TREATMENT OF THE CARPIAN CANAL BY MESOTHERAPY

Carpal tunnel syndrome is a common condition characterized by symptoms in the hand. It results from a compression of the median nerve on the wrist and is favored by the repetition of certain movements or postures of the hand as well as by certain diseases.
Carpal tunnel syndrome refers to disturbances associated with compression of the median nerve when passing through the carpal tunnel at the wrist. The median nerve controls the sensitivity of a part of the hand and arm and allows certain movements with the hand and the wrist.

It is more common in women than in men as well as in two age groups: between 40 and 50 years, and between 60 and 70 years.

People with diabetes are particularly affected: 14% of them and up to 30% when they have neurological complications due to diabetes.

It can also be part of occupational disease activities with repeated movements.

The mesotherapy sessions performed according to the protocol allow improvement of the symptomatology.

Pathophysiology

Intrinsic factors: impediment to venous return, premenstrual syndrome, menopause, hypothyroidism
Extrinsic factors: micro-trauma, repeated movements, sequelae of trauma
Congenital anomalies.
General causes such as long-term renal dialysis (amyloidosis)
Decreased strength and agility of the hand
Vasomotor disorders (sweating)

Protocol

• IDS / IED and some deeper points Mixed technical IDP (on the dorsal aspect of the hand and wrist and on the anterior and posterior joint of the shoulder).
  IDP targeted to the point of compression found in the examination
  D10 D10 D30

Pharmacology

• Mesocaine is used for its membrane-modifying properties, for the reduction of injection pain and for potentiating associated molecules.
• Piroxicam is a nonsteroidal anti-inflammatory and anti-prostaglandin. It is used for its anti inflammatory properties intra or periarticular and on pain of localized inflammatory origin.
• Calcitonins have a trophic bone, cartilaginous, analgesic and micro circulatory effect. It is extremely analgesic, especially if
• The disorders are old and of great efficacy in the cases of algoneurodystrophies.
• Procaïne is a local anesthetic with complementary effects: alpha blocking rheological vasodilator, non-specific immune stimulator, neuropsychic and thymoanaleptic stimulant.
• Etamsylate is a vasculoprotective and veinotonic. It is used in localized postoperative and inflammatory edema.

Injection sites

• In relation to the sensory territory of the nerve (hand wrist) IED laroxyl mag 2
• In front of the forearm (projection of the nerve path) IDS lido etamsylate
• Points versus tinel IDP lido-etamsylate