Kts left
August 26, 2015 | 20,00 EUR | answered by Dr. med. Christian Theiß
Last year in October, after 6 months of monotonous work, I was diagnosed with left carpal tunnel syndrome with a 5.5 ms delay of the median nerve. The likely cause is a chronic thickening of the tendon sheath tissue. I have not been working since last October and have been treated conservatively. In early July 2015, a value of 3.7 ms was measured. Can such a chronic thickening of the tendon sheath tissue regress or normalize again?
Good evening,
I am a neurosurgeon and I am happy to help you.
Electrophysiologically, a progressive carpal tunnel syndrome has been clearly diagnosed in you. The causes are a thickening of the flexor retinaculum, a band that spans the carpal tunnel. This thickening leads to compression of the median nerve, and has nothing to do with thickening of tendon gliding tissue.
No, spontaneous regression with nerve relief will not occur. If conservative therapy, which aims to prevent progression, has failed - as it has in your case - the only option left is surgical relief. This is a minor outpatient procedure under local anesthesia (duration: 15 min) - but with great effect. Importantly: the longer the compression of the nerve tissue persisted, the more difficult it is for the nerve to recover.
Best regards and best wishes
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