Nerve Compression Syndrome – Decompression of constricted Nerves
Radiating pain or numbness in various parts of the body, such as the elbow or wrist, can indicate a nerve compression syndrome. Nerve compression syndrome refers to a chronically constricted peripheral nerve (nerves outside the brain and spinal cord) or a constriction in the nerve canal. There is increased physical pressure on the constricted nerve, which can result in nerve damage. This can lead to symptoms of paralysis in the corresponding body region. The causes of a constricted nerve are varied and must be determined on a case-by-case basis. Many patients are familiar with carpal tunnel syndrome in this context.
In some cases, nerve compression syndrome can be treated conservatively, but if the nerve compression is more severe, surgery is necessary. At PALMKLINIK, we perform special neurolysis procedures according to the latest scientific findings with highly trained doctors and specialists. The nerve compression syndrome is eliminated by decompressing the affected nerve.
On this page you will find important information on the treatment of nerve compression syndrome at PALMKLINIK. Arrange a detailed and personal consultation now.
Overview:
- At a Glance: Decompression Surgery
- Nerve Compression Syndrome – Causes and frequently affected Areas of the Body
- Symptoms of Nerve Compression Syndrome
- Diagnosis of Nerve Compression Syndrome/a>
- Nerve Compression Syndrome – Treatment by Decompression
- Decompression Surgery – Aftercare
- Frequently asked Questions about Nerve Compression Syndrome
At a Glance: Decompression Surgery
| Surgery duration | 1.5 – 3 hours |
| Hospitalization | Ambulant |
| Aftercare | Wound dressing, rest, physiotherapy |
| Anesthesia | General anesthesia or local anesthesia |
| Socially presentable | After 2-3 weeks |
| Sport | After 6 weeks |
Nerve Compression Syndrome – Causes and frequently affected Areas of the Body
The exact causes of nerve compression syndrome can vary greatly depending on the part of the body affected. We differentiate between chronic (acquired over time) and acute (triggered by an event) nerve compression.
The most common causes are:
- Arthrosis
- Rheumatism
- Inflammations such as arthritis
- Scarring or fractures after accidents
- Ossifications
- Wearing a plaster cast or swelling
- Changes to tissue or tendons
As the term “compression” suggests, the nerve is physically compressed or squeezed and irritated. Due to the natural course of our nerves through the body, they pass constricted areas such as bones or tendons. If these constrictions are chronically narrowed, there is not enough space, which puts pressure on the nerve in this area.
The most common type of nerve compression is carpal tunnel syndrome. In this case, increased pressure is exerted on the median nerve of the wrist. Another constriction syndrome is the so-called sulcus ulnaris syndrome. This is a constriction on the inside of the elbow (ulnar nerve), also known as the musician’s bone.
Nerve compression syndromes that occur frequently:
- Carpal tunnel syndrome (wrist)
- Ulnar nerve entrapment, cubital tunnel syndrome (elbow)
- Wartenberg syndrome (upper arm radius)
- Morton’s metatarsalgia (metatarsus)
- Tarsal tunnel syndrome (tibia)
- Meralgia paraesthetica (hip joint)
Symptoms of Nerve Compression Syndrome
Chronic constriction of the peripheral nerve is characterized by various symptoms. If you suffer from chronic symptoms in the body regions listed above, you should definitely consult a doctor. At PALMKLINIK, we are very familiar with such symptoms and can provide a rapid diagnosis in many cases. An untreated nerve compression syndrome can lead to damage to the nerve due to the excessive pressure exerted on it. This can ultimately lead to permanent paralysis.
Common symptoms of nerve compression syndrome:
- Tingling or “formication”
- Sensory disturbances
- Feelings of numbness
- Paresthesia
- Radiating or stabbing pain
- Loss of function
- Symptoms of weakness
- Signs of paralysis
Diagnosis of Nerve Compression Syndrome
Since nerve compression is caused by a primary disease, it must be diagnosed and confirmed by a neurologist or other specialist. The aim here is to establish the cause of the compression beyond doubt. Otherwise, it will not be possible to seriously eliminate the nerve constriction.
Once the diagnosis has been made, attempts are made to treat the nerve compression using conservative forms of therapy. These include, for example, physiotherapy, treatment with medication such as cortisone, electrotherapy, rest or wearing special splints.
Surgical measures are only taken if conservative therapy is unsuccessful. Surgical removal of nerve compression at PALMKLINIK requires a referral from a neurological specialist confirming the constriction.
Nerve Compression Syndrome – Treatment by Decompression
The term decompression generally refers to the release of pressure from the affected area of the body. Decompression is achieved in the course of a so-called neurolysis operation (exposure of the nerve). As nerve compression syndrome can have a variety of causes and occur in different parts of the body, decompression operations are very individual. The procedure for nerve exposure can therefore not be generalized. However, exposure of the peripheral nerve is often achieved by removing interfering tissue or ossifications and eliminating anatomical changes in a minimally invasive manner.
In the case of carpal tunnel syndrome, for example, decompression is achieved by widening the nerve canal. This is achieved either using the open method through a surgical incision between the ball of the thumb and little finger (carpal ligament). Tissue responsible for the constriction of the nerve is also removed.
In the second method, also known as the “keyhole technique”, a tiny incision is made transversely along the flexion crease of the wrist. An endoscope is then inserted, which is used to perform the same operation as the open method.
We will discuss the exact surgical procedure with you in an individual consultation following a preliminary examination. We will clarify all questions and provide recommendations for aftercare.
Decompression Surgery – Aftercare
Neurolysis surgery is usually performed using minimally invasive techniques. After the operation, the wound is sutured with a self-dissolving suture and a wound dressing is applied. Whether a follow-up examination takes place must be decided on a case-by-case basis. Sport should be avoided for at least 6 weeks. Post-operative physiotherapy and occupational therapy is usually necessary to activate the muscles and restore mobility.
Frequently asked Questions about Nerve Compression Syndrome
You probably have many questions about nerve compression syndrome. To make your decision easier, we will answer the most frequently asked ones below. However, please do not hesitate to contact us if you have any questions about decompression, neurolysis or nerve compression. You are welcome to arrange an initial, non-binding consultation at PALMKLINIK.
Is decompression surgery covered by health insurance?
Yes, the costs of decompression surgery are generally covered in full by health insurance.
What are the risks of decompression surgery?
As with any surgical procedure, neurolysis surgery also involves a number of risks. These include surgical errors, injury to the nerve, problems with wound healing, inflammation or infection.
However, you can rest assured that our experienced team of doctors will perform every procedure with the utmost care and a high level of professional expertise to ensure that complications are ruled out.
Is decompression surgery painful?
You will not feel any pain during the operation as it is performed under general or local anesthesia. Postoperatively, there may be some initial pain at the surgical site. Pain and discomfort may occur throughout the operated area due to the removal of tissue or ossification. However, this pain should subside quickly as the healing process progresses.