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Ichilov Medical Center
Orthopaedics

Hand Surgery in Israel

Doctor Ram PaltiDoctor Ram Palti

senior physician of the hand surgery department

Carpal tunnel syndrome is one of the hand conditions that most commonly occurs in people whose profession involves increased strain on the hand and wrist. The Top Ihilov Clinic has all the means and capabilities for the most effective and safe treatment of this condition. Here, there are microsurgical microscopes, robotics, and highly experienced staff trained to perform high-tech surgeries.

1900
patients have undergone conservative treatment methods at the Top Ihilov Clinic
80%
of surgeries are performed using minimally invasive techniques
1230
procedures using the modern "da Vinci" system

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Treatment of carpal tunnel syndrome at Top Ihilov is handled by leading Israeli specialists, such as

What is carpal tunnel syndrome?

carpal tunnel syndromeThe carpal tunnel (from the Latin carpus – wrist) contains the median nerve as well as the tendons of the finger flexor muscles, and is shaped like a tunnel formed on one side by the wrist bones and on the other by the transverse carpal ligament.

Carpal tunnel syndrome develops when the structures passing through it are compressed, resulting in paresthesias (the so-called "pins and needles") and numbness in the fingers. Symptoms worsen at night.

As the disease progresses and without treatment, problems with holding objects in the hand may arise, and the functionality of the hand (or both hands, in the case of bilateral involvement) decreases. In particularly advanced and severe cases, signs of atrophy and ulcers may appear on the hands.

This situation is caused by inflammation of the tendons, leading to swelling and, consequently, compression of the structures in the tunnel, causing all the aforementioned symptoms. Inflammation can result from infectious or non-infectious causes, overuse of the hand, or working in an uncomfortable position.

Carpal tunnel syndrome is most commonly seen in athletes (tennis players, hockey players, etc.), musicians (violinists), and others.

 

Treatment of carpal tunnel syndrome at the Top Ihilov Clinic

In addition to having modern equipment and professional doctors, the best treatment outcomes at the Top Ihilov Clinic are facilitated by:

  • Comprehensive individualized approach to the patient
  • Aiming to reduce the negative impact of surgery by using endoscopic and microsurgical techniques
  • Conservative and rehabilitative therapy (intra-articular injections, exercises, physiotherapy, use of non-steroidal anti-inflammatory drugs, and immobilization of the hand at night with a splint).

If there is no positive effect from the therapy, minimally invasive surgical intervention is performed.

Surgical operations for carpal tunnel syndrome are performed under local anesthesia using endoscopic techniques, which reduces the duration of the rehabilitation period and the possibility of postoperative complications.

Diagnosis of carpal tunnel syndrome

Top Ihilov specialists, in diagnosing carpal tunnel syndrome, in addition to clinical examination, use electromyography stimulation – a method that allows for the examination of the conduction characteristics of electrical impulses along the median nerve. MRI and X-rays of the wrist are also performed if necessary.

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  • Carpal tunnel syndrome

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