Recovery after hygroma removal

What is carpal tunnel syndrome

Carpal tunnel syndrome is often the cause of wrist pain. First, 3-4 fingers go numb at night, then the numbness intensifies, and the pain turns into a burning sensation. Over time, fingers lose sensitivity. If no measures are taken, ulcers may form on their tips, and the muscle of the eminence of the thumb atrophies. The hands are not able to function as usual.

This syndrome occurs when the median nerve is compressed under the transverse carpal ligament. This nerve passes between three bony walls and a tight ligament that holds the tendons of the hand muscles. Therefore, its compression is so critical for the work of the upper limbs.

How is the procedure for removing hygroma performed?

Many people are scared by the word "surgery", especially when it concerns themselves. Yes, to get rid of the tumor, you will need surgery. But this is a fairly simple procedure that is carried out very quickly and almost painlessly. The best way to overcome fear and make up your mind is to watch a video on removing hygroma. Modern technologies make it possible to learn much more without experiencing everything yourself. Thanks to the video, you will be able to see each stage of the operation to remove hygroma from start to finish, while hearing the doctor’s comments.

Causes of carpal tunnel syndrome:

• anatomical features of the limb;
• diabetes;
• rheumatoid arthritis;
• injuries;
• local inflammation;
• monotonous movements for a long time.

Most often, like arthrosis of the shoulder, elbow or hand, this tunnel syndrome develops due to increased pressure in the carpal tunnel - due to excessive, monotonous physical activity.

The peak age for carpal tunnel syndrome is between 40 and 60 years of age.

Indications for surgery

Surgeries on the hand are prescribed in cases of injuries and orthopedic diseases that are not amenable to conservative treatment. Among them:

• Knott's disease;
• hygroma of the wrist;
• Dupuytren's contracture (palmar fibromatosis);
• tunnel syndrome;
• damage to tendons and ligaments;
• foreign bodies of the hand;
• joint dislocations;
• fractures of varying severity;
• false joints and improperly fused bones after fractures;
• as well as many other consequences of trauma.

In the presence of the listed ailments, hand surgery helps restore mobility, restore physiological functions, and also eliminate pain and discomfort.

If timely measures are not taken to eliminate injuries and deformations, they can cause pain and discomfort for many years. Therefore, the sooner you contact an orthopedic surgeon to correct your ailments, the better for you.

How is carpal tunnel syndrome treated?

The carpal tunnel consists of 9 tendons with sheaths and one nerve. When the tendon sheaths thicken, they become cramped. At rest, the nerve receives less oxygen due to increased pressure, and then becomes pinched. If you move your fingers, shake your hand, and move the tendons, the burning pain will go away as circulation returns. However, without movement it will return, so sooner or later the need for treatment arises.

At the initial stage, a person tries to cope with pain on his own with the help of painkillers and anti-inflammatory drugs. Orthopedic devices are used, but all this helps for a short time. If the diagnosis is confirmed, the only correct solution is surgery, cutting the wrist ligament after opening the canal.

What is carpal tunnel syndrome? Doctor Evdokimenko says:

In what cases is it necessary to remove hygroma on the wrist?

Like the treatment of any other disease, different methods of treating hygroma have their own indications and contraindications. Based on this, there are certain factors in which the removal of hygroma on the wrist is indeed necessary. Among them:

• Too strong, pronounced constant pain.
• Very rapid growth and development of the tumor.
• Problems related to motor function, decreased activity.
• Problems with blood circulation that form as a result of formation pressure on nerve and vascular bundles.
• An external defect that does not look aesthetically pleasing and creates discomfort.

Contraindications for removal of hygroma on the wrist

In addition to cases where surgical intervention is necessary, there are situations in which this method is prohibited and can even be harmful. These include:

• The patient has cancer or oncology.
• Diseases associated with endocrinology.
• Problems relating to the functioning of the immune system.
• Skin diseases, inflammation, herpes.
• Pregnancy or lactation.
• Bleeding during the menstrual cycle (surgery is postponed).

Laser removal of hygroma on the wrist. What are the benefits?

At this stage of development of medicine, laser operations are being performed more and more often in various areas and for the treatment of various diseases. One of these is the possibility of removing hygroma on the wrist with a laser.

Today, there are two known ways to remove hygroma on the wrist with a laser:

• Surgery to cut the lump. It proceeds in almost the same way as the usual surgical intervention for us. An incision is made, then the contents of the hygroma on the wrist are removed using high temperatures using a laser. After which the wound is treated and sutured.
• Minimally invasive surgery method. Arthroscopy is performed using special equipment. This method is performed with two puncture needles, which make punctures through which the laser destroys the tumor and removes remaining fluid.

Why is laser removal of hygroma on the wrist becoming increasingly popular? This procedure has many advantages compared to conventional surgical removal. It is characterized by:

• The operation is quick and often takes up to 15 minutes.
• Possibility of performing manipulations on children from seven years old.
• There is virtually no bleeding during the operation.
• The rehabilitation period is much easier and faster.
• The scar looks neat and almost invisible.

Hygroma is not a terrible disease that can be gotten rid of quickly and almost painlessly. Especially if you are attentive enough to yourself, consult a specialist at the first symptoms and inconveniences, and also follow all the doctor’s recommendations. And remember, if you notice something is wrong in time and begin therapeutic treatment, you may not need surgical removal of the hygroma on your wrist or leg.

How is surgery performed for carpal tunnel syndrome?

The operation is performed open or endoscopically. The canal is opened, the ligament is crossed, after which it increases in volume and the pressure on the nerve decreases. The acute night pain goes away the very next day after the operation. In the first days, sensitivity in the fingers may be impaired, but this symptom disappears on its own after a short rehabilitation.

There is slight pain at the scar site. The stitches are removed after about a week. For several weeks you will have to limit physical activity, wrap your wrist in an elastic bandage and take B vitamins.

Carpal tunnel syndrome cannot be treated conservatively

Hand surgery in Kaluga

Hand surgeries are performed using open and arthroscopic methods. In order to determine the type of operation required, a thorough diagnosis is carried out, which includes:

• examination by a traumatologist;
• joint mobility tests;
• X-ray examination;
• MRI (magnetic resonance imaging).

These methods allow you to create a clear picture of the disease or injury. Only after a full diagnosis can a type of operation be prescribed that will help eliminate the problem.

In cases where the injuries are minor and an open approach is not required, surgery is performed using an arthroscope. This can significantly reduce the degree of tissue injury, as well as shorten the rehabilitation period.

Open operations are performed mainly for severe injuries and pathologies. These include, for example, improperly healed bones after fractures or open cut or lacerated wounds.

Choosing the right surgery is the first step to successful healing.

Hygroma on the wrist: treatment methods

Hygroma of the wrist joint manifests itself as a feeling of limited range of motion in the problem area, and some pain may be present. In addition, from an aesthetic point of view, hygroma causes psychological discomfort to the owner. In the treatment of this formation, both conservative methods and surgical intervention are used.

Conservative treatment

Currently, in 85% of cases, surgical methods are used to treat hygroma, but conservative therapy is used for a certain group of patients.

The following methods of conservative treatment of hygroma are distinguished:

• Puncture. This is the most common option for conservative therapy; this method is used in the presence of pus. A puncture is made, after which the contents of the hygroma are extracted with a syringe. Next, an antiseptic solution is injected into the cavity. Several treatments may be required. Since the hygroma capsule remains, relapses are possible after puncture.
• Sclerotherapy. At the first stage, this method is similar to the previous one, however, after extracting the contents, a special enzymatic solution is introduced into the cavity of the hygroma, which promotes the destruction of the capsule. The method is more effective compared to conventional puncture, but is more expensive. Sclerotherapy is not suitable for large hygromas.
• Blockade using glucocorticoids. This method is used only in cases where the diameter of the formation does not exceed 1 cm. Local anesthesia is performed, a puncture is made, the contents of the capsule are removed, the cavity is washed, after which a solution of a glucocorticoid drug (for example, Diprospan) is injected inside. Next, a bandage is applied for several weeks to immobilize the joint. During this period, the walls of the capsule stick together, and the area is overgrown with scar tissue.
• Crushing. This method is characterized by significant pain, a high probability of complications and low efficiency, therefore it is not used today.
• Physiotherapeutic methods. Physiotherapy is used both separately and in combination with other techniques. Methods such as ultraviolet irradiation, mud therapy, ultrasound, magnetic therapy, etc. are used.
• Ethnoscience. There are folk recipes for herbal compresses (based on cabbage leaves, wormwood, celandine, etc.), but they should only be used in combination with basic treatment; they do not get rid of hygroma on their own. You must first obtain medical advice.

Indications for surgery

Surgical intervention is the most reliable method of treating hygroma.

The operation may be indicated:

• with an aesthetic defect;
• with joint pain, stiffness of hand movements;
• when squeezing blood vessels and nerve endings;
• with the formation of pus;
• with intensive growth of hygroma.

Surgical methods

In medical practice, the following methods are used to remove hygroma:

• Excision. The surgeon makes an incision over the surface of the formation, and both local and general anesthesia can be used. The hygroma is carefully removed through the hole, sutures, an aseptic bandage and plaster are applied. Sutures are usually removed on the tenth day. Since the hand area contains a large number of nerve endings and blood vessels, the surgeon must have the proper competence. After surgery, you may need to consult a chiropractor during the recovery period.
• Instrumental removal. This is a more modern technique; using instruments, an inconspicuous incision is made on the side of the formation. This technique allows for less trauma to the area and minimizes the appearance of the scar.
• Laser removal. In this method, after cutting the area, the hygroma is not removed with a scalpel, but is burned out with a laser. The use of a laser reduces the likelihood of trauma to blood vessels and nerves during surgery.

Hygroma on the wrist often occurs with increased stress on this area, which often happens in people leading an active lifestyle.
It is best to contact a medical facility in the early stages of the disease, when the size of the tumor is not yet too significant. Timely treatment will help you recover as soon as possible and reduce the risk of relapse. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr

So, what exactly are the stages of this procedure?

• Preliminary preparation for the operation is carried out. Since this surgical intervention is not very complicated or dangerous, in addition to the initial examination, you undergo the necessary tests, and if there are no contraindications, you are taken to the hands of a surgeon.
• This operation is often performed under local anesthesia. But you have the right to ask for general things.
• After the anesthesia has taken effect, an incision is made through which the hygromya fluid and the capsule in which it was located are removed.
• The next stage is suturing the capsule, which prevents its re-filling and the appearance of a new tumor.
• Next, the incision is sutured and processed.
• After this, the rehabilitation period begins, which also includes the necessary actions to ensure that the wound heals properly and no complications arise.

Having seen all the processes of removing hygroma in the video, you will be convinced that this operation is safe and absolutely not scary. It passes quite quickly and is almost painless.

Perform surgery to remove hygroma with a laser in our clinic. Rehabilitation after surgery is a very important point.

How should the recovery process proceed after hygroma removal?

As in any operation, the rehabilitation period plays a very important role in removing hygroma. In order to return to work as quickly as possible, ensure proper wound healing and minimize the risk of tumor reappearance, it is necessary to adhere to the rehabilitation regime after removal of the hygroma.

What does rehabilitation include?

• First of all, the operation to remove hygroma is performed using an incision in the skin. Thus, after its completion, a suture is applied. Therefore, it is necessary to monitor his condition during the rehabilitation period after removal of the hygroma. The suture is often removed a week after surgery.
• For the best recovery after removal of a hygroma, it is recommended to immobilize the operated area either with a plaster cast or with conventional dressings.
• Also, to maintain normal performance in the future and to avoid the formation of adhesions, it is useful to do special exercises for several days after removal.
• You can massage, but only at a certain distance from the operated area, otherwise it will lead to displacement of the scar.

Often, the period of complete rehabilitation after removal of a hygroma ends after two weeks. And you can return to your normal routine.

Remember that the recovery process after hygroma removal is no less important than the operation itself. Therefore, be sure to follow all the doctor’s recommendations and do not rush to finish as soon as possible. And then your body will thank you.

Why do they more often resort to surgical treatment?

A neoplasm such as hygroma responds well to therapeutic methods of treatment only in the early stages. When the tumor is already quite developed and pronounced, such manipulations rarely produce the desired effect. And one of the most important factors is the possibility of relapse. With medication or physiotherapeutic treatment, the reappearance of the lump has a very high percentage. The same cannot be said about surgery.

Benefits of hygroma removal:

• The operation lasts quite quickly, up to half an hour.
• It is not very complicated and rarely entails complications.
• Reduces the possibility of relapse to a minimum.