News & Teaching


Hand Health Check

Our hands are so important to us, yet like many other areas of health and wellbeing we take them for granted and probably don’t look after them as much as we could.

There are many things we can do to ensure we keep our hands in the best of health.

Avoid static or repetitive activities

When you stay in one position for a long time some muscles overwork pulling the joint out of alignment. This leads to more pain and damage to the joint. Take regular rests when performing repetitive activities.

Avoid prolonged periods of activity

Try to begin to become aware of the warning signs you feel that your joints are becoming fatigued or strained and stop before you reach this point in the future.

Avoid activities that require prolonged gripping

Tight small grips place increased strain through the joints which will increase your pain and can further damage your joints. It is better to avoid it. There are many ways to reduce small or prolonged gripping. E.g. use thick or padded pens for writing, rest books on a table or book rest and use easy grip cutlery and utensils.

Balance of rest and activity

It is important to balance your rest and activity to allow your joints time to rest and repair. Try to stop before you feel tired or are in pain and avoid activities that you can’t stop when you need to. Try to plan ahead and keep a diary allowing rest and activity periods.

How do I see My Shyamalan for consultation?

You can book either a face to face or virtual consultation with Mr Shyamalan by contacting his secretary Pam on pdziubany@hotmail.com or by calling 07815 460 786. 

Appointments are available via private medical insurance or paying for yourself. Mr Shyamalan charges £195 for an initial consultation and sees patients at Spire Little Aston, Spire Parkway, Spire South Bank, Nuffield Warwickshire and Sutton Medical Consulting Centre.

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Could I have Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a common condition which occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. The carpal tunnel—a narrow, rigid passageway of ligament and bones at the base of the hand—houses the median nerve and the tendons that bend the fingers.

Here Mr Shyamalan answers your questions.

What are the symptoms?

Common symptoms include numbness and tingling in the thumb and sometimes half of the ring finger, index and middle finger (the little finger usually feels normal), as well as pins and needles, there may be a ‘dead’ feeling and waking up at night with the occasional electric shock feeling up the fingers and arm.

In severe compression you may lose feeling in the fingers altogether. You may also find you are dropping things and struggling to do fine movements such as buttoning your shirt or undoing your bra strap.

What causes it?

Unfortunately, the cause is unknown. It is more common with age but can be related to conditions that cause increased fluid such as obesity, pregnancy, arthritis, and certain inflammation as well as diabetes.

What happens if I don’t get it treated?

In general, carpal tunnel can improve on its own when it is in the early stages, However, it can continue to be irritable and progress and worsen. We tend to wait at least 3 - 6 months to see how symptoms improve or progress.

Carpal tunnel syndrome may ease over time but in some cases it is possible to experience a decrease in grip strength, burning and cramping sensation, muscle wastage and weakness, and shooting pains up the forearm.

What treatments are available?

Non-invasive treatments available are the use of splints or steroid injections.

Splint

You can use a wrist splint to stop the wrist bending which can be worn at night to reduce the symptoms. 

If splint doesn't help then an injection can be given.

Injection

Steroid injections  are good for improving pain relief and symptoms such as pins and needles. However, it does not cure carpal tunnel, and the symptoms can come back after a period of time.

Injections are also a very good diagnostic test as those who respond well to an injection, tend to have a good result with surgical treatment.

Surgical treatments

Carpal Tunnel Release

If non operative treatment has not worked for you, you will be offered carpal tunnel release

There is a broad flat ligament over the nerve which forms the roof of the tunnel which is opened during surgery. This is done under local anesthetic and takes about 20 minutes, and you are discharged after the procedure.

We close the wound with dissolvable stitches and keep it clean and dry for two weeks and protected with a soft bandage.

Early use of the fingers and hand are encouraged immediately after the surgery, but heavy manual labour should be avoided until the wound has fully healed and hand strength has returned.

Once the wound has healed, the scar should be gently massaged to improve the scar.

How do I see My Shyamalan for consultation?

You can book either a face to face or virtual consultation with Mr Shyamalan by contacting his secretary Pam on pdziubany@hotmail.com or by calling 07815 460 786. 

Appointments are available via private medical insurance or paying for yourself. Mr Shyamalan charges £195 for an initial consultation and sees patients at Spire Little Aston, Spire Parkway, Spire South Bank, Nuffield Warwickshire and Sutton Medical Consulting Centre.

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