Understanding Entrapment Neuropathies

Peripheral nerves can become compressed at natural narrow points as they travel along limbs leading to pain numbness tingling and weakness in specific patterns Carpal tunnel syndrome is the best known example where the median nerve is squeezed as it passes through a tight canal at the wrist often causing night pain hand clumsiness and difficulty gripping objects Similar problems can occur at the elbow for the ulnar nerve or at the fibular head near the knee for the peroneal nerve Early symptoms may respond to splints and activity modification but persistent or severe cases benefit from surgical decompression to prevent permanent nerve damage

Assessment Before Surgery

Orthopaedic and neurology teams at Livasa Hospitals take a detailed history of symptom timing aggravating activities previous injuries and medical conditions such as diabetes or thyroid disease that predispose to nerve problems Examination maps out sensory loss muscle weakness and provocative signs such as tapping or wrist flexion tests Nerve conduction studies and electromyography are often requested to confirm the site and severity of compression and to exclude more widespread neuropathies This careful evaluation ensures that surgery is directed at the correct location and that expectations are realistic particularly when symptoms have been long standing

Carpal Tunnel Release Procedure

Carpal tunnel release is usually carried out as a day care procedure under local anaesthesia or regional block A small incision is made in the palm in line with the canal and the transverse carpal ligament is divided to open the roof of the tunnel This relieves chronic pressure on the median nerve while leaving other wrist structures intact The skin is closed with sutures and a light dressing is applied Most patients notice improvement in night pain and tingling within days while grip strength and fine control recover over weeks to months as the nerve heals

Other Peripheral Nerve Releases

Similar principles apply to ulnar nerve release at the elbow for cubital tunnel syndrome and peroneal nerve release at the knee for foot drop due to entrapment Depending on anatomy and severity the nerve may be decompressed in its natural groove or transposed to a new position with less tension Surgery is again followed by rehabilitation that emphasises protection of the nerve restoration of joint motion and strengthening of affected muscles

Rehabilitation and Outcomes

After nerve release early finger and wrist motion is encouraged to prevent stiffness while heavy gripping or prolonged pressure on the surgical site is avoided for a short period As discomfort settles patients are guided through strengthening and ergonomic adjustments at home or workplace to avoid recurrence Many people experience durable relief of symptoms and improved hand or limb function when surgery is timed before irreversible nerve damage occurs

Why Choose Livasa Hospitals for Peripheral Nerve Surgery

Livasa Hospitals provide integrated assessment with neurology neurophysiology and orthopaedic surgery ensuring accurate localisation of nerve problems and appropriate timing of decompression Day care operating facilities physiotherapy and occupational therapy support enable safe efficient treatment and return to work for patients with carpal tunnel and other entrapment neuropathies across Punjab

Livasa Hospitals Punjab Network Contact

Livasa Healthcare Group Network of Multi speciality Hospitals in Punjab
Corporate Office Phase 8 Industrial Area Sector 73 Punjab 160071 India