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Predicting Outcomes for Carpal Tunnel Surgery

Lately, there have been a number of articles published on research relating to anxiety caused by untreated carpal tunnel syndrome. It would be nice to be able to predict accurately how each person is going to react to the treatment, i.e., no pain vs. lots of pain, and how quickly…

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Small Joint Denervation in Grand Island

In years gone by, joint fusion- bonding bones together to eliminate painful motion- was the only way to treat advanced arthritis.  In the late 1960s, joint replacement as we know it today became a reasonable option.  Based on extensive anatomic research, denervation, or removal of nerves going to the responsible…

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The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality

Not much has been written specifically about evaluating sleep in patients with carpal tunnel syndrome but it is clearly a big problem.  It seems like about 7 out of 10 people seek treatment for carpal tunnel syndrome specifically because pain or numbness in their hands is keeping them awake at…

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Endoscopic Carpal Tunnel Release

Endoscopic Carpal Tunnel Release Endoscopic carpal tunnel release (ECTR) is preferred over mini-open release. Despite the overwhelming advantage of endoscopic carpal tunnel release over open technique which involves much greater tissue injury, discomfort, and delay in return to work, there is still a controversy among many surgeons. Most of them…

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Candidates for Carpal Tunnel Surgery

Carpal tunnel release in patients with nerve conduction studies which are normal. There has been a little bit of a controversy over the years on who is a candidate for surgery of the carpal tunnel. Neurologists have frequently been misguided into thinking that a nerve conduction study is prognostic when,…

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