Carpal tunnel syndrome is a common condition caused by the entrapment of the median nerve in the carpal tunnel, resulting in numbness and significant pain in the hand, fingers and wrist.
Factors affecting recovery following nerve repair:
-- most important factor
- Level of injury
-- the more distal, the better the chance of recovery
- Sharp transections have better prognosis
- Repair delay
-- worsen prognosis of recovery (time limit for repair is 18 months)
- Return of function
-- pain is first modality to return
Non-operative treatment options include observation with sequential EMG. The conservative treatment indications are neuropraxia (1st degree) and axonotmesis (2nd degree).
In many instances, nerve injuries require surgical reconstruction, such as nerve grafting.
Physical therapy is sometimes needed after a nerve injury. Factors that may affect results after nerve repair include age, the type of wound and nerve, and location of the injury.