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Can I Have Carpal Tunnel Release On Both Sides At Once?

Can I Have Carpal Tunnel Release On Both Sides At Once?

Unfortunately, carpal tunnel syndrome is very common. One out of every 20 adult Americans has this condition, which can interfere with sleep, work, and free-time activities. Worse still, many have severe problems in both hands.

Sometimes simple treatments for carpal tunnel can help to quiet down the symptoms, especially if the symptoms came on recently. These include oral anti-inflammatories such as steroids or NSAIDs, wearing a wrist splint at night, avoiding activities that make the symptoms worse, and even injections performed by a hand surgeon such as Dr. Nelson.

But what do I do when carpal tunnel on both sides does not get better?

Carpal tunnel release is the time-tested treatment for carpal tunnel syndrome. It reliably and quickly relieves the numbness, tingling, and especially night pain and gripping pain due to carpal tunnel syndrome. And in most patients, it does this permanently!

However, patients with carpal tunnel on both sides, also known as “bilateral carpal tunnel syndrome,” worry about having surgery on both hands at the same time. Some are concerned that they will not be able to take care of themselves. For example, they are worried that dressing, going to the bathroom, picking up a small child will become too difficult. Simply put, they feel they need to have one “good hand” to help out while the operated hand heals.

But with new technology and a technique offered by North Carolina Carpal Tunnel Specialist Dr. Johnny T. Nelson, MD, this is no longer the case.

For many years, carpal tunnel release was done with an open incision in the palm. While this treats and cures the symptoms of carpal tunnel syndrome, the incision in the palm can be painful, especially in the early days after surgery. This can require a prolonged healing time, where heavy or even simple, light activities around the house can be difficult.

However, Dr. Johnny T. Nelson is an expert in the treatment of carpal tunnel syndrome under ultrasound guidance!

Due to the extremely small “poke” incision on the wrist, without an incision on the palm, the same release and relief of symptoms can be done “inside-out” while shortening the period of healing pain after the surgery. With ultrasound-guided carpal tunnel release, most patients with carpal tunnel on both sides have it treated on the same day. With ultrasound-guided carpal tunnel release, you may return to all activities immediately, including cooking, hygiene, dressing, and even work, including heavy or repetitive labor.

Since 2022, 50% of patients treated by Dr. Johnny T. Nelson, MD have both carpal tunnels released at the same time!

If you have carpal tunnel on both sides and you are ready to be free of your symptoms, ultrasound-guided carpal tunnel release on the same day for both hands is often the best option for you. But remember, every patient is different! Your treatment plan depends on a one-on-one consultation with Dr. Johnny T. Nelson MD, North Carolina Carpal Tunnel Specialist. Call 919-872-5296 for an appointment.

Can I Have Carpal Tunnel Release On Both Sides At Once? Read More »

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Carpal Tunnel Release Through A Tiny Skin Poke: How Is That Possible?

Carpal Tunnel Release Through A Tiny Skin Poke: How Is That Possible?

If you have carpal tunnel syndrome or are thinking about a carpal tunnel release procedure, you may have questions about your incision!

Carpal tunnel release is a time-tested surgery that cures carpal tunnel syndrome for good.  It has very high success rates.  There are also many different ways to perform a carpal tunnel release.  If you are scheduled to have a carpal tunnel release surgery, you should ask your surgeon what type of release will be performed and what your incision will look like.

Raleigh, North Carolina, Carpal Tunnel Specialist Dr. Johnny T. Nelson, MD specializes in advanced ultrasound-guided surgery.  As a result, this special skill allows Dr. Nelson to perform a carpal tunnel release through a 5 mm “poke” in the skin of the wrist.

How is this possible?

All carpal tunnel release procedures do the same thing.  The goal of a carpal tunnel release is to open a special band inside the wrist that allows the carpal tunnel to grow slightly wider.  When the tunnel grows slightly wider, the carpal tunnel nerve has more room to “breathe.”  So whether your surgeon performs an open carpal tunnel release or an ultrasound-guided carpal tunnel release, the goal is the same.

But what is different is how they get there!

Open carpal tunnel release arrives at the special ligament by going through the skin of the palm.  To do this, an incision is necessary in the thick skin of the palm, which has more nerve endings.  Other structures have to be cut through as well, including a special tissue called “fascia” deep to the skin.  Dr. Johnny T. Nelson, MD describes the skin and the fascia as “innocent bystanders.”  They do not cause carpal tunnel symptoms but need to be cut through for a open carpal tunnel release.

On the other hand, carpal tunnel release with ultrasound guidance allows the most targeted treatment possible.  Through a tiny 5 mm poke incision, Dr. Nelson is able to release the special ligament only.  There is no incision on the palm skin, and there is no “innocent bystander” tissue!  Think of this as performing carpal tunnel release from the “inside out.”  This is not possible without a special camera or an ultrasound machine.

So how is it possible?  It is possible because of ultrasound!

If you have carpal tunnel syndrome, numbness, tingling at night or during the day, call 919-872-5296 today to schedule your visit with Dr. Johnny T. Nelson, MD.

 

Carpal Tunnel Release Through A Tiny Skin Poke: How Is That Possible? Read More »

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Is It Normal to Have Redness around My Incision after Ultrasound-Guided Carpal Tunnel Release?

The short answer is: Yes!

Before we explain, it is important to understand that if you have questions about your surgery, your incision, or any concerns about redness, swelling, pain, etc., it is very important to consult the surgeon who performed your procedure. While redness can be a normal response of the human body to a procedure, including carpal tunnel release for carpal tunnel syndrome, it could also represent the signs or symptoms of an infection.

sonexhealedWhen a surgeon, such as Dr. Johnny T. Nelson, MD, performs a carpal tunnel release procedure, it is necessary to make a small opening in the skin. This opening, called and “incision,” allows the hand specialist to introduce a special device into the carpal tunnel. This allows the carpal tunnel to be released from the “inside out.”

It is important to understand that when a cut or injury happens by accident, the human body responds right away. This response ensures that bacteria and bugs from the outside world do not find their way inside the body and cause an infection. The signs of this response include warmth, redness, and swelling.

But the human body cannot tell the difference between an accidental cut and a surgical incision.

Because the human body sees the surgical incision the same as an accidental cut, it is normal to see some of the same signs. These include warmth, redness, and swelling. This is often called the “inflammatory” steps of healing. Your hand specialist, Dr. Johnny T. Nelson, MD, will counsel you on what to expect after your ultrasound-guided carpal tunnel release procedure.

And most importantly, if you undergo a carpal tunnel release procedure, Dr. Nelson will follow you closely to make sure that you are healing well.

If you have carpal tunnel or are considering having a release procedure, make sure you call 919–872–5296 today to schedule a visit with Dr. Johnny T. Nelson, MD, North Carolina carpal tunnel expert!

Is It Normal to Have Redness around My Incision after Ultrasound-Guided Carpal Tunnel Release? Read More »

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