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Understanding Carpal Tunnel Syndrome: Causes, Symptoms, and Treatment Options

Carpal Tunnel Syndrome (CTS) is one of the most common conditions affecting the hand and wrist, impacting millions of people worldwide. It occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed at the wrist. This condition can lead to pain, numbness, and even weakness in the hand, affecting daily activities and quality of life.

Causes of Carpal Tunnel Syndrome

Several factors can contribute to the development of CTS. While some people may be genetically predisposed due to a smaller carpal tunnel, other common causes include:

Repetitive Hand Movements: Frequent motion, especially involving wrist flexion or gripping, such as typing, assembly line work, or using vibrating tools.

Medical Conditions: Diabetes, rheumatoid arthritis, and thyroid gland imbalance can increase the risk of nerve compression.

Pregnancy: Hormonal changes and fluid retention during pregnancy can cause swelling in the carpal tunnel.

Injury or Trauma: Fractures, sprains, or swelling can place pressure on the median nerve.

Symptoms of Carpal Tunnel Syndrome

The symptoms of CTS often begin gradually and can worsen over time if left untreated. Common signs include:

Numbness or tingling in the thumb, index, middle, or part of the ring finger

Hand weakness or a tendency to drop objects

Pain that may radiate up the arm

Discomfort that worsens at night or with repetitive use

Early diagnosis is key, as prolonged nerve compression can lead to permanent damage.

Diagnosis and Evaluation

CTS is usually diagnosed based on symptoms and physical examination. Tests may include:

Nerve Conduction Studies: Measure how well electrical signals move through the median nerve.

Electromyography (EMG): Assesses the electrical activity of muscles.

Ultrasound or MRI: To visualize soft tissue and rule out other conditions.

Treatment Options

Treatment for Carpal Tunnel Syndrome depends on the severity of the condition. Both non-surgical and surgical options are available:

Non-Surgical Treatments

Wrist Splinting: Especially useful at night to keep the wrist in a neutral position.

Activity Modification: Reducing repetitive motions or changing ergonomics at work.

Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation.

Corticosteroid Injections: Can provide temporary relief by reducing swelling around the nerve.

Surgical Treatment

If symptoms persist or worsen, surgery may be recommended. Carpal tunnel release surgery involves cutting the ligament pressing on the median nerve to relieve pressure. It’s typically an outpatient procedure and has a high success rate, especially when performed by a hand and wrist specialist.

Dr. Philip Mathew is a top Private Hand and Wrist Specialist in London. He provides expert, personalized care for hand and wrist conditions.

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Wrist Arthroscopy: A Simple Guide to What It Is and When You Might Need It

If your wrist has been bothering you for a while and treatments like rest, splints, or physiotherapy haven’t helped, your doctor might mention something called wrist arthroscopy. Don’t worry—it’s not as scary as it sounds!

So, What Is Wrist Arthroscopy?

Think of it like a tiny camera going into your wrist to help the surgeon see what’s wrong. It’s done through very small cuts, which means less pain, quicker healing, and smaller scars. If the surgeon finds a problem, they can often fix it right then and there.

Why Do People Get It?

To treat wrist pain that won’t go away

To remove cysts or repair torn ligaments

To check for cartilage damage or small fractures

When X-rays or MRIs don’t give clear answers

What Makes It Special?

It’s less invasive than traditional surgery

You usually go home the same day

Recovery is quicker and less painful

Will It Help Me?

If your wrist pain isn’t improving, wrist arthroscopy might be the next step. Your doctor will decide if it’s the right fit based on your symptoms and lifestyle.

Dr. Philip Mathew is one of London’s top specialists with expert knowledge in diagnosing and treating complex hand and wrist problems. He combines the latest techniques with a personalized approach to help you recover quickly and safely.

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Dr. Philip Mathew – Trusted Hand and Wrist Specialist in London Struggling with hand or wrist pain? Dr. Philip Mathew offers expert diagnosis and advanced treatments for everything from sports injuries to carpal tunnel syndrome. With a reputation for clinical excellence and compassionate care, he helps patients regain strength, mobility, and confidence. Book your consultation in London today.

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Common Hand Surgeries Explained: From Carpal Tunnel to Tendon Repair

Our hands are essential to everyday life—from buttoning shirts and typing on keyboards to gripping tools and lifting groceries. So when something goes wrong, whether due to injury, overuse, or a medical condition, it can significantly impact daily activities. Thankfully, advances in hand surgery mean that many issues can be effectively treated, helping patients regain function and quality of life.

In this blog, we’ll break down some of the most common hand surgeries, what they involve, and why they may be recommended.

1. Carpal Tunnel Release

What it Treats:

Carpal Tunnel Syndrome — caused by compression of the median nerve in the wrist, leading to pain, numbness, and weakness in the hand.

The Procedure:

Carpal tunnel release involves cutting the ligament pressing on the nerve to relieve pressure. This can be done through traditional open surgery or minimally invasive endoscopic techniques.

Recovery:

Most patients experience improvement quickly, with full recovery taking a few weeks to months depending on severity and type of surgery.

2. Trigger Finger Release

What it Treats:

Trigger finger (or stenosing tenosynovitis), where a finger gets stuck in a bent position and may snap straight.

The Procedure:

Surgery involves releasing the tight portion of the tendon sheath to allow the tendon to glide smoothly again.

Recovery:

Often a simple, quick recovery — many patients regain full motion within a few weeks.

3. Tendon Repair

What it Treats:

Tendon injuries from trauma, sports, or deep cuts. These can affect flexor or extensor tendons, which help bend or straighten the fingers and thumb.

The Procedure:

Surgery involves carefully stitching the torn ends of the tendon back together. Flexor tendon repairs are more complex due to their location in the palm and fingers.

Recovery:

Requires a structured rehab program with hand therapy. Healing can take several weeks to months depending on the tendon and extent of injury.

4. Fracture Fixation

What it Treats:

Broken bones in the hand, fingers, or wrist due to accidents, falls, or sports injuries.

The Procedure:

Depending on the fracture, surgeons may use pins, screws, plates, or wires to stabilize the bone while it heals.

Recovery:

Most fractures heal well with proper care and rehabilitation. Some may need a cast or splint before or after surgery.

5. Ganglion Cyst Removal

What it Treats:

Ganglion cysts are noncancerous lumps that often develop along tendons or joints of the wrist or hand.

The Procedure:

If the cyst is painful, recurrent, or interferes with function, it can be surgically removed.

Recovery:

Generally straightforward. Most patients return to normal activity within a few days to weeks.

When to See a Hand Surgeon

If you’re experiencing hand pain, limited motion, numbness, or visible deformities that don't improve with rest or non-surgical treatment, it may be time to consult a hand surgeon. Early intervention can prevent long-term damage and help you get back to the activities you enjoy.

Final Thoughts

Hand surgery may sound intimidating, but modern techniques, specialized care, and experienced surgeons make recovery smoother than ever. Whether you're dealing with carpal tunnel syndrome, tendon issues, or fractures, knowing what to expect can make all the difference in your healing journey.

In conclusion, if you’re seeking expert, personalized care for hand and wrist conditions, Mr. Mathew offers a high-quality service backed by extensive experience. His comprehensive approach spans all age groups and includes the treatment of fractures in both children and adults, ensuring that every patient receives dedicated and specialized attention.

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Mr.Philip Mathew is Best Hand and wrist surgeon in London. Book your Hand & Wrist Specialist with us. London Hand & Wrist Specialists.

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Carpal Tunnel Syndrome: Understanding, Symptoms, and Treatment Options

Carpal Tunnel Syndrome (CTS) is a prevalent condition that affects many individuals, particularly those who engage in repetitive hand and wrist activities. It occurs when the median nerve, which runs from the forearm into the palm, becomes compressed or irritated at the level of the wrist. This compression often results in pain, numbness, and weakness in the hand, which can significantly impact one's daily activities and quality of life.

What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway in the wrist, formed by bones and ligaments. It houses the median nerve, which is responsible for sensation in the thumb, index finger, middle finger, and part of the ring finger. The tunnel also accommodates tendons that allow for hand movement.

When the tissues surrounding the median nerve become swollen, irritated, or inflamed, they press against the nerve, leading to a range of symptoms that characterize Carpal Tunnel Syndrome. This can be caused by various factors, including repetitive hand movements, wrist injuries, pregnancy, and underlying health conditions like diabetes or rheumatoid arthritis.

Symptoms of Carpal Tunnel Syndrome

The symptoms of Carpal Tunnel Syndrome can vary in severity and typically progress over time. Common signs and symptoms include:

Numbness or tingling in the fingers, especially at night.

Pain or aching in the wrist, hand, and forearm.

Weakness in the hand, making it difficult to grip objects.

Burning or itching sensations in the palm of the hand.

Worsening symptoms at night, often waking individuals from sleep.

Early detection and intervention can prevent the condition from worsening and improve the chances of recovery.

Diagnosis of Carpal Tunnel Syndrome

To diagnose Carpal Tunnel Syndrome, a hand and wrist specialist typically performs a physical examination, which may include specific tests like:

Tinel's Test: Tapping on the median nerve to check for a tingling sensation in the fingers.

Phalen's Test: Holding the wrists in a flexed position for a short period to see if symptoms are triggered.

Further diagnostic tests such as electromyography (EMG) or nerve conduction studies may be used to confirm the diagnosis and rule out other potential causes of symptoms.

Treatment for Carpal Tunnel Syndrome

The treatment for Carpal Tunnel Syndrome depends on the severity of the symptoms. Options range from non-invasive methods to surgical intervention.

Non-Surgical Treatments

Wrist Splints: Wearing a splint, especially at night, can help alleviate pressure on the median nerve and improve symptoms.

Anti-inflammatory Medications: Over-the-counter NSAIDs (like ibuprofen) can help reduce pain and inflammation.

Physical Therapy: Targeted exercises can strengthen the muscles in the wrist and improve flexibility, reducing the strain on the median nerve.

Corticosteroid Injections: In cases of severe inflammation, a corticosteroid injection into the carpal tunnel may provide relief from symptoms.

Surgical Treatment

If conservative treatments fail to provide relief, surgery may be recommended. The procedure, known as Carpal Tunnel Release Surgery, involves cutting the ligament that is pressing on the median nerve, thereby alleviating the pressure. The surgery is typically performed on an outpatient basis and has a high success rate.

Why Seek a Specialist?

Carpal Tunnel Syndrome can be debilitating, and the key to managing it effectively lies in early diagnosis and treatment. Whether you are experiencing mild discomfort or severe pain, seeking the expertise of a hand and wrist specialist can make all the difference in your recovery journey.

When it comes to hand and wrist issues, including Carpal Tunnel Syndrome, you deserve the best care available. Mr. Philip Mathew is one of the leading hand and wrist surgeons in London, with a wealth of experience in diagnosing and treating conditions like CTS. With his extensive knowledge and a patient-centered approach, Mr. Mathew offers the most advanced treatment options to ensure optimal recovery for his patients.

If you're struggling with Carpal Tunnel Syndrome or any other hand and wrist concerns, Book your consultation with a trusted specialist today. London Hand & Wrist Specialists are here to guide you through every step of your treatment plan, offering personalized care and expert solutions to get you back to living a pain-free life.

Contact London Hand & Wrist Specialists to schedule an appointment with Mr. Philip Mathew and take the first step toward healing and recovery!

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Understanding Carpal Tunnel Syndrome: Symptoms, Causes, and Treatment Options

Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, often leading to discomfort, pain, and restricted movement. For individuals who rely on their hands for daily activities, this condition can severely impact quality of life. Fortunately, with the right diagnosis and treatment, CTS can be managed effectively. If you're experiencing symptoms of Carpal Tunnel Syndrome, it's essential to seek expert care to prevent further damage and alleviate pain.

What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway located at the base of the palm of your hand. This tunnel is made up of bones and ligaments and serves as the passage for the median nerve, which controls sensations in the thumb, index, middle, and part of the ring finger.

Carpal Tunnel Syndrome occurs when the median nerve is compressed within this narrow tunnel. This compression leads to a variety of uncomfortable symptoms, including tingling, numbness, weakness, and pain in the hand and wrist. In more severe cases, untreated CTS can even lead to permanent nerve damage.

Symptoms of Carpal Tunnel Syndrome

The symptoms of CTS can vary from mild to severe, and they often worsen over time if left untreated. Common signs of CTS include:

Numbness and tingling: Often felt in the thumb, index, middle, and ring fingers, this sensation can occur at night or during repetitive hand movements.

Pain: The pain is typically felt in the wrist, hand, or forearm, and may radiate up the arm.

Weakness: As the condition progresses, you may notice difficulty grasping objects or weakness in the hand, especially when trying to hold onto small items.

Burning or aching sensations: These can be felt in the wrist or along the fingers and hand.

Many individuals with CTS report that their symptoms are worse at night or after long periods of repetitive hand movements, such as typing or using a mouse.

Causes and Risk Factors

Carpal Tunnel Syndrome is often associated with repetitive movements of the wrist and hand, particularly those that involve force or awkward positioning. Some common risk factors include:

Repetitive activities: Jobs or hobbies that require frequent use of the hands, such as typing, assembly line work, or playing musical instruments, can increase the risk of developing CTS.

Age: The risk of CTS increases with age, especially in individuals over the age of 40.

Gender: Women are more likely to develop CTS than men, possibly due to having smaller carpal tunnels.

Health conditions: Certain health conditions like diabetes, obesity, arthritis, and pregnancy can increase the likelihood of developing CTS.

Diagnosing Carpal Tunnel Syndrome

If you suspect you have Carpal Tunnel Syndrome, it’s crucial to consult with a specialist. A thorough examination is necessary to diagnose CTS accurately, and it often includes:

Physical examination: Your doctor will assess the range of motion in your wrist and hand, checking for tenderness, swelling, and nerve function.

Nerve conduction tests: These tests measure how well electrical signals travel through the median nerve.

Ultrasound or X-rays: In some cases, imaging tests may be used to rule out other conditions.

Treatment Options for Carpal Tunnel Syndrome

Treatment for Carpal Tunnel Syndrome varies depending on the severity of the condition. In most cases, non-surgical options are effective, especially when the condition is diagnosed early.

Conservative treatments:

Wrist splints: Wearing a wrist splint, particularly at night, can help reduce pressure on the median nerve.

Anti-inflammatory medications: Over-the-counter medications such as ibuprofen can reduce swelling and relieve pain.

Physical therapy: Stretching and strengthening exercises can improve wrist mobility and reduce symptoms.

Corticosteroid injections: In some cases, a corticosteroid injection may be administered to reduce inflammation around the median nerve.

Surgical intervention:

Carpal Tunnel Release Surgery: If conservative treatments do not provide relief, surgical intervention may be necessary. This procedure involves cutting the ligament that is pressing on the median nerve to alleviate the pressure.

Why Choose Mr. Philip Mathew, the Best Hand and Wrist Surgeon in London?

If you are suffering from Carpal Tunnel Syndrome and need expert treatment, Mr. Philip Mathew is one of the leading hand and wrist surgeons in London. With years of specialized training and experience, Mr. Mathew is committed to providing the highest level of care, ensuring a personalized treatment plan for each patient. Whether you require non-surgical treatment or surgery, Mr. Mathew has the expertise to guide you through every step of your recovery journey.

At London Hand & Wrist Specialists, we understand the importance of your hand and wrist function in daily life. We offer a comprehensive range of services to help you manage and treat Carpal Tunnel Syndrome effectively.

Book Your Consultation Today!

Don’t let Carpal Tunnel Syndrome limit your quality of life. Book an appointment with Mr. Philip Mathew, the best hand and wrist surgeon in London, and take the first step toward relief and recovery. Our clinic is dedicated to providing world-class care, with advanced diagnostic and treatment options tailored to your individual needs.

London Hand & Wrist Specialists is here to help you regain the function and comfort of your hands and wrists. Contact us today to schedule your consultation and start your journey toward a pain-free life!

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Exploring Effective Treatment Options for Wrist Tendon Disorders: The Role of Wrist Surgery

Tendon disorders are a common issue that affects individuals of all ages and can cause significant pain and disability. Tendons are tough bands of tissue that connect muscles to bones, and any damage or inflammation to these structures can result in discomfort and limited range of motion. One of the areas where tendon disorders frequently occur is in the wrist, which is a complex joint that is essential for a wide range of activities.

Wrist tendon disorders can be caused by a variety of factors, including overuse, injury, or underlying medical conditions such as arthritis. Common symptoms of tendon disorders in the wrist include pain, swelling, stiffness, and weakness. In some cases, conservative treatment options such as rest, physical therapy, and medications may be sufficient to manage symptoms and improve function. However, in more severe cases where conservative measures have failed, surgery may be necessary to repair the damaged tendon and restore proper wrist function.

Wrist surgery for tendon disorders is a specialized procedure that involves repairing or reconstructing the damaged tendon to improve strength and flexibility in the wrist joint. There are several different surgical techniques that may be used, depending on the specific nature of the tendon disorder and the extent of the damage. Some of the most common types of wrist surgery for tendon disorders include:

1. Tendon repair: In cases where a tendon has torn or ruptured, surgery may be performed to reattach the tendon to the bone or other surrounding structures. This can help to restore proper function and prevent further damage to the joint.

2. Tendon transfer: In some cases, a tendon may be too damaged to repair, and a tendon transfer procedure may be necessary. During this surgery, a healthy tendon from another part of the body is repositioned to replace the damaged tendon and restore function to the wrist.

3. Tenosynovectomy: This procedure involves removing the inflamed lining of the tendon sheath to reduce pain and improve movement in the wrist joint. This can be particularly effective for conditions such as tendonitis or tenosynovitis.

4. Debridement: In cases where there is significant damage or degeneration of the tendon, a debridement procedure may be performed to remove damaged tissue and promote healing. This can help to reduce pain and improve function in the wrist.

5. Arthroscopic surgery: This minimally invasive technique involves using a tiny camera and specialized instruments to repair or reconstruct damaged tendons in the wrist. Arthroscopic surgery can help to minimize scarring, reduce recovery time, and improve outcomes for patients with tendon disorders.

It is important to note that wrist surgery for tendon disorders is a highly specialized procedure that should only be performed by experienced and skilled surgeons. Before undergoing any type of surgery, patients should consult with a qualified healthcare provider to discuss their options, risks, and expected outcomes. Physical therapy and rehabilitation are often necessary after surgery to help regain strength, flexibility, and function in the wrist.

In conclusion, wrist surgery for tendon disorders can be an effective treatment option for individuals who are experiencing significant pain and disability due to damage or inflammation of the tendons in the wrist joint. By understanding the various surgical techniques available and working closely with a healthcare provider, patients can make informed decisions regarding their care and achieve the best possible outcomes. If you are experiencing symptoms of a tendon disorder in your wrist, don't hesitate to seek medical attention and explore all available treatment options. A healthy and functional wrist is essential for everyday activities and quality of life, so it is important to address any issues promptly and effectively.

Mr. Philip Mathew is Best Hand and wrist surgeon in London. Book your Hand & Wrist Specialist with us. London Hand & Wrist Specialists.

Make an early appointment with Dr. Philip Mathew, one of London's top wrist and private hand specialists.

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Carpal Tunnel Syndrome: Symptoms and Diagnostic Approach

Carpal Tunnel Syndrome (CTS) is a common condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. This condition can lead to a variety of symptoms affecting the hand and wrist, often impacting daily activities and overall quality of life. Understanding the clinical manifestations and diagnostic methods for CTS is essential for early detection and effective management. Here is a detailed exploration of this condition.

 1. What is Carpal Tunnel Syndrome?

 Carpal Tunnel Syndrome occurs when the median nerve, which provides sensation and motor control to parts of the hand, becomes compressed within the carpal tunnel—a narrow passageway in the wrist formed by bones and ligaments. This compression can result from repetitive hand movements, wrist injuries, or medical conditions such as diabetes, hypothyroidism, and rheumatoid arthritis.

 2. Clinical Manifestations of Carpal Tunnel Syndrome

 The symptoms of CTS vary in severity and can affect one or both hands. Common clinical manifestations include:

 A. Sensory Symptoms:

- Numbness and Tingling: Typically felt in the thumb, index finger, middle finger, and part of the ring finger. These sensations may worsen at night.

- Pain: Often localized to the wrist and hand, but it can radiate up the arm.

- Burning Sensation: Some patients describe a burning feeling in the affected fingers.

- Loss of Sensation: Advanced CTS may lead to reduced ability to feel textures or temperatures.

  B. Motor Symptoms:

- Weakness: Difficulty gripping or holding objects due to weakened thumb muscles.

- Clumsiness: Dropping items frequently or struggling with fine motor tasks.

- Atrophy: In severe cases, the muscles at the base of the thumb (thenar muscles) may shrink.

  3. Risk Factors for Carpal Tunnel Syndrome

 Several factors can increase the likelihood of developing CTS, including:

- Repetitive Hand Movements: Prolonged use of keyboards, tools, or machinery.

- Medical Conditions: Diabetes, obesity, hypothyroidism, and rheumatoid arthritis.

- Pregnancy: Fluid retention during pregnancy can increase pressure in the carpal tunnel.

- Genetics: A smaller carpal tunnel may run in families, predisposing individuals to nerve compression.

 4. Diagnostic Approach for Carpal Tunnel Syndrome

 Diagnosing CTS involves a combination of medical history, physical examination and diagnostic tests. Here’s how the process typically unfolds:

 A. Medical History

Your doctor will ask about:

- Symptoms: Their onset, frequency, and severity.

- Lifestyle and Activities: Any repetitive hand or wrist movements.

- Medical Conditions: Underlying health issues that may contribute to CTS.

  B. Physical Examination

The doctor will perform tests to assess:

- Sensory Function: Checking for numbness or tingling in the affected fingers.

- Strength: Evaluating grip strength and thumb movement.

- Specific Signs:

  - Tinel’s Sign: Tapping on the median nerve at the wrist to check for tingling sensations.

  - Phalen’s Test: Flexing the wrists together to reproduce symptoms.

 C. Diagnostic Tests

If the diagnosis remains unclear, the following tests may be recommended:

- Nerve Conduction Studies (NCS): Measures the speed and strength of electrical signals traveling through the median nerve.

- Electromyography (EMG): Assesses the electrical activity of muscles controlled by the median nerve.

- Ultrasound or MRI: Provides detailed images to identify structural abnormalities in the carpal tunnel.

 5. Importance of Early Diagnosis

Identifying CTS early is crucial to prevent permanent nerve damage and loss of hand function. Timely diagnosis allows for less invasive treatments, such as wrist splints, physical therapy, or corticosteroid injections, to be effective before surgical intervention becomes necessary. Carpal Tunnel Syndrome is a prevalent yet manageable condition that can significantly affect hand function and quality of life if left untreated. Recognizing the symptoms and seeking early diagnosis are key to effective treatment and recovery. If you experience persistent numbness, tingling, or weakness in your hands, consult a healthcare professional promptly. Through a combination of thorough evaluation and appropriate diagnostic tests, CTS can be managed effectively to restore comfort and function.

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Mr.Philip Mathew is Best Hand and wrist surgeon in London. Book your Hand & Wrist Specialist with us. London Hand & Wrist Specialists.

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Get an early appointment with one of London's leading Private Hand and Wrist Specialist. Expert consultants dedicated to the specialism of h

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