Medications have been used in the treatment of carpal tunnel syndrome. Vitamin B6 has been reported to relieve symptoms and nonsteroidal anti-inflammatory drugs decrease inflammation and reducing pain. Corticosteroids can be given by mouth or injected directly into the wrist joint although it could aggravate diabetes and should not be taken if infections are present.
Surgery is also an option if symptoms are severe. Surgery involves severing the band of tissue around the wrist to reduce pressure on the median nerve. This surgical procedure is called "carpal tunnel release." It can now be performed with a small diameter viewing tube, called an arthroscope, or by open wrist procedure. After carpal tunnel release, patients often undergo exercise rehabilitation. Though it is uncommon, symptoms can recur.
Musicians usually chose not to go through with surgery in fear that there might be complications such as loss of grip strength, loss of range of motion or lost sensitivity in their fingers. These risks may mean a change of profession or even worse, the end of their playing career. Musicians are so passionate about playing and their music that surgery is not an option for them.
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