Best Carpal Tunnel Syndrome Treatment in India

Carpal tunnel syndrome is a medical condition arising from compression of the median nerve when it travels through the wrist at the carpal tunnel.

SYMPTOMS
Symptoms of carpal tunnel syndrome may include numbness, tingling, and pain in the thumb and index, middle, and ring fingers. Occasional shock-like sensations along with weakness and clumsiness in the hand; making it difficult to perform fine movements such as buttoning the clothes and dropping things. In the majority of the cases, the symptoms begin gradually without any specific injury. As the situation worsens, symptoms occur more frequently or may persist for longer periods of time. Many a times, symptoms get aggravated during the night or even during the day when the wrist is kept in the same position like when talking on the phone.
Numerous patients find that moving or shaking their hands relieve them of their symptoms like pain and numbness. Despite it being a gradual process, for the majority of the people with carpal tunnel syndrome, the symptoms are bound to get worse with time if left untreated. Consequently, it is imperative to be assessed and diagnosed by the physician early on. In the early stages, it may be possible to slow down or even stop the progression of the disease.

TREATMENT

Nonsurgical Treatment

Carpal Tunnel Syndrome Treatment in India is usually recommended as, without surgery, the symptoms of carpal tunnel syndrome can often get relieved, if diagnosed and treated early. Also, it is recommended if the diagnosis is uncertain or if the symptoms are mild, and does not necessarily require surgical intervention. Non-surgical treatment includes wearing a splint or brace to reduce the pressure on the median nerve by helping in keeping the wrist in the straight position. Administering nonsteroidal anti-inflammatory drugs (NSAIDs) such as can help relieve pain and inflammation. Sometimes change in certain types of activities which requires the hand and wrist to be in the same position for long periods of time helps

In some cases, this also includes making changes to your type of job, change in work location or even works station. A steroid injection like corticosteroid acts as a powerful anti-inflammatory agent and may relieve symptoms for some period of time.
Some patients may benefit from exercises that help the median nerve move more freely within the confinement of the carpal tunnel.

Surgical Treatment

If nonsurgical treatment does not relieve your symptoms, the surgeon may recommend for a surgery. This decision is based on the severity of the symptoms of pain and numbness. Also, in chronic cases with wasting of thumb muscles, surgery may be recommended and required to prevent irreversible damage.

The surgical procedure performed for carpal tunnel syndrome is called a "carpal tunnel release." The goal of the surgery is to relieve pressure on the median nerve by cutting the ligament that forms the roof of the tunnel. This further leads to an increase in the size of the tunnel and decreases pressure on the median nerve.

Best Brain Tumor Treatment in India- Brain Tumor Best Hospitals & Doctors

The brain is the composed of nerve cells and supportive tissues like glial cells and meninges.
Primary brain tumor begins within the brain and can be either malignant (contain cancer cells) or benign (do not contain cancer cells). A secondary brain tumor may originate elsewhere in the body and then migrate to the brain. The exact cause of brain tumor is still unknown; however, the risk factors are exposure to ionizing radiation and family history.

The signs symptoms of depending on their size of a tumor, type of tumor, and where it is located. Treatment options and recommendations depend on several factors:

• The size, type, grade, and spread of the tumor
• Whether the tumor is pressurizing vital parts of the brain
• Possible side effects
• Overall health and quality of life of the patient

Symptoms
Symptoms can include hemiparalysis, seizures, personality changes, changes in grasp reflex, speech changes, loss of smell unilaterally, inability to recognize objects in hand, contralateral visual field defects, tremors, nystagmus, one-sided deafness, vomiting, headaches, unequal pupils, amnesia for recent events, and somnolence.

Treatment

Treatment options include chemotherapy, radiation therapy, surgery, and targeted therapies, along with symptomatic treatment and care for side effects.

Chemotherapy

Chemotherapy is the use of drugs to kill tumor cells and ends the growth of cancer cells, usually given after surgery or with or after radiation therapy. Chemotherapy can be given via oral route in the form of a pill or capsule or via intravenous injection placed into a vein using a needle or via a catheter or port. A chemotherapy regimen usually consists of a specific number of cycles given over a fixed period. A patient may receive one drug or different combinations of a drug at the same time.

The side effects of chemotherapy include fatigue, neutropenia with an increased risk of infection, nausea, vomiting, hair loss, loss of appetite and diarrhea.


Radiation therapy

Radiation therapy is the use of high-energy x-rays to destroy tumor cells to inhibit or kill the growth of the tumor. It is mostly given after surgery and may also be given along with chemotherapy. The most common type of radiation treatment is called external-beam radiation therapy, which is radiation given from a machine outside the body. When radiation treatment is given by means of implants, it is called as internal radiation therapy or brachytherapy. External-beam radiation therapy can be directed at the tumor by conventional radiation therapy, 3-dimensional conformal radiation therapy, intensity modulated radiation therapy, proton therapy, or Fractionated stereotactic radiation therapy.

Short-term side effects from radiation therapy may include mild skin reactions, weakness, hair loss, upset stomach, vomiting, upset stomach, and neurologic symptoms. Radiation destroys healthy tissue as well and is not recommended for small children.

Surgery

Surgery is the removal of the tumor and is usually the first treatment for a brain tumor and for a low-grade brain tumor. Removing the tumor can improve symptoms and improve the prognosis of a person with a brain tumor. If the tumor is near the speech center of the brain, many times the operation is performed with the patient remaining awake during the surgery. In addition to removing the size of the brain tumor, surgery can provide a tissue sample for biopsy analysis. For a cancerous tumor, even if it cannot be cured, removing the tumor itself can help in reducing the symptoms which were arising from the pressure on the brain.


Targeted therapy

In addition to standard chemotherapy, targeted therapy is a treatment that targets the tumor and blocks the growth of tumor cells while simultaneously limiting the damage to healthy cells

Anti-angiogenesis therapy is also a type of targeted therapy used that focuses on inhibiting angiogenesis (forming new blood vessels that helps tumor to spread fast). The objective of anti-angiogenesis therapies is to “starve” the tumor. Bevacizumab (Avastin) is an anti-angiogenesis therapy used to treat glioblastoma multiforme (GBM) when the standard or existing or prior treatment has not worked.


Palliative and symptomatic care

An important part of care is alleviating the patient’s symptoms and side effects. This approach is called palliative or supportive care, and it includes supporting the patient with his or her physical, emotional, and social needs, improving quality of life, and supporting patients and their families. It works finest when palliative care is started as soon as possible and as needed in the treating process. In fact, patients who receive both the treatment and palliative care at the same time often have less severe symptoms, better quality of life, and report that they are more satisfied with treatment.

Palliative treatments vary widely and often include medication, nutritional changes, relaxation techniques, emotional support, and other therapies. Supportive care for people with a brain tumor includes corticosteroids to lessen swelling in the brain, improve neurological symptoms by decreasing the pressure and anti-seizure medicines to control seizures.