Dr. Angelo Rando in Southport, Queensland | Doctor

Dr. Angelo Rando

Locality: Southport, Queensland

Phone: +61 7 5526 4488

Address: Level 2 Building 3G Southport Central 27 Garden Street 4215 Southport, QLD, Australia

Website: http://www.gchulc.com.au

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25.01.2022 Carpal Tunnel Release What is Carpal Tunnel? Carpal Tunnel Syndrome (CTS) is the result of median nerve compression in a narrowed carpal tunnel at the wrist. The median nerve and nine flexor tendons to the fingers and thumb, pass through a small tunnel formed by the wrist carpal bones and a broad transverse ligament. ... The median nerve travels through the carpal tunnel and then divides into a motor branch that control the intrinsic thumb and finger muscles that are important for pinch, and sensory branches that provide over half of the hand with its sense of touch. CTS can be caused by any factor that contributes to increased pressure within the carpal tunnel, often from swollen synovium of the flexor tendons. It can also occur following wrist trauma. Swelling or inflammation within the carpal tunnel compresses the median nerve, reducing the blood flow and oxygen supply to the nerve, slowing the transmission of nerve signals through the carpal tunnel. Surgical Treatment In more severe cases Carpal Tunnel Release (CTR) may be required. The goal of surgery is to decompress the median nerve by creating more space within the carpal tunnel. Dividing the transverse carpal ligament, or the roof of the carpal tunnel does this. A small incision is made at the base of the palm to divide the transverse carpal ligament. The ligament is then allowed to retract back to each side and scar down naturally. The goal of a carpal tunnel release is to decompress the median nerve and surrounding structures within the carpal tunnel. FAQ’s The most common questioned asked is if endoscopic or open procedure is better. Simply the answer is -Both work -There is a higher risk of nerve damage in endoscopic release -Pain levels are low in both -The incision of 2 endoscopic scars is not much smaller than open -A misconception is the size of the scar needed to do the procedure open in most cases a 2-3 cm scar is all that is needed verses two 1cm scars in the endoscopic procedure. How long to recovery The hand may be used the following day. You will be able to feed, dress yourself and personal hygiene is usually not a problem in bilateral procedure. Post op pain relief required is usually only Panadol. Initially a well-padded dressing is applied. It is advised that you see a Hand Therapist/Occupational Therapist following a Carpal Tunnel Release to address: Wound and scar management Range of movement Oedema/Swelling Pain management Functional retraining and activity modification A link to the AAOA is provided at - https://orthoinfo.aaos.org//disease/carpal-tunnel-syndrome

24.01.2022 Starting on a piece I will donate to #makeawishfoundation . Support a great cause for when your dreams are all you may hold on to to keep you going .

15.01.2022 Queensland Hand Surgery Society . Nov 2018 It's always a pleasure to be asked to present and give my experience and opinion on wrist and hand surgery. A lot of my mentors over the last 20 years were at the meeting and i am grateful to have been guided into the world of hand , wrist and shoulder surgery by them . Sharing ideas and being involved in research is not only personally fullfiling but gives me the oportunity to share my knowledge and benefit my patients .When juni...or trainees in hand surgery come up to you and ask your opinion ,or guidance i see myself in them . The most important thing i will ever teach is never to close off your mind to the possibility of doing something in a better way than what you've been taught and knowing when to rest in the knowledge you are doing the right thing. #QHSS #innovation #integrity #research #knowledge #sharing See more

06.01.2022 Visit my officially launched website - www.gchulc.com.au

05.01.2022 http://www.gchulc.com.au

05.01.2022 I will be adding summaries of common upper limb conditions over the next few months - obviously i can't summarise the entire upper limb , but will endeavour to start with the most common presentations seen in clinical practice . i will apreciate feedback if you would like greater or less depth of the topics. I also would be happy to recieve requests for future topics . I will start with Carpal Tunnel Syndrome .