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Dr. Loredo Talks Carpal Tunnel on Nightcap TV

Do you Google your health issues? If you’re reading this, the answer is probably “yes.” For an estimated one third of Americans, Google is one of the first places to turn when experiencing painful new symptoms. To help inform all those internet sleuths out there, Nightcap TV’s “Googlechondriac” segment features physicians who specialize in common health issues. Dr. Pedro Loredo of Renova Hand Centers recently came on the show to talk about carpal tunnel syndrome.

Carpal tunnel syndrome seems to be getting a lot of attention these days—and there’s a reason for that. “We are seeing more carpal tunnel syndrome due to more activity with technology: using cell phones, using computers, sending emails, sending texts,” explained Dr. Loredo. It is estimated that about 2 million Americans suffer from CTS.

Commonly understood as a repetitive strain injury or RSI, carpal tunnel syndrome is the result of inflammation in the median nerve, which runs through the transverse carpal ligament in the wrist. With continuous activity, inflammation and swelling only increase, causing the nerve to press against the transverse carpal ligament. This pressure is the source of telltale signs of carpal tunnel: numbness and tingling in the wrist, palm, and fingers, aching in the hand, and weakness of grip.

Dr. Loredo advises patients not to try and tough it out. “At first, some people think ‘Oh it’s just a nuisance, I’ll shake it off.’ But they don’t realize that that little nuisance can cause injury and damage to the nerve that can be permanent,” he warns.

There are many ways to alleviate symptoms of carpal tunnel syndrome, including rest and physical therapy. For many people—up to half a million each year—surgery is the key. The good news is that with the right doctor, carpal tunnel surgery can be a relatively quick and painless process. At Renova, Dr. Loredo provides an exclusive endoscopic procedure known as AccuCisionTM.

AccuCisionrequires only two tiny incisions, just a few millimeters long. These allow the doctor to insert a thin canula in the wrist. “We put in a clear canula to see 360 [degrees] all around the actual anatomy, to see the nerve and tendons,” Dr. Loredo explains. “Then we put our little blade in to release the ligament, to get the compression off that nerve and to allow the nerve to heal itself.” The surgery lasts about five minutes and requires no stitches.

The host of Nightcap TV pointed out a major difference between this procedure and traditional carpal tunnel release. “After about a week in a splint, you’re good to go,” he explained. “Not that long ago, patients were in a splint for six weeks and then rehabbing for six weeks.”

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