Carpal Tunnel Surgery Specialist
Do you experience numbness, tingling, or a “pins and needles” sensation in your thumb, index, middle, or ring fingers?
Do your symptoms worsen at night, often waking you up with the need to shake your hand?
Have you noticed weakness in your grip, making it difficult to hold objects securely?
Do you frequently drop objects or struggle with fine motor tasks like buttoning a shirt?
Does your hand feel swollen or heavy, even when there is no visible swelling?
Wrist pain can be caused by a number of reasons. To alleviate your carpal tunnel syndrome pain, you should consult an orthopedic doctor.
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Carpal Tunnel Surgery Specialists in Valencia
I am Miguel Alfonso Porcar, a renowned orthopedic surgeon and traumatologist.
At Regenerat Traumatology Clinic, we specialize in diagnosing and treating carpal tunnel syndrome and trigger finger.
We employ bioregenerative therapies such as platelet-rich plasma, growth factors, and cytokine-rich serum for treating hand osteoarthritis.
Our objective is to:
- Determine the cause of carpal tunnel syndrome.
- Perform appropriate diagnostic tests to assess the extent of your condition.
- Apply conservative trauma treatment or orthopedic surgery to relieve your pain and help you regain well-being as quickly as possible.
We aim to assist you using the safest, most successful and least invasive treatments available.
English-Speaking Orthopedic Doctor for International Patients
Dr Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides medical care in English for international patients.
If you are looking for cutting-edge treatment for musculoskeletal injuries, osteoarthritis, or tendinopathies and prefer to communicate in English, Dr Mairal will offer you personalised care in a professional and welcoming environment.
Book your appointment today and receive expert care from an English-speaking orthopedic doctor.
What is carpal tunnel syndrome?
Carpal tunnel syndrome is a common condition that causes pain, numbness, tingling and weakness in the hand and wrist.
It occurs when there is increased pressure inside the wrist on a nerve called the median nerve.
This nerve provides sensation to the thumb, index and middle fingers, and half of the ring finger. The small finger(the “little finger”) should not be affected.
What is carpal tunnel?
Carpal tunnel is a narrow channel or tube in the wrist.
Similar to a tunnel through which one might travel in a car, this part of the wrist allows the median nerve and tendons to connect the hand and forearm.
The parts of this tunnel are:
- Carpal bones: constitute the lower part and sides of the tunnel.
- The ligament: at the top of the tunnel, the ligament is a strong tissue that holds the tunnel together.
- Inside the tunnel are the median nerve and tendons.
What are the causes of carpal tunnel syndrome?
Carpal tunnel syndrome can be due to any cause that enlarges the nerves or tendons, or makes the tunnel through which they run smaller.
- An injury to the wrist or arm, such as a sprain or fracture.
- Activities involving repetitive use (overloading) of the wrist and hand, including the use of vibrating tools.
- Rheumatoid arthritis and other joint or connective tissue disorders.
- Tendinitis.
- Fluid retention during pregnancy or menopause.
- Carpal tunnel cyst or tumor.
- Other diseases such as diabetes, hypothyroidism, kidney disease with dialysis, abnormal growth of the hands (acromegaly).
- Sometimes carpal tunnel syndrome occurs without any obvious cause or is idiopathic.
What are the symptoms of carpal tunnel syndrome?
The most common symptoms of carpal tunnel syndrome are:
- Tingling or numbness in the fingers or palm that feels like pins and needles, mainly in the thumb and the next two fingers except the little finger.
- Nerve pain in the wrist or hand, which may extend down the arm or fingers.
- Weakness in the hands, making it difficult to grasp objects.
- Swollen fingers.
Symptoms are usually worse in the hand that is used the most (the dominant hand), but the disease can affect both hands.
Over time, people with carpal tunnel syndrome may find that they slowly lose strength and movement in their hand and wrist.
That’s why it’s important to see your doctor if you think you may have carpal tunnel syndrome.
Risk Factors
People who are particularly prone and at higher risk of developing carpal tunnel syndrome belong to one of the following groups:
- Women between 40 and 60 years of age.
- Pregnant women.
- People with arthritis.
- People who put on weight quickly.
- People who repeatedly use their hands in their work…
Diagnosis of the carpal tunnel syndrome
Dr. Miguel Alfonso Porcar performs the diagnosis of carpal tunnel syndrome, numb hands and/or trigged fingers.
Diagnosis is made through clinical history and physical evaluation.
We will assess your symptoms and then conduct additional tests to evaluate the speed at which the median nerve transmits signals through the carpal tunnel.
- Tinel’s sign: In this test, the doctor taps the median nerve at the wrist to see if it produces a tingling sensation in the fingers.
- Wrist flexion test (or Phalen’s test): in this test, the patient rests the elbows on a table and lets the wrist fall freely forward.
Individuals with carpal tunnel syndrome will experience numbness and tingling in their fingers within 60 seconds. The faster the symptoms appear, the more severe the carpal tunnel syndrome.
- X-rays: we may request X-rays of the wrist if there is limited movement of the wrist, or evidence of arthritis or trauma.
- Electromyography (EMG) and nerve conduction studies: These studies determine the function of the median nerve itself and its ability to control muscle movement.
Treatment of Carpal Tunnel Syndrome
Treatment of carpal tunnel syndrome depends on its cause.
Carpal tunnel syndrome can be treated with conservative approaches or surgery. Conservative treatments include:
- Treat a related medical condition that may be causing the symptoms.
- Use a wrist brace or splint to keep the wrist straight. Immobilization of the hand and wrist with a splint or wrist brace for 4-6 weeks especially at night.
- Rest from symptom-provoking activities, application of ice packs to prevent swelling and anti-inflammatory medications to relieve pain.
- Medications such as non-steroidal anti-inflammatory drugs.
- Strengthening and stretching exercises once symptoms subside.
Corticosteroid injections
When the most conservative therapies do not alleviate the symptoms, Dr. Alfonso Porcar may recommend corticosteroid infiltrations using ultrasound-guided technique.
Corticosteroid injections are placed into the carpal tunnel to temporarily relieve the pain associated with carpal tunnel syndrome. The injections are intended to relieve pressure on the median nerve, which causes pain from the inflamed tendon.
Carpal tunnel surgery
Carpal tunnel syndrome can be treated with carpal tunnel release surgery.
The surgery involves a 3 cm incision in the palm and wrist area.
During surgery, the transverse carpal ligament will be dissected to relieve pressure on the median nerve and widen the carpal tunnel.
Postoperative care
Dr. Miguel Alfonso Porcar may suggest that you perform certain postoperative procedures for a better recovery and to avoid further complications.
- Keep the hand elevated above the level of the heart to reduce swelling.
- Use a splint.
- Apply ice packs to the surgical site to reduce swelling.
- Keep the surgical incision clean and dry.
- Follow a rehabilitation plan with physical therapy exercises to regain wrist strength.
Why Regenerat Clinic to treat carpal tunnel syndrome in Valencia?
Referents in the treatment of pain in the hands and wrists in Valencia
In the field of treatment of injuries and ailments of the wrist, Regenerat clinic is your reference center.
State-of-the-art technology
In our clinic we use high resolution ultrasound scanners to obtain a correct diagnosis, as well as to locate the lesion and perform our state-of-the-art techniques in the injured area.
In this way we are less invasive and we are able to alleviate and in many cases eliminate the syndrome of sleeping hands in Valencia, offering better health and quality of life.
Patient Testimonials
Our patients value our experience and multidisciplinary treatment.
We provide solutions that are not found in other clinics and hospitals, through regenerative treatments for wrist and hand pain, which in many cases avoid the need for surgery.
El trato en general, tanto del personal en recepción como de consulta, fue excelente. Tanto con nosotros como con el niño. El doctor Garrido nos atendió con puntualidad en la hora de la cita y nos dio toda la información que necesitábamos.
Añadir a mi comentario que estoy muy contenta con el tratamiento de PRP que me está haciendo la Doctora Cristina Sánchez es encantadora, muy atenta y comprensivas! De momento loes resultados de la infiltración están siendo muy buenos! Gracias a todos el personal 😍😘
Hand or wrist pain causes
Some of the most common causes of hand and wrist pain that a hand specialist can treat are sprains and strains.
A sprain refers to an injury to a ligament, while a strain refers to a muscle injury. Sprains and strains occur due to excessive force applied during a stretching, twisting or pushing action.
Other causes of pain in the hands and/or wrists include:
- Osteoarthritis on hands: A degenerative joint disease that is the most common type of arthritis affecting older people. It causes the cartilage, the tissue that cushions and protects the ends of the bones in a joint, to wear away, resulting in painful bone-on-bone contact.
- Arthritis in thumb: Arthritis affecting the base of the thumb, i.e. the progressive destruction of the articular cartilage between the trapezium and the first metacarpal.
- De Quervain tenosynovitis: Also called radial tenosynovitis, this is a painful condition affecting the tendons of the first extensor compartment, producing pain at the level of the anatomical snuffbox.
- Trigger fingers: A condition in which the finger locks or catches if you try to straighten or bend it.
- Carpal tunnel surgery: Carola tunnel syndrome is characterized by numbness or pain in the thumb and first three fingers. It occurs when the median nerve is compressed at the wrist. It is usually a common complaint in people who use their hands for prolonged periodsin particular occupations, such as computer work.
New opening Regenerat: Orthopaedic surgeon in Gandía, Denia, Jávea….
Specialists in Regenerative Medicine and Physiotherapy in Gandía
Call ☎ 961 146 834
Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.
Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.
The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.
Serving patients from Denia to Javea and throughout Alicante: Expert care at our Gandia clinic.
We are located at C/ Ciutat de Laval, 23, 46702 Gandia, Valencia, Spain.
Make an appointment in Gandia, Catarroja or Torrent
If you prefer, leave us your details and we will contact you as soon as possible.
Contact information
☎ 961 146 834
info@regeneratclinica.com
Schedule
Mornings – 9:30am – 14:00pm
Afternoons – 16:00pm – 20:00pm
Saturday & Sunday – Closed
Regenerat Clinic in Catarroja
Carrer Emili Ferrer Gómez, 4, 46470
Regenerat Clinic in Torrent
C/ del Mestre Lorenzo Fuertes Julvez, 14, 46901
Regenerat Clinic in Gandia
C/ Ciutat de Laval, 23, 46702 Gandia, Valencia
