In recent years, with the gradual frequency of mobile phone clicking, mouse dragging, keyboard typing and other actions in various industries, carpal tunnel syndrome (commonly known as "mouse hand"), a disease that was once more common in middle-aged and elderly patients, is also gradually getting younger.
Carpal tunnel syndrome, mostly because of long-term overuse of the hand and wrist, causing chronic inflammatory damage, resulting in the "carpal tunnel" of the nerves, tendons and other tissues through the relative narrowing, the road is crowded, the nerves are stuck and inflamed, naturally will feel wrist pain, finger numbness and weakness, belongs to a kind of nerve entrapment syndrome. Doctors remind that if there is repeated hand pain, paresthesia, or even muscle weakness, atrophy and other symptoms, it is necessary to seek medical treatment, timely treatment, and timely intervention to prevent irreversible neuropathy.
A few days ago, Aunt Li, 50 years old this year and usually does housework, because her hands are becoming more numb and painful, which seriously affects her daily life, she found Jiang Li, director of the Rehabilitation Medicine Department of the Sixth Affiliated Hospital of Sun Yat-sen University. After listening to Aunt Li's description, Jiang Li arranged a complete electromyography and ultrasonography for Aunt Li, and according to the examination results, the diagnosis was made of carpal tunnel syndrome.
After fully combining the specific condition of Aunt Li, Jiang Li suggested using "ultrasound image guided nerve water separation" for treatment. After full communication with Aunt Li, according to the treatment guidelines, the first glucocorticoid injection was carried out for Aunt Li. "Obviously it feels different, it's not numb, and my hands feel a lot easier."
When she returned to the clinic 1 month later, Aunt Li said that the symptoms of hand numbness improved significantly, the quality of sleep was also improved, the fingertips were still a little numb, hoping to get further treatment, the treatment team in the second additional injection of 5% glucose solution, Aunt Li's hand numbness was fundamentally alleviated, and it has not affected normal life at all.
Ultrasound images show bilateral median nerve contrasts
It is understood that the Sixth Affiliated Hospital of Sun Yat-sen University has successfully cured nearly 100 cases of such patients using "nerve water separation", and the technology has been widely used in the clinical practice of the rehabilitation medicine department of the hospital and has achieved good curative effect.
Jiang Li introduced that the nerve water separation technology is a new treatment method by injecting a liquid between the entrapped nerve and its surrounding tissues, which increases the distance between the compressed nerve and the surrounding tissues and fascia, and allows the entrapment nerve to relax its breath. Commonly used injections are glucocorticoids, 5% glucose solutions and the like.
With the development of ultrasound imaging technology, musculoskeletal ultrasound has become an important method integrating diagnosis, evaluation and treatment. Jiang Li said that ultrasound image guidance escorts nerve water separation technology, so that the treatment is more accurate and effective, ultrasound imaging can directly observe the morphological changes of nerves, help to clarify the cause, assess the degree of damage, reduce the relevant complications of freehand puncture (blind beating), and ensure that the drug is accurately injected, with less medication, better efficacy, and more safe, accurate and effective. Jiang Li's team's article on the study of ultrasound-guided nerve water separation technology in the treatment of carpal tunnel syndrome was also recently included in the journal Frontiers in Neurology.
In the face of the "mouse hand", timely medical treatment and reasonable treatment can minimize its impact on our lives. At the end of the article, Xiaobian brought a set of Q&A for small partners who care about relevant details, welcome to use them as needed.
Jiang Li performs injection operations for patients
Q&A
Q: What kind of people is nerve water separation technology suitable for?
Clinically, in addition to peripheral nerve entrapment, peripheral nerve injury and peripheral neuritis can be treated with nerve water separation.
Q: How many injections do I need?
Most patients can achieve good results after the first treatment, and subsequent 5% glucose solution injections can maintain better and better results. The specific plan is based on individual differences, and good results can be achieved by following the doctor's advice.
Q: It takes a few days to recover after treatment, does it affect the work?
The treatment requires only a small amount of local anesthetics for anesthesia, and then the liquid can be injected into the nerves under ultrasound image guidance, and the whole process is about 20 minutes. Within a few days after the injection is completed, the patient can get a good effect, does not affect the work, and the wound can be kept clean and dry for 8 hours.
(Guangming Daily all-media reporter Wang Zhongyao, correspondent Jian Wenyang, Dai Xi'an)
Source: Guangming Daily all-media reporter Wang Zhongyao Correspondent Jian Wenyang Dai Xi'an
Editor-in-charge: Zhang Yongqun
Editor: Sun Xiaoting