Reasons
Guyon’s canal syndrome is a common condition that occurs as a result of prolonged compression of the ulnar nerve in the narrow canal of the wrist (Guyon’s canal) through which it passes.
Guyon’s canal syndrome occurs with prolonged, excessive loads on the wrist, as well as with injuries and diseases of the bones and joints of the wrist. The described syndrome usually manifests itself:
- a tingling sensation in the little finger and ring finger,
- with prolonged stress and lack of treatment,
- tingling develops into pain that spreads to the wrist and hand,
- In advanced cases, muscle atrophy and weakness in the hand occur.
Diagnostics
An experienced neurosurgeon can make a diagnosis even based on the symptoms of the disease. Ultrasound is used as an additional method of examination.
Treatment
The first stage of treatment is conservative therapy, which includes:
- reducing the load or immobilizing the hand and wrist joint
- prescribing anti-inflammatory and anti-edema therapy,
- local administration of hormonal drugs and prescription of physiotherapy.
If there is no effect, the patient is offered surgical intervention – revision of the Guyon canal and release of the nerve from compression.
The neurosurgical department has accumulated extensive experience in both conservative and surgical treatment of diseases of the peripheral nervous system, and the presence of an operating microscope and microinstruments allows for high-quality and effective surgical interventions.
