work or sport)<\/li>\n<li><strong>Inflammation<\/strong> (mostly <a class=\"broken_link\" href=\"https:\/\/www.yuveo.de\/en\/hand\/tendinitis\/\">tendonitis<\/a>)<\/li>\n<li><strong>Degenerative changes<\/strong> (age-related signs of wear and tear)<\/li>\n<li><strong>Tumors<\/strong><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/lipoma\/\">(lipoma<\/a>, <a class=\"broken_link\" href=\"https:\/\/www.yuveo.de\/en\/lexikon\/ganglion-ganglion-nerve-node\/\">ganglion<\/a>,&#8230;) are causes that can lead to carpal tunnel syndrome.<\/li>\n<li><strong>Rheumatic diseases<\/strong> &#8211; Rheumatics often form pronounced changes in the wrist and tend to tendonitis.<\/li>\n<li><strong>Pregnancy<\/strong> &#8211; This is caused by weight gain and water retention.<\/li>\n<li><strong>Diabetics, dialysis patients<\/strong> and people who are overweight are more frequently affected.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2112\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2112\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What complaints \/ symptoms can it be associated with?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2112\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2112\"><p>In those affected, carpal tunnel syndrome often manifests itself through <strong>tingling or numbness in the thumb, index and middle finger<\/strong> during exercise and <strong>at night<\/strong>.<\/p>\n<p>Patients often describe it to our team of hand surgeons in D\u00fcsseldorf as: <a class=\"broken_link\" href=\"https:\/\/www.yuveo.de\/en\/lexikon\/hand-tingling\/\">Tingling and falling asleep of the hand, hands or fingers<\/a>, as falling asleep hands or falling asleep fingers.<\/p>\n<p>The symptoms tend to occur in certain positions of the wrist. Patients state that they experience an increase in discomfort when making phone calls, riding a bike or motorcycle, blow-drying their hair and similar movements. <\/p>\n<p>However, the symptoms are also present outside of stressful situations.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2113\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2113\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How can hand surgeons explain the sometimes severe pain at night?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2113\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2113\"><p>The sometimes severe <strong>nocturnal pain<\/strong> caused by carpal tunnel syndrome can be explained by increased <strong>swelling in the carpal tunnel<\/strong> in a lying position and the resulting <strong>increased pressure<\/strong>.<\/p>\n<p>Many people also sleep with their <a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/wrist-anatomy\/\">wrists<\/a> bent, narrowing the carpal canal.<\/p>\n<p>Short-term pressure relief can often be achieved simply by <strong>shaking the hand<\/strong>.<\/p>\n<p>When the pressure is relieved by an operation at our Yuveo Clinic in D\u00fcsseldorf, this pain is quickly reduced. In many cases, it can be almost completely gone by the first night after the procedure. <\/p>\n<p>As our hand surgeons in D\u00fcsseldorf will explain to you, the excruciating pain does not always only affect the arm or hand.<\/p>\n<p>The nerve compression can occasionally cause pain to radiate into the shoulder or even the neck.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2114\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2114\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How do we make the diagnosis at the Yuveo Clinic?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2114\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2114\"><h4>Complaints<\/h4>\n<p>In most cases, the symptoms described by our patients in D\u00fcsseldorf quickly point to carpal tunnel syndrome. Sometimes, however, the symptoms can be very atypical. <\/p>\n<h4>Investigation<\/h4>\n<p>It is important to our hand surgeons to examine the sensation of the fingers and the strength of the ball of the thumb. We also examine the entire arm and the other nerves (especially the ulnar nerve) to rule out a combination of <strong>other clinical pictures <\/strong>. Is swelling visible in the wrist?  <\/p>\n<h4>Laboratory and X-ray<\/h4>\n<p>A blood test could rule out diabetes mellitus. <strong>X-rays<\/strong> show bony changes following fractures or rheumatism (arthritis, polyarthritis, arthrosis). <\/p>\n<p><strong>In the case of carpal tunnel syndrome, we involve the neurologist in D\u00fcsseldorf in the diagnosis.<br \/><\/strong><\/p>\n<p>The <strong>measurement of the &#8220;nerve currents&#8221;<\/strong> (= ENG \/ EMG) by a neurologist (= neurologist) should confirm the suspicion of carpal tunnel syndrome. At the same time, other causes (herniated disc, &#8230;) can be ruled out. With the help of this measurement, we can better assess the extent of the damage to the median nerve and the prognosis. It is highly recommended before an operation and should be relatively recent so that we have a reference for the follow-up examinations after the operation.   <\/p>\n<p>Also: see pictures on the right: the two typical tests to narrow down the symptoms.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2115\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2115\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How is conservative treatment carried out at our clinic in D\u00fcsseldorf?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2115\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2115\"><p>Carpal tunnel syndrome should initially be treated conservatively before surgery, if the symptoms and the electrophysiological examination by the neurologist allow it.<\/p>\n<p>There are various therapeutic approaches here: <strong>Vitamin B6 preparations<\/strong> and <strong>non-steroidal anti-inflammatory drugs (NSAIDs) <\/strong>are often prescribed. A <strong>night-time positioning splint<\/strong> often also alleviates the symptoms. <\/p>\n<p>Occasionally, unbearable acute attacks of pain may occur, requiring rapid action by the hand surgeon.<\/p>\n<p>In these situations, we can inject a corticoid into the carpal tunnel, which causes a rapid reduction in pain in carpal tunnel syndrome, particularly by inhibiting the swelling of the tendon sheath in the carpal tunnel.<\/p>\n<p>If such injections are given repeatedly and possibly directly into the median nerve, <strong>permanent damage<\/strong> can be caused which cannot be repaired by surgery.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2116\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2116\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is the follow-up treatment for carpal tunnel syndrome after surgery in D\u00fcsseldorf?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-2116\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2116\"><div class=\"inhalt\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-28749 alignright\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/gipsschiene-bei-cts-op-10226w-300x231.jpg\" alt=\"Plaster splint for KTS\" width=\"300\" height=\"231\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/gipsschiene-bei-cts-op-10226w-300x231.jpg 300w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/gipsschiene-bei-cts-op-10226w.jpg 325w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Here you can see a standard stretch-side plastic splint with a wrap, which can be worn for a few days for protection.<\/p>\n<p>The majority of our patients experience a significant <strong>reduction in pain<\/strong> after the operation. The operation is particularly grateful in view of the often considerable night pain. <\/p>\n<p>This pain often disappears in the first few days, or occasionally in the first night, after the procedure.<\/p>\n<p>In cases of severe damage to the median nerve and usually with a long history of illness, the loss of sensation often does not recover completely. For this reason, surgery should not be postponed unnecessarily. <\/p>\n<p>Depending on the operation and patient activity, wearing a <strong>plaster splint<\/strong> for<strong> 3-5<\/strong> days is recommended. However, our plastic surgeons in D\u00fcsseldorf advise against wearing the splint for longer, as otherwise there is a risk of the median nerve sticking to the surrounding scar tissue, resulting in corresponding discomfort. The gliding ability of the nerves in the carpal canal is important.  <\/p>\n<p>Our hand surgeons recommend gentle, non-strenuous <strong>movement exercises<\/strong> as early as three days after the operation. <strong>Physiotherapy<\/strong> is very important for advanced diseases with muscle atrophy.<\/p>\n<p>We remove the <strong>stitches<\/strong> after approx. two weeks at the Yuveo Clinic. We recommend a neurological-electrophysiological <strong>check-up<\/strong> after about 3-6 months if the postoperative course is normal. <\/p>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What are the known causes?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>There are many possible <strong>causes of carpal tunnel syndrome<\\\/strong>. The following causes are known: <\\\/p>\\n<ul class=\\\"list\\\">\\n<li><strong>Anatomy<\\\/strong> &#8211; Some people have a narrower carpal tunnel than others.<\\\/li>\\n<li><strong>Injuries<\\\/strong> &#8211; Sometimes even severe strains in the wrist and hand area can cause these complaints.<\\\/li>\\n<li><strong>Fractures<\\\/strong> near the wrist<\\\/li>\\n<li>Recurrent mechanical stress on the wrist (work or sport)<\\\/li>\\n<li><strong>Inflammation<\\\/strong> (mostly <a class=\\\"broken_link\\\" href=\\\"https:\\\/\\\/www.yuveo.de\\\/en\\\/hand\\\/tendinitis\\\/\\\">tendonitis<\\\/a>)<\\\/li>\\n<li><strong>Degenerative changes<\\\/strong> (age-related signs of wear and tear)<\\\/li>\\n<li><strong>Tumors<\\\/strong><a href=\\\"https:\\\/\\\/www.yuveo.de\\\/en\\\/lexikon\\\/lipoma\\\/\\\">(lipoma<\\\/a>, <a class=\\\"broken_link\\\" href=\\\"https:\\\/\\\/www.yuveo.de\\\/en\\\/lexikon\\\/ganglion-ganglion-nerve-node\\\/\\\">ganglion<\\\/a>,&#8230;) are causes that can lead to carpal tunnel syndrome.<\\\/li>\\n<li><strong>Rheumatic diseases<\\\/strong> &#8211; Rheumatics often form pronounced changes in the wrist and tend to tendonitis.<\\\/li>\\n<li><strong>Pregnancy<\\\/strong> &#8211; This is caused by weight gain and water retention.<\\\/li>\\n<li><strong>Diabetics, dialysis patients<\\\/strong> and people who are overweight are more frequently affected.<\\\/li>\\n<\\\/ul>\\n\"}},{\"@type\":\"Question\",\"name\":\"What complaints \\\/ symptoms can it be associated with?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>In those affected, carpal tunnel syndrome often manifests itself through <strong>tingling or numbness in the thumb, index and middle finger<\\\/strong> during exercise and <strong>at night<\\\/strong>.<\\\/p>\\n<p>Patients often describe it to our team of hand surgeons in D\\u00fcsseldorf as: <a class=\\\"broken_link\\\" href=\\\"https:\\\/\\\/www.yuveo.de\\\/en\\\/lexikon\\\/hand-tingling\\\/\\\">Tingling and falling asleep of the hand, hands or fingers<\\\/a>, as falling asleep hands or falling asleep fingers.<\\\/p>\\n<p>The symptoms tend to occur in certain positions of the wrist. Patients state that they experience an increase in discomfort when making phone calls, riding a bike or motorcycle, blow-drying their hair and similar movements. <\\\/p>\\n<p>However, the symptoms are also present outside of stressful situations.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"How can hand surgeons explain the sometimes severe pain at night?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>The sometimes severe <strong>nocturnal pain<\\\/strong> caused by carpal tunnel syndrome can be explained by increased <strong>swelling in the carpal tunnel<\\\/strong> in a lying position and the resulting <strong>increased pressure<\\\/strong>.<\\\/p>\\n<p>Many people also sleep with their <a href=\\\"https:\\\/\\\/www.yuveo.de\\\/en\\\/lexikon\\\/wrist-anatomy\\\/\\\">wrists<\\\/a> bent, narrowing the carpal canal.<\\\/p>\\n<p>Short-term pressure relief can often be achieved simply by <strong>shaking the hand<\\\/strong>.<\\\/p>\\n<p>When the pressure is relieved by an operation at our Yuveo Clinic in D\\u00fcsseldorf, this pain is quickly reduced. In many cases, it can be almost completely gone by the first night after the procedure. <\\\/p>\\n<p>As our hand surgeons in D\\u00fcsseldorf will explain to you, the excruciating pain does not always only affect the arm or hand.<\\\/p>\\n<p>The nerve compression can occasionally cause pain to radiate into the shoulder or even the neck.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"How do we make the diagnosis at the Yuveo Clinic?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<h4>Complaints<\\\/h4>\\n<p>In most cases, the symptoms described by our patients in D\\u00fcsseldorf quickly point to carpal tunnel syndrome. Sometimes, however, the symptoms can be very atypical. <\\\/p>\\n<h4>Investigation<\\\/h4>\\n<p>It is important to our hand surgeons to examine the sensation of the fingers and the strength of the ball of the thumb. We also examine the entire arm and the other nerves (especially the ulnar nerve) to rule out a combination of <strong>other clinical pictures <\\\/strong>. Is swelling visible in the wrist?  <\\\/p>\\n<h4>Laboratory and X-ray<\\\/h4>\\n<p>A blood test could rule out diabetes mellitus. <strong>X-rays<\\\/strong> show bony changes following fractures or rheumatism (arthritis, polyarthritis, arthrosis). <\\\/p>\\n<p><strong>In the case of carpal tunnel syndrome, we involve the neurologist in D\\u00fcsseldorf in the diagnosis.<br \\\/><\\\/strong><\\\/p>\\n<p>The <strong>measurement of the &#8220;nerve currents&#8221;<\\\/strong> (= ENG \\\/ EMG) by a neurologist (= neurologist) should confirm the suspicion of carpal tunnel syndrome. At the same time, other causes (herniated disc, &#8230;) can be ruled out. With the help of this measurement, we can better assess the extent of the damage to the median nerve and the prognosis. It is highly recommended before an operation and should be relatively recent so that we have a reference for the follow-up examinations after the operation.   <\\\/p>\\n<p>Also: see pictures on the right: the two typical tests to narrow down the symptoms.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"How is conservative treatment carried out at our clinic in D\\u00fcsseldorf?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Carpal tunnel syndrome should initially be treated conservatively before surgery, if the symptoms and the electrophysiological examination by the neurologist allow it.<\\\/p>\\n<p>There are various therapeutic approaches here: <strong>Vitamin B6 preparations<\\\/strong> and <strong>non-steroidal anti-inflammatory drugs (NSAIDs) <\\\/strong>are often prescribed. A <strong>night-time positioning splint<\\\/strong> often also alleviates the symptoms. <\\\/p>\\n<p>Occasionally, unbearable acute attacks of pain may occur, requiring rapid action by the hand surgeon.<\\\/p>\\n<p>In these situations, we can inject a corticoid into the carpal tunnel, which causes a rapid reduction in pain in carpal tunnel syndrome, particularly by inhibiting the swelling of the tendon sheath in the carpal tunnel.<\\\/p>\\n<p>If such injections are given repeatedly and possibly directly into the median nerve, <strong>permanent damage<\\\/strong> can be caused which cannot be repaired by surgery.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"What is the follow-up treatment for carpal tunnel syndrome after surgery in D\\u00fcsseldorf?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<div class=\\\"inhalt\\\">\\n<p><img class=\\\"size-medium wp-image-28749 alignright\\\" src=\\\"https:\\\/\\\/www.yuveo.de\\\/wp-content\\\/uploads\\\/2021\\\/04\\\/gipsschiene-bei-cts-op-10226w-300x231.jpg\\\" alt=\\\"Plaster splint for KTS\\\" width=\\\"300\\\" height=\\\"231\\\">Here you can see a standard stretch-side plastic splint with a wrap, which can be worn for a few days for protection.<\\\/p>\\n<p>The majority of our patients experience a significant <strong>reduction in pain<\\\/strong> after the operation. The operation is particularly grateful in view of the often considerable night pain. <\\\/p>\\n<p>This pain often disappears in the first few days, or occasionally in the first night, after the procedure.<\\\/p>\\n<p>In cases of severe damage to the median nerve and usually with a long history of illness, the loss of sensation often does not recover completely. For this reason, surgery should not be postponed unnecessarily. <\\\/p>\\n<p>Depending on the operation and patient activity, wearing a <strong>plaster splint<\\\/strong> for<strong> 3-5<\\\/strong> days is recommended. However, our plastic surgeons in D\\u00fcsseldorf advise against wearing the splint for longer, as otherwise there is a risk of the median nerve sticking to the surrounding scar tissue, resulting in corresponding discomfort. The gliding ability of the nerves in the carpal canal is important.  <\\\/p>\\n<p>Our hand surgeons recommend gentle, non-strenuous <strong>movement exercises<\\\/strong> as early as three days after the operation. <strong>Physiotherapy<\\\/strong> is very important for advanced diseases with muscle atrophy.<\\\/p>\\n<p>We remove the <strong>stitches<\\\/strong> after approx. two weeks at the Yuveo Clinic. We recommend a neurological-electrophysiological <strong>check-up<\\\/strong> after about 3-6 months if the postoperative course is normal. <\\\/p>\\n<\\\/div>\\n\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-77b7a1d6 parent-sticky\" data-id=\"77b7a1d6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3698a439 elementor-widget elementor-widget-heading\" data-id=\"3698a439\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fact check on the operation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21e94e05 titlesticky  elementor-widget elementor-widget-text-editor\" data-id=\"21e94e05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Practitioners: <\/strong>Dr. Schumann and Dr. Schumann-Averkiou<\/li><li><strong>Anesthesia:<br><\/strong> local anesthesia, anesthesia of the forearm or armpit, general anesthesia<\/li><li><strong>Hospitalization:<\/strong> <br>outpatient<\/li><li><strong>Follow-up treatment:<\/strong> <br>Plaster splint for 3 to 5 days, then gentle movement exercises, stitches removed after 2 weeks, neurological check-up after 3 to 6 months<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d26c986 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d26c986\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-218ac3e9\" data-id=\"218ac3e9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38a7e977 elementor-widget elementor-widget-heading\" data-id=\"38a7e977\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Related topics and further information<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-519ac93c elementor-widget elementor-widget-text-editor\" data-id=\"519ac93c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Technical terms:<\/strong><\/p><p>Brachialgia paresthetica nocturna:<\/p><ul class=\"list\"><li>Brachialgia = arm pain<\/li><li>Paresthetica = loss of skin sensation<\/li><li>Nocturna = nocturnal<\/li><\/ul><p>Atrophy of the ball of the thumb = atrophy of the muscles in the ball of the thumb<\/p><p><strong>Related topics:<\/strong><\/p><ul><li><a href=\"https:\/\/www.yuveo.de\/en\/hand-surgery-duesseldorf\/\">Hand surgery<\/a><\/li><li><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/loge-de-guyon-syndrome\/\">Loge de Guyon syndrome<\/a><\/li><li><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/carpal-tunnel-syndrome-leads-to-discomfort-in-the-hand\/\">Hand discomfort<\/a><\/li><li><a href=\"https:\/\/www.yuveo.de\/en\/hand\/tendinitis\/\">Tendinitis<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6a01f1df\" data-id=\"6a01f1df\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5213be0e elementor-widget elementor-widget-image\" data-id=\"5213be0e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"339\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/hoffmann-tinel-zeichen-10131w.jpg\" class=\"attachment-large size-large wp-image-37673\" alt=\"yuveo\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/hoffmann-tinel-zeichen-10131w.jpg 450w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/hoffmann-tinel-zeichen-10131w-300x226.jpg 300w\" sizes=\"(max-width: 450px) 100vw, 450px\">\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Hoffmann-Tinel test: The carpal tunnel is tapped with a finger tap or a reflex hammer. -&gt; In carpal tunnel syndrome, patients often feel a strong electrical sensation that extends into the fingers. In hand surgery, this is referred to as a positive Hoffmann-Tinel sign.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc1ffe9 elementor-widget elementor-widget-image\" data-id=\"bc1ffe9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"227\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/phalen-test-10132w.jpg\" class=\"attachment-large size-large wp-image-37676\" alt=\"Phalen-Test beim Karpaltunnelsyndrom\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/phalen-test-10132w.jpg 450w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/phalen-test-10132w-300x151.jpg 300w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Phalen test: The wrist is flexed as much as possible and held in this position. -&gt; In carpal tunnel syndrome, patients often feel (within a minute) a strong tingling sensation in the typical fingers (hand surgeons call this a positive Phalen's sign). <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Carpal tunnel syndrome, also known as CTS by plastic surgeons, is the most common nerve compression syndrome. In most cases, the cause cannot be determined. The symptoms are caused by a constriction in the carpal tunnel. This leads to pressure damage to the nerve, which can be short-term or chronic. A common cause is tendon [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":38205,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-38542","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/comments?post=38542"}],"version-history":[{"count":6,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38542\/revisions"}],"predecessor-version":[{"id":42705,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38542\/revisions\/42705"}],"up":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38205"}],"wp:attachment":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/media?parent=38542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}