Bottleneck syndrome of peripheral nerves. Carpal tunnel syndrome, ulnaris syndrome, tarsel tunnel syndrome
With so-called bottleneck syndrome, an important nerve is pinched on an arm or leg. Through degeneration or over-loading, these so-called peripheral nerves surrounding larger joints become constricted and damaged.
The most common bottleneck disease is the so-called carpal tunnel syndrome (CTS), in which the median nerve in becomes pinched in the wrist (the nerve must squeeze through a narrow canal, formed from bone and ligament connections). In addition, the ulnaris nerve is frequently pinched near the elbow (ulnaris syndrome), as well as the shin nerve near the ankle (tarsel tunnel syndrome). The patient suffers from nerve function failure with loss of tactile feeling, paralysis of the hands or feet, and severe pain. These symptoms and pain occur often at night.
Under local anesthetic and, if desired, also under full narcosis, the doctor makes a mere two centimeter incision over the pinched nerve. The constricting, bony canal is then opened and with it, the nerve compression is eliminated. At the same time, protuberant ligament tissue is removed from this point, which significantly reduces the risk of a repeat occurrence. By severe nerve damage around the elbow, it is occasionally necessary to shift the nerve to the inside of the elbow (crook).
Bottleneck syndrome of peripheral nerves (i.e. carpal tunnel syndrome, ulnaris syndrome, tarsel tunnel syndrome)
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