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Carpal tunnel syndrome is a common condition that causes pain, numbness, tingling, and weakness in the hand and wrist. It happens when there is increased pressure within the wrist on a nerve called the median nerve. This nerve provides sensation to the thumb, index, and middle fingers, and to half of the ring finger. The little finger is typically not affected.
It affects people who use their wrists and hands repeatedly at work and at play. Anyone can get carpel tunnel syndrome, but it is unusual before age 20. The chance of getting carpal tunnel syndrome increases with age.
People at risk for carpal tunnel syndrome are those who do activities or jobs that involve repetitive finger use. Motions that can place people at risk of developing carpal tunnel syndrome include:
Carpal tunnel syndrome is also more common in women than in men.
In the most severe condition, the muscles at the base of the thumb visibly shrink in size (atrophy).
Tests are performed, which may include:
Platelet-rich plasma is a form of regenerative medicine. It uses injections of your own blood platelets to help with healing.
Platelets, or thrombocytes, are a type of blood cell. Their main function is clotting blood. They’re produced in your bone marrow. Platelets contain growth factors. These are proteins that may be helpful in healing injuries.
A healthcare professional will collect a small amount of your blood (approx. 15-20 ml only). They will place your blood into a centrifuge. This spins your blood at different speeds until it separates into different layers. One layer is the platelet-rich plasma. This layer of plasma may have as much as three-four times more platelets than regular blood.
The platelet-rich plasma will then be injected into your affected area. We will first numb the area with local anaesthetic. The pain at the site may increase for the first 1-2 days. It could take 1 week before you feel any improvement.
Avoid taking non-steroidal anti-inflammatory medications ( NSAIDs) after your treatment as this may block the effect
The effectiveness of platelet-rich plasma treatment depends on several factors, including:
Many clinical trials have supported its use.
Some studies have found that platelet-rich plasma injections significantly reduced pain compared to placebos. People’s physical function also improved significantly. These benefits continued at 3, 6 and 12 month follow-ups.
There’s no chance of an allergy or immune reaction to platelet-rich plasma treatment because the plasma is taken from your own blood. Side effects and complications are rare.
The doctor will clean the area over the joint and insert a small needle into the fluid-filled area around the joint bones under imaging guidance. When it is in the correct position, they will inject the PRP into the joint. They will remove the needle and cover the injection site with a small dressing.
Occasionally it is difficult to inject much medicine into the joint space, especially if the joint is extremely swollen. If this is the case, other medicines may be prescribed to reduce the swelling before the injections are tried again.
We have a very fast and competent working team (Consultant, fellow, clinical assistant, technician, and ward assistant) which provides you with a comfortable atmosphere and eases your nerves. The usual time of stay is around a few hours.
Every procedure carries a risk, although this is extremely small. The risk of infection with this procedure is extremely small as no incisions are made in the skin.
You can resume your work after 1 day if the existing disease allows.
