Dr KK Pandey
Contd from previous issue
Besides these facilities of investigations, an ultramodern ICU facility must be there in the hospital
Various modes of treatment
In majority of the cases, with pain and tingling sensation in hand, immediate surgery is not generally required. Daily morning walk for 5 kilometers and some special exercises are required. Body weight has to be controlled. It is very essential to get exposure to sunlight for 2 to 3 hours. During summers, one should expose oneself to sunlight between 6 am and 9 am. During winters, one can enjoy sunlight at anytime of the day. At the same time, some special medications are to be taken. One must follow all these advices for at least 6 months.
Various modes of surgery
One must understand, there is no guarantee of hundred percent relief from pain in hand even after surgery. The outcome of surgery depends upon the patient’s weight and daily routine. If there is pressure on the nerve in the neck, surgical removal of the first rib gives a considerable relief in pain in hand. Sometimes surgical removal of culprit extra cervical rib gives some relief in pain. Sometimes surgical removal of extra protuberance of transverse process is done to reduce pressure on nerve. If there is deposition of clot in blood pipe, cleaning of blood pipe is done by surgical removal of blood clots to restore blood supply. If there is a pressure on nerve in hand, surgery is required to remove that pressure.
About the author : Senior Vascular & Cardiothoracic Surgeon, Indraprastha Apollo Hospitals SaritaVihar, New Delhi.
He can be reached at Ph. No.-9911114081, 9810114081, E-mail:
[email protected]