What is Nerve Compression?
Nerve compression, cartilage, muscle, etc. in our body. excessive pressure caused by tissues. Hand, arm, leg and feet movements can be done. However, compression of the nerves that are under pressure is experienced.
Causes of Nerve Congestion
- Accidental exposure to impact,
- As a result of sudden movements or disturbances in sitting, moving and lying positions,
- It can occur with a disease such as a hernia,
- During rheumatism causing overweight or severe joint pain,
- Damage to the spinal cord,
- Increased mental diseases,
- Some people experience nerve compression due to genetic predisposition.
Symptoms of Nerve Congestion
- Numbness and numbness in the area where the nerve is stuck
- Burning sensation, pain in the area where the nerve is stuck
- Tingling and stinging sensation
- Muscle weakness where the nerve gets stuck
- Muscle twitching
- Fatigue in muscles
- Soft feeling in the nerve area
- Excessive or less sweating
- Hard and increasing pain
- Difficulty in movements of hands and feet
- Even more exposure to hot and cold weather
- Pain in the nerve compression site due to severe sudden reactions in nerve compression
- Pains in the waist and legs especially when walking and especially when climbing stairs
Treatment of the entrapped nerve is related to the location and cause. The rest of the affected area is very effective, especially in the case of injuries caused by repetitive activities. Physical therapy is often useful when a stuck nerve is caused by neck or waist circumference problems. Exercises can strengthen the back or middle muscles and reduce or eliminate the pressure on a nerve root.
For cases of carpal tunnel syndrome, wrist splints or mallets are often used. In cases of ulnar neuropathy or common peroneal neuropathy, it may be necessary to learn to change body positions to achieve the best outcome.
Weight loss can benefit many stuck nerve types.
Surgery may be necessary to relieve pressure on the nerve when it does not respond to medication, splint, physical therapy, or injection. The specific type of surgery depends on the nerve involved. However, the purpose of the surgery is the same to relieve or alleviate the pressure on the affected nerve.
Nerve Stress at Elbow (Cubital Tunnel Tendon)
Cubital tunnel syndrome is a condition caused by the compression of the ulnar nerve at the elbow.
The ulnar nerve, some of the muscles in your hand from your spine to work, small and ring finger provides a sense of the sensation. As the nerve descends into the arm, it is placed on the elbow in a prominent region called the medial epicondyle. At this point, it becomes very close to the surface. With a quick touch on this area, you can often experience temporary irritation of the ulnar nerve.
It can cause pain and cause tingling in your hand, so this area is often known as a “funny bone.”
What are the Symptoms of Nerve Compression in the Elbow?
You may experience one or more of the following.
- Pain around the elbow and hand.
- Tingling and loss of sensation in small fingers and rings.
- Slimming of some muscles in the hand.
- Small and unable to fix the ring fingers.
- Less grip.
- Good coordination difficulty.
What Causes Nerve Stuck at Elbow?
There are many causes of cubital tunnel syndrome, but it is always caused by compression or irritation of the ulnar nerve. As we get older, our nerves become more sensitive. Irritation has often been found to be related to a particular activity. Over a long period, the ulnar nerve is disturbed repeatedly.
Examples of this are:
- Fold your elbow for a long time.
- Fold your elbow and stretch the nerve tissue when you sleep.
- Over long periods, such as painting, playing the guitar and bend your elbows repeatedly.
- Soft tissue thickening around the elbow.
- Growth of bones around the elbow.
- It’s a nerve-tightening blow.
- Nerve rubbing on the underlying bone during movements of the elbow.
- Joint deformity (including arthritic changes or fractures).
What is the Prevention and Treatment of Nerve Stress in the Elbow?
Without placing your hand under the pillow.
Avoid activities involving repetitive elbow bending and straightening.
Do not cross your arms for an extended period in front of you.
Avoid activities that directly put pressure on the ulnar nerve.
For example, while leaning on your elbow while on your phone, place your elbow in the vehicle armrest while driving.
Splints may be used if your symptoms worsen at night. It is designed to reduce the tension on the nerve, keeping it in the best position. Sometimes an elbow pad can be fitted to reduce direct pressure on the nerve.
If your symptoms do not go better with the above treatments, you may be referred to a hand surgeon to relieve pressure on the ulnar nerve without delay and to discuss surgical options.
Lumbar Disc Herniation
Causes of Lumbar Hernia?
Lumbar hernia pain is caused by inflammation of the spinal nerve and pressure from the hernia to the nerve. Sciatica is a symptom that is often associated with hernia. Pressure on one or more nerves that support the sciatic nerve can cause pain, burning, tingling and numbness that extend from the hip to the leg and sometimes to the foot. Sneezing, coughing or bending usually increases pain. Usually, one side (left or right) is affected.
Lumbar hernia is often a gradual deformation called ageing-related wear and disc degeneration. As you age, your spinal discs lose some of the water content. This makes them less flexible and more prone to tearing with a smaller strain or bending.
Rarely, a traumatic event such as a fall or a blow to the back may cause a hernia disc.
Lumbar Hernia Symptoms
- Pain in the back and buttocks gradually increases
- Increased pain causes widespread drowsiness and loss of strength over time
- Pain can cause a lot of pain to the patient and makes it difficult for him to do his daily work
- In the majority of cases, pain is reduced within 6 weeks
- Pain may become chronic and/or debilitating in some patients
- If the disc on which the hernia occurs presses on a nerve, there may be severe pain spreading across the nerve. This condition is also called sciatica and sciatica is the most common symptom in the hernia.
Characteristics of Lumbar Hernia Pain
Leg pain: It is worse than low back pain. If pain spreads along the large sciatic nerve path behind the leg, it is called sciatica or radiculopathy.
Nerve pain: One of the most remarkable symptoms in the legs and burning, chisel pain, electric shock, or stinging in the form of nerve pain.
Variable locations of symptoms: Depending on variables such as the location and degree of hernia, symptoms may occur on the waist, calf, front or hind limb, buttocks, feet and/or toes and typically affect one side of the body.
Neurological symptoms: Drowsiness, pinching, weakness and/or tingling may occur in the legs, feet and/or toes.
Low foot: Neurological symptoms caused by a herniated disc may include difficulty in lifting the leg while walking or standing on the toes.
Low back pain: Low back pain can be defined as fixed or throbbing and you may have difficulty bending your waist. If the herniated disc causes a spinal muscle spasm, it may be necessary to rest for a day or two to calm the pain.
Sudden pain: Herniated disc pain usually develops very quickly and sometimes there may be no significant movement or event triggering the pain.
How is a Hernia Diagnosed?
To determine if you have a hernia, your doctor first wants to know your medical history in full. He may perform a physical examination to assist in the diagnosis and, if deemed necessary, may request a magnetic resonance imaging (MRI) scan to confirm.
Medical History and Physical Examination: After discussing your symptoms and medical history, your doctor will examine your spine.
Neurological examination: The physical examination should include a neurological examination to determine if there is a weakness or loss of sensation. To test for muscle weakness, your doctor will ask you to walk on your heel and toes. Your hip, ankle and toes should be examined.
Straight leg lifting (SLR) test: This examination is very helpful in the correct diagnosis of hernia in patients under 35 years of age. In this test, you lie on your back and your doctor raises your aching leg with your knee straight. If you feel pain under your legs and knees, this means you have a herniated disc.
Imaging Tests: Your doctor may recommend a magnetic resonance imaging (MRI) scan to help confirm the diagnosis of a herniated disc. This scan provides clear images of soft tissues such as discs.
Lumbar Hernia Treatment
Every patient diagnosed with a herniated disc does not need to be treated surgically. Several factors need to be considered to decide whether or not a patient will be treated surgically.
The first is the type of pain. Pain that hits your waist, thigh or leg. This is the most important symptom of hernia. Second, the patient’s examination. If a patient’s sensation, reflex or strength loss is detected, these are the candidates for surgical intervention; because neurological losses are likely to become permanent. If these findings are not detected in the patients and the only complaint is a pain, it is possible to apply physical therapy or other treatment methods other than surgical treatments.
Surgical Applications in Nerve Treatment
If physical and drug therapy do not produce any results in nerve entrapment, surgical procedures are considered at this point. Although surgery is rarely seen due to nerve entrapment, it can be said that doctors also consider surgery as the last option. If the patient is unable to sleep at night, cannot grasp the objects, cannot perform his regional functions and the frequency of the pain increases with increasing severity, surely surgical procedures come into play at this point.
Once the area where the nerve compression occurs is identified, nerve compression surgery is performed with a closed method. If the patient’s condition is severe, the closed method can be abandoned and open surgery may occur. The patient is not knocked out during surgery and surgery is performed with regional numbness. If nerve compression is advanced, a new connection can be established between the nerves in the region and the pressure may be reduced or eliminated.
Hand Surgery and Micro Surgery
We build and maintain life using our hands. The treatment of possible injuries to our hands, one of the most important organs in our body, in the construction of our lives.
In the human body, all anatomical structures (vessels, beams, nerves, bones) are very close to each other. Many of these structures can be affected in the event of an injury. In this regard, all kinds of injuries and diseases of the hand and upper extremities are now being treated all over the world.
What are Hand and Microsurgery?
Hand surgery is a branch of medicine that treats all kinds of diseases from the hand to the root of the neck (wrist, forearm and arm) and defined as upper extremity by using auxiliary techniques such as microsurgery.
Microsurgery is a surgical technique that is performed by enlarging the surgical field using an operating microscope or special glasses. In this way, it is possible to treat the problems in the structures such as nerves and vessels which are normally hard to see with the naked eye.
Microsurgical vascular and nerve repairs, from one part of the body to another part of the vascular tissue transplantation can be used. Microsurgical methods can be used to repair the injured limbs that have been rapidly increased in our daily lives, traffic accidents, glass cuts, falls or similar accidents.
Areas of Hand Surgery
- Accidents at work; vascular, nerve, tendon and bone injuries
- Partial or complete rupture of the hand, fingers and upper extremity
- Home, traffic and sports accidents; fractures involving the hand and wrist, tendon and ligament injuries
- Problems due to ligament and tendon strain (Trigger finger, dequarvein tenosynovitis, etc.)
- Congenital anomalies and subsequent deformities
- Rheumatic diseases and related deformities
- Improvement of hand-elbow-shoulder dysfunctions after cerebral palsy and spinal cord injuries of any age
- Nerve injuries of the neck root and other parts of the body
- Nerve jams (carpal tunnel, cubital tunnel etc.)
- Pre-computer and occupational-related overuse diseases.
Areas of Interest in Micro Surgery
The indications listed here can be classified into two categories as absolute or relative indications:
“Absolute” indications for replantation or revascularization:
- Thumb amputations
- Multiple finger amputations
- Wrist or palm amputations
- Amputations in children
- Patients with more general motivation and high level of intelligence, intelligence and comprehension
Revascularization for replantation or “non-mandatory” indications:
- Amputations at distal phalanx level
- Amputations associated with dents or avulsion injuries
- Single finger amputations other than the thumb
- Advanced age elbow amputations
- Lumbar Disc Herniation
Closed Endoscopic Lumbar Hernia Surgery (KEBFA)
Closed Endoscopic Lumbar Hernia Surgery (KEBFA) is also called “Arthroscopic Lumbar Hernia Surgery”. The principles of surgery are the same as knee arthroscopy. KEBFA can be applied to all patients who require surgery due to hernia. Surgery is performed with two different techniques. To operate, special endoscopic surgical instruments and the surgeon will be trained and internationally certified.
Which patients can it be applied to?
KEBFA can be applied to all patients who require surgery due to hernia. However, in addition to a lumbar hernia, the patient has additional conditions such as slippage of the lumbar vertebrae and duct stenosis, and if these need to be corrected, then microsurgery is required instead of KEBFA. It can be applied to all age groups. Especially in elderly patients with concomitant diseases such as diabetes and hypertension, it is of great advantage that the recovery period is very short.
The risk of complications is high in patients who develop recurrence after microsurgery due to adhesions in the operation area in the second operations. KEBFA can be safely used in all patients who require a second operation due to recurrence.