Dr. Knight on Endoscopic Carpal Tunnel Release on The Doctors TV show

• Video ID: 8yi4cFvEkY0
• URL: https://www.youtube.com/watch?v=8yi4cFvEkY0
• Uploaded: 2015-07-07
• Duration: 298s
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Description (channel copy)

Dr. Knight discusses the ECTR procedure for relieving carpal tunnel syndrome.

Transcript

today we're reviewing all of the side effects you can avoid and if you spend a lot of time at the computer texting on your phone or even overdoing it at the gym you could be causing serious damage to your hands just ask Sophie I've been suffering with pain from carpal tunnel

for about ten years now I worked as a sheriff's dispatcher for seven years where I was constantly typing for 10 to 12 hours every day carpal tunnel is affecting my life in a lot of ways I make a living as a teacher but with the carpal tunnel I have to stop when I'm

grading papers I'm not able to do things that I normally would do and just a regular routine day when I blow-dry my hair my hands fall asleep when I hold a cell phone up to my ear my hands fall asleep I have shooting pains that go from the bottom of my palm up towards my

fingers I have to take 800 milligrams of ibuprofen every night to help deal with the pain I sleep with braces on my hands if I don't wear my braces at night I'll wake up in my hand is like a claw and I'll have to literally massage my muscles out so that I can extend my hand

to a regular position I haven't had surgery yet because I was afraid of the type of surgery where they were cutting your hand from the middle of your palm all the way down my symptoms have gotten progressively worse and I just got to the point where I feel like I need to do

something we'll give you tips on how to prevent carpal tunnel syndrome in just a minute but first let's take a look at how Sophie's surgery went the procedure that I'm performing a day the endoscopic carpal tunnel release is a much quicker recovery than the standard open

procedure because you have just a small one and a half centimeter score at the wrist crease so we mark the Pam eight bone just on the edge of the carpal tunnel and that indicates the line that I want to put the scope so now we're going to make a little incision and then

I'm gonna make a cut through the fascia that's gonna be kind of my guide into the carpal tunnel the carpal tunnel is a tunnel deep within the risk and it's within that tight tunnel that the tendons that flex the fingers so with repetitive movement you can get a

buildup of inflammation leading to nerve symptoms of numbness and tingling weakness in the hand the ligament is the widest structure and we're cutting through the ligament right there now we're going to pull it back towards the incision

cutting the rest of it and now you can see that there's complete division of the ligament now that I've satisfactorily released the pressure on the tendons and nerves I'm optimistic she'll have a full recovery and I'm here with orthopedic surgeon dr. John Knight

from the handed wrist Institute right here in Beverly Hills and his patients Sophie how are you feeling I feel great surgery was in September right it was in September almost immediately I had wonderful results I haven't had pain

I haven't had to sleep with my braces anymore I don't take the ibuprofen I'm able to do everyday tasks that I wasn't able to do before it's it's been amazing so tell us what makes your stitch list and discove ik carpal tunnel release surgery so special the key is with the

older procedure or traditional procedure there's a three-inch score five to ten sutures this procedure is through a one centimeter incision we put the endoscope in as opposed to cutting down through the skin and fat we insert this device we pull a trigger that insert flips up a

little scalpel and cut the ligament from the bottom up so we minimize all that scarring the patients can start moving it right away compared to three weeks in a brace okay big question for all those sufferers out there what can they do to make it better and to prevent it first

in the first place well the first preventative thing is ergonomic s' posture there's a lot particularly if we're going to talk about this keyboarding or computer use there are split keyboards organ amma Klee correct keyboards I think here today we you have

a mouse that's organ Amma Klee correct and that it you can keep it in by the side and do a lot with finger movement as opposed to having to move the mouse around the key with anything you do with your hands whether it's a computer use or texting or driving a car is relaxing

beyond that the key is if you're doing repetitive use of the hand or arm you want to take frequent breaks and there are a lot of things that you can you know if you're on the tight you know keyboard for an hour at a time you want to take a five or ten minute break get

up stand up there are different stretches you can do that involve holding the hands out like this for count of five and here then here then here each with a count of five back to there and then just shaking your hands out and then sitting back

down but there's also other causes metabolic abnormalities inflammatory conditions like rheumatoid arthritis and lupus and things like that so it's not just the repetitive use gotcha well guess what everyone in the audience is getting an ergonomic