Tunnel carpien

08/04/2018

Le Tunnel Carpien

Signes & Symptômes Définition: Le syndrome du tunnel carpien est lié à la compression du nerf médian du poignet. Ce nerf est responsable de la sensibilité du pouce et des 2 ou 3 doigts voisins. Il est également le nerf moteur qui commande les muscles à la base du pouce. Le tunnel carpien, formé par le ligament carpien transverse et les os carpiens. Le «canal carpien» est en fait un tunnel formé en arrière par les 8 petits osselets du poignet, qui ont la forme d’une gouttière ; cette gouttière est fermée en avant par un ligament très épais, le «ligament annulaire antérieur du carpe».   Symptômes : Elle se traduit initialement par des fourmillements dans les doigts, puis par des douleurs nocturnes aux mains. Par la suite, une douleur brûlante et paresthésies à la surface ventrale de la main et des doigts avec une douleur irradiation de l’avant-bras, apparaîssent graduellement. De plus, une diminution de la sensation de distribution du nerf médian et une atrophie des muscles à la base du pouce peuvent survenir. Les symptômes peuvent aligner des dysfonctionnements mineurs ou sévères. Les cas modérés se résolvent par l’évitement des facteurs. Une fois une femme enceinte donne naissance, par exemple, l’oedème des poignets disparaît et […]
08/04/2018

Traitement de syndrome du canal carpien au laser doux versus la décompression du canal carpien

La thérapie au laser doux s’est révélé être une modalité de traitement non invasive et efficace pour le syndrome du tunnel carpien, en particulier pour les cas mineurs à modérés, quand la douleur est le principal symptôme. Treatment of carpal tunnel syndrome by low-level laser versus open carpal tunnel release Elwakil TF, Elazzazi A, Shokeir H. Unit of General Surgery, National Institute of Laser Enhanced Sciences (NILES), Cairo University, Cairo, Egypt. tfelwakil@hotmail.com PMID: 17334675 [PubMed – indexed for MEDLINE] Lasers Med Sci. 2007 Nov;22(4):265-70. Epub 2007 Mar 3   Carpal tunnel syndrome (CTS) is an entrapment neuropathy of the median nerve at the wrist. It is one of the most common peripheral nerve disorders. The cause of idiopathic CTS remains unclear. The diagnosis of CTS is still mainly clinical. Open carpal tunnel release is the standard treatment. The present study was conducted to evaluate the effectiveness of low level laser treatment (LLLT) for CTS in comparison to the standard open carpal tunnel release surgery. Out of 54 patients, 60 symptomatic hands complaining of CTS were divided into two equal groups. Group A, was subjected to LLLT by Helium Neon (He-Ne) laser (632.8 nm), whereas group B was treated by the […]
08/04/2018

The Effect of Infra-red Diode Laser Irradiation on the Duration and Severity of Postoperative Pain: a Double Blind Trial

Moore, K. C. Hira, N. Broome, I. J. Cruikshank, J. A.   Laser Therapy, 1992, VOL 4; NUMBER 4, pages 145   There was a significant difference in the number doses of narcotic analgesic required between the groups. No patient in the treatment group required narcotic analgesia after 24 hours. Similarly the requirement for oral analgesia was reduced in the treated group. Control patients assessed their overall pain as moderate to severe compared with mild to moderate in the treated group.
08/04/2018

Photobiomodulation de la douleur dans le syndrome du tunnel carpien: examen de sept études de thérapie au laser doux

La photobiomodulation est un traitement conservateur prometteur pour les cas mineur à modéré du syndrome du tunnel carpien. Il est coût-efficace par rapport aux traitements actuels. Photobiomodulation of pain in carpal tunnel syndrome: review of seven laser therapy studies Naeser MA. Department of Neurology, Boston University School of Medicine, MA 02130, USA. mnaeser@bu.edu PMID: 16706688 [PubMed – indexed for MEDLINE] Photomed Laser Surg. 2006 Apr;24(2):101-10   In this review, seven studies using photoradiation to treat carpal tunnel syndrome (CTS) are discussed: two controlled studies that observed real laser to have a better effect than sham laser, to treat CTS; three openprotocol studies that observed real laser to have a beneficial effect to treat CTS; and two studies that did not observe real laser to have a better effect than a control condition, to treat CTS. In the five studies that observed beneficial effect from real laser, higher laser dosages (9 Joules, 12-30 Joules, 32 J/cm(2), 225 J/cm(2)) were used at the primary treatment sites (median nerve at the wrist, or cervical neck area), than dosages in the two studies where real laser was not observed to have a better effect than a control condition (1.8 Joules or 6 J/cm(2)). The […]
08/04/2018

The Light Stuff

– Washington Post, February 17, 2004By Lois Lindstrom The New England Patriots won Super Bowl XXXVIII with some help from a little-known form of laser technology that could change the way athletic injuries and chronic pain are treated.   The treatment, known as “cold” laser therapy or low-level laser therapy (LLLT), has been used internationally for 18 years to treat soft tissue injuries, cervical neck pain, carpal tunnel syndrome, repetitive stress injuries, tendinitis, hamstring injuries, arthritis and wound healing, among others.The lasers — hand-held, flashlight-like devices that direct a beam of narrow-spectrum (but not hot) light at injured tissue beneath the skin — have been integrated into medical practice in Japan, Russia and the United Kingdom. In the United Kingdom, cold laser therapy has become a preferred treatment for “whiplash” injuries, neuralgia and shingles. In Japan, the lasers were approved in 1987 and are in widespread use today.In the United States, the technology received marketing clearance from the Food and Drug Administration (FDA) in 2002 for treating carpal tunnel syndrome, a painful inflammation of the wrists and hands that results from repetitive motion. But the mainstream medical establishment still considers the cold laser’s benefits unproven. Most U.S. users are athletic […]