Are you experiencing pain and tingling in your wrist which is waking you at night?

Have you been diagnosed with carpal tunnel syndrome ?

Find out more about our:
– painless surgery technique
– accelerated recovery

Call: 01209 891434

WHAT IS CARPAL TUNNEL SYNDROME?

Carpal tunnel syndrome is a disorder where one of the main nerves which supplies the hand (the median nerve), which gives sensation to the thumb, index and middle fingers, becomes squashed as it passes through the wrist (in the carpal tunnel) from the forearm into the palm.

SURGERY (MR KURER’S TECHNIQUE)
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MR KURER’S ACCELERATED RECOVERY REGIME
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POPULAR CARPAL TUNNEL MYTHS
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ABOUT MR KURER

Mr Michael Kurer is a Consultant Orthopaedic surgeon in practice in both the NHS at North Middlesex University Hospital and privately in North London. He trained at University College London School of Medicine and at the Royal National Orthopaedic Hospital.

He has been a consultant for over 20 years.

OTHER QUERIES

+ Surgery while on Warfarin (or other blood thinners)

This surgery can be done without stopping warfarin treatment. The local anaesthetic used means that bleeding is not a problem
Removable stitches are used and these are taken out after 14 days

+ Surgery on both hands at the same time

There are patients where both hands are affected who wonder whether they can have both hands operated on at once because that means that after a few weeks, both are recovered.
The simple answer is ‘yes’, but Mr Kurer recommends that there is help at home for a few days.

+ EMG’s and Nerve Conduction
Studies

EMG’s or Electromyography and Nerve Conduction Studies are a special electrical test of the nerves in this case, of the arm.
They measures whether there is slowing of the conduction of the nerves.
It is a very useful test because it is very accurate. It can distinguish between severity of nerve entrapment (mild, moderate of severe)
Anyone who is not sure whether they have carpal tunnel syndrome may have an EMG test and if the doctor is not sure because the symptoms are not typical, he will arrange an EMG test.
Some patients have so obviously got carpal tunnel syndrome that there is no need to do EMG testing.
If there is doubt, the test should be done. Sometimes patients will have an abnormal test, but with minimal symptoms. In that event it is safe to wait and not treat.
If the nerve tests show severe carpal tunnel syndrome, then this means that surgery should probably be done urgently because there is less chance of a full recovery if surgery is delayed.

+ Post operative instructions (PDF download)

You will return from the operating theatre with a large bandage.

You may go home as soon as you feel well enough.

You should take simple pain-killers such as Paracetamol, or Ibuprofen.

The nurses will give you several new sticking plasters to take home.

The day after surgery, you should take off the bandage completely.

You will find a sticking plaster beneath it.

Wash your hand with this sticking plaster on. You can go in the shower if you want.
Use ordinary soap and water.

At the end of the wash or shower, peel off the plaster carefully and put on a new
fresh plaster from the ones you were given at the hospital. The wound has internal
stitches, which you cannot see. They will dissolve on their own and will not need to
be removed.

Each day repeat the wash and re-application of the plaster.

You may use your hand as pain allows. You can try to drive, but it may take a few
days before you can grip the steering wheel safely.

By five days, the wound will probably be dry and healed and will not necessarily
need a plaster, although you may prefer to keep it covered.

If the wound becomes red or very painful or starts to discharge, then contact your
doctor or Mr Kurer’s secretary on 01209 891434, or at weekends, the hospital in
which the operation was done (Garden Hospital 020 8457 4500, Kings Oak
Hospital 020 8370 9500).

Good luck, I am sure you will do well!

Please CLICK HERE to download a PDF of the post operative instructions.

SELF-PAY PACKAGE

Self-pay package includes initial consultation, surgery and one follow-up at 10 days, including use of the minor-operating room and all medication, bandaging and requirements for the surgery. Cost: £1200.00

Contact my secretary on 01209 891434 or fill out the form below and we’ll get back to you: