Carpal tunnel
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Hi all I have had 2 failed operations now to help with my carpal tunnel.It is now worse than ever I have no strength in hand, fingers go numb regular, and my hand keeps locking up and the pain is pretty bad (scale 1-10 i’d say 8 ) has any1 else experienced this and would you recommend a further op ?
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calvin47392 kieron13338
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jeremydpbland kieron13338
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You are both welcome to discuss the issues around 'failed' carpal tunnel surgery with me on carpal tunnel dot net where you will find both a detailed description of how to analyse the problem and many discussions with other patients in a similar situation. There are a variety of reasons for failure including very severe CTS, as suggested Calvin's doctor, incomplete surgery, misdiagnosis and surgical complications. Trying to figure out which it is in each case can sometimes be challenging. Dr J Bland
kieron13338 jeremydpbland
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jeremydpbland kieron13338
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There are no excuses for incompetence and lack of care and of course there are examples of that in the NHS, as there are in private healthcare and in every other country. Medicine however is not a simple business. Some diagnoses are genuinely difficult to spot and some of course, even when correctly identified, are not possible to treat very successfully so inevitably things get missed or misdiagnosed and some patients we can do little for in terms of 'cure' (which doesn't mean we can't care about their problem and try to alleviate symptoms). We learn to live with uncertainty in medicine and patients also need to understand that we will sometimes be wrong, even when we are not incompetent and are applying all of our faculties to their case in the best possible circumstances (ie not a squeezed 5 minute GP consultation). Giving 'false' information is another example of the same complexity. Sometimes we are pretty certain of something, to the extent that it can be considered a 'fact' - smoking greatly increases your risk of lung cancer. Any doctor who tells you otherwise is incompetent or financially biassed (ie employed by a tobacco company). However, many issues around the best treatment for many conditions are still open to argument because of a lack of definitive evidence and there is then room for disagreement between different professionals. CTS is a good example of that. We really do not know for sure whether it is best to treat with steroids or surgery once a trial of splinting has failed. I have particular sympathy with my GP colleagues who are expected to recognise the one patient a month who turns up in their clinics with something that genuinely will benefit from urgent referral to a specialist from amongst all the hundreds of patients with broadly similar symptoms who fill their days, all while coping with onerous administrative arrangements and having only a few minutes to deal with each consultation - it's a really tough job. Dr J Bland
linda44299 kieron13338
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