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Peripheral Nerves

Peripheral Nerve Disorders

When a peripheral nerve ailment impacts your well-being, rely on Saudi German Health for specialized treatment concerning nerve pain, compression injuries, trauma, and other peripheral nerve disorders.

The peripheral nervous system (PNS) constitutes a significant facet of your body’s nervous system. It conveys sensory input to your brain, processes essential signals for muscle movement, and facilitates vital subconscious functions such as heartbeat and breathing regulation. Trust us for comprehensive PNS expertise.

Advanced Care for Peripheral Nerve Disorders

Peripheral nerves, vital in the human nervous system, connect the central nervous system (CNS) – comprising the brain and spinal cord – to the body. These nerves, residing beyond the CNS, facilitate communication between the brain and the rest of the body.

The peripheral nervous system is bifurcated into two key segments:

  • Autonomic Nervous System (ANS): Governs involuntary functions and regulates gland activity.
  • Somatic Nervous System (SNS): Manages muscle movement and transmits sensory input from the skin, eyes, and ears to the CNS.

Notable peripheral nerves include the brachial plexus, peroneal nerve, femoral nerve, lateral femoral cutaneous nerve, sciatic nerve, spinal accessory nerve, and tibial nerve.

Our specialized practitioners efficiently diagnose and treat nerve-related functional issues and nerve tumors through advanced surgical methods.

Among the conditions addressed are nerve sheath tumors – growths that stem from nerve sheath tissue. They manifest as benign peripheral nerve sheath tumors (e.g., neurofibromas, schwannomas) or malignant peripheral nerve sheath tumors (sarcomas). Neurofibromas and schwannomas, the most prevalent, are typically non-cancerous.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a common condition that affects the median nerve, one of the nerves that run through the wrist into the hand. CTS occurs when the median nerve, which controls sensation and movement in the hand, becomes compressed or squeezed as it passes through the carpal tunnel, a narrow passageway in the wrist made up of bones and ligaments.

Symptoms of Carpal Tunnel Syndrome:

  • Tingling, numbness, or weakness in the hand, particularly in the thumb, index finger, middle finger, and half of the ring finger
  • Pain or discomfort in the wrist, hand, or arm
  • A feeling of pins and needles or burning in the hand
  • Weakness in the hand and difficulty gripping or holding objects
  • Pain that worsens at night or with prolonged use of the hand

Risk Factors for Developing Carpal Tunnel Syndrome

There are several factors that can increase the risk of developing CTS, including:

  • Repetitive hand motions, such as typing or using a mouse
  • Trauma or injury to the wrist
  • Rheumatoid arthritis
  • Pregnancy
  • Obesity
  • Hypothyroidism
  • Diabetes

Diagnosis of CTS is typically made based on the patient’s symptoms, medical history, and a physical examination. A nerve conduction test may also be performed to confirm the diagnosis.

Treatment options for Carpal Tunnel Syndrome:

Non-surgical treatments:

  • Wrist splinting: to keep the wrist in a neutral position and reduce pressure on the median nerve
  • Non-steroidal anti-inflammatory drugs (NSAIDs): to reduce pain and inflammation
  • Occupational therapy: to teach the patient how to use the hand in a way that reduces pressure on the median nerve.

Surgical treatments:

  • Carpal Tunnel Release (CTR) surgery: During this procedure, a small incision is made in the wrist, and the ligament that is compressing the median nerve is cut, releasing the pressure on the nerve and improving symptoms.
  • Endoscopic Carpal Tunnel Release (ECTR): This procedure uses a small camera to visualize the carpal tunnel, and a small incision is made in the wrist to release the pressure on the median nerve.

It’s important to consult with a qualified hand surgeon or neurologist if you suspect you may have Carpal Tunnel Syndrome. They can provide a proper diagnosis and recommend the best course of treatment for your individual needs.

FAQs

Why do nerve lesions occur?

Peripheral nerves can be damaged in several ways:

  • Injury by cut, crush or acute and chronic (Carpal Tunnel syndrome) compression
  • Metabolic Disorders/Medical conditions, such as Pregnancy, Diabetes, Renal failure (dialysis patients), mucopolysaccharoid, …)
  • autoimmune Diseases (Guillain-Barre syndrome, Lupus, Rheumatoid arthritis and Sjogren’s syndrome, ….)
  • Intoxications, ……


Chronic compression syndromes are by far most frequent.

Which nerve compression syndromes are there in the hand area?

Nearly 50% of all humans will experience more or less carpal tunnel syndrome during aging.
Other frequent chronic nerve compression syndromes in the arm are:

  • Carpal tunnel syndrome
  • Sulcus ulnar nerve syndrome
  • Posterior interosseous nerve syndrome
  • Thoracic outlet syndrome (TOS)
What are the consequences of carpal tunnel syndrome for us?

The resulting functional disorder depends on the extent and duration of the constriction. It can range from slight discomfort (“hands go to sleep”) to a minor motor weakness (increasing clumsiness) to complete (senso-motor) paralysis. Nocturnal pain is also typical, waking the patient up and causing him to shake his/her hands or let him/her hang down from the bed.

How can you treat carpal tunnel syndrome?

Nerve lesions of any kind need a full neurological work-up (Neurology).
In principle, conservative and surgical therapy are available, but wait and see behavior is also an option.

Related Treatments:

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