MB had his first surgery by another surgeon for carpal tunnel syndrome. The pain he had been having at night disappeared, but his fingers remain numb and his strength and dexterity did not come back. He underwent multiple surgeries, but the symptoms persisted. MB shares his testimonial.
He then consults a second specialist who decides to re-operate. Mr. MB undergoes a second carpal tunnel release, only a few months after his first one. His symptoms persisted. He then consults a third specialist, who proceeds to do a third carpal tunnel revision surgery.
And yet again, it is a failure for MB because the symptoms of numbness in his fingers and weakness remain despite the 3 surgeries.
LD is diabetic and underwent an open carpal tunnel release on his right hand at another clinic. He is scheduled to have the same surgery on his left hand 6 weeks from the first one. Unfortunately, he developed a wound infection and had trouble with scheduling an adequate medical follow-up. After this experience, LD did not want to have an open carpal tunnel release again.
He then decides to book a consultation at Exception MD for his left hand. During consultation, the diagnosis of wound infection is confirmed and LD is put under antibiotics. A few weeks later, after complete healing of the wound infection, he undergoes an endoscopic carpal tunnel release for which he recovered from fully.
ST consults an orthopedic surgeon in a private medical clinic in the Montreal region for carpal tunnel syndrome. The surgeon examines the wrist briefly and takes a look at his EMG results, before confirming that a surgery is necessary. The consultation lasts for about 10 minutes.
The day of the surgery, he is informed that he will be operated on by another doctor because his surgeon no longer works at the clinic. This new doctor does not examine or ask the patient about his symptoms and proceeds to do an open carpal tunnel release of the right wrist, in very rudimentary sterile conditions, which surprises ST. ST describes feeling an electric shock during the procedure, but the surgeon reassures him that everything is normal. He leaves the clinic that day with a scheduled follow-up in 10 days.
At his postoperative follow-up appointment, ST informs the nurse who removes the stitches that his symptoms have worsened. He has more pain and electric shocks. The nurse assures him that these will improve. His surgeon was not on site and therefore could not assess ST’s condition.
A few weeks later, his condition worsens, and he calls the clinic to see the doctor again. The doctor was not available. He decided to consult Exception MD. His initial assessment took 45 minutes and revealed that his right carpal tunnel was still blocked, and electrical tests showed that the condition of the median nerve in his right wrist had deteriorated. In addition, a complete examination of his left upper extremity shows carpal tunnel syndrome and compression of the same nerve higher up in the elbow. The phenomenon of double compression of the nerve (like a garden hose in the garden is rarely blocked in one place), is very common and should be investigated for optimal results.
ST was then operated on for an endoscopic revision of the right carpal tunnel, an endoscopic decompression of the left carpal tunnel and a decompression of the left lacertus (at the elbow), in one session, under Walant-type local anesthesia (without tourniquet on the arm). He is delighted with the result and regrets having had the first surgery elsewhere.
PT, who likes to work out, comes to Exception MD with carpal tunnel syndrome in both wrists. The 45-minute consultation confirmed carpal tunnel syndrome, but PT learned that he also had bilateral lacertus syndrome, a compression of the median nerve at the elbow under a ligament called lacertus fibrosus. This is why he lacks strength and endurance. PT is not convinced of the need to decompress the nerve at the elbow and chooses to have his carpal tunnel decompressed, by endoscopy. He underwent surgery and was relieved of the numbness and night pain typical of carpal tunnel syndrome.
In the following months, he consulted again because of some residual numbness, loss of strength and dexterity. The new evaluation confirmed that the carpal tunnel had been adequately relieved, but that the median nerve compression at the elbow persisted in both arms. Finally convinced, he chose to undergo nerve decompression in both elbows simultaneously, under local anesthesia without a tourniquet (Walant). He was delighted to quickly recover his strength and endurance. At last, he no longer has numbness.
AT is a construction worker who has been working hard since he was a child and feels his arms are giving up on him. He feels numbness and pain in his forearms and elbows. He can’t sleep, despite wearing splints at night. He is no longer able to work. He decides that his health is essential, postpones some projects and purchases, and decides to consult Exception MD, on the recommendation of others. The verdict: double median nerve compression in the wrist and elbow.
He underwent surgery on his right arm and then a week later on his left. During his second surgery, he tells us about the recovery of his right arm.
FC is a paymaster, a spouse, and a mother. She keeps busy but also enjoys having some time to enjoy her hobbies. In the last 2 years, she has been living with constant pain and numbness in both her hands. She went to visit her general physician who diagnosed her with severe bilateral carpal tunnel, which enabled her to be bumped up the elective surgery list at the hospital. The expected delay: 2 years.
Her symptoms got worse and worse. This greatly affected her sleep, her mood, and her ability to be emotionally available for her loved ones. That is until she decided to take matters into her own hands.
So she started doing her research and landed on Exception MD, which she chose for the quality of the informative videos accessible on the website, for the minimally invasive approach that was put forward, and for the client-centered approach that enabled her to get surgery within 2 weeks of her initial consultation.
After careful examination, Dr. Brutus determines that she needs surgery for a double compression of her median nerve on both sides (carpal tunnel and lacertus syndrome). The day after her surgery on the first side, she slept the whole night, something she had not done in 2 years. She could not believe it. After her second surgery, her symptoms disappeared, and her strength came back.
CC had surgery for carpal tunnel compression in both hands a few years ago by another surgeon. Her symptoms disappeared completely after the surgery.
A few years later, she started having neuropathic pain again, but it was different from what she had before. She had no pain at night, and the numbness and throbbing she had were going up her forearms. She also had a loss of strength and was very clumsy with both hands. She went to see her family doctor who ordered an EMG.
With the results of the EMG passed at the level of her wrists, the doctor recommended a repeat carpal tunnel decompression surgery on both wrists again. Discouraged and unsure, the patient consulted with Exception MD. Taking the time to listen to her complaints and rigorously evaluating both upper limbs, Dr. Brutus diagnosed CC with lacertus syndrome in both arms, while the provocative tests for the carpal tunnel were negative, suggesting that the previous decompressions were successful.
Lacertus syndrome is, in fact, a compression of the same nerve that is compressed by the carpal tunnel, but it is compressed higher, at the elbow. CC decided to go ahead with lacertus decompression surgery on both elbows. During the 30-minute surgery, Dr. Brutus was able to test and feel the return of active strength in both of CC’s hands.
10 minutes after the operation, CC sits in the office so that her strength can be objectively re-evaluated immediately post-op. Here is the calculated improvement: a 29% increase in her right hand and a 60% increase in her left hand while she is still under local anesthesia. Not only that, but CC reports that the numbness has already diminished, and the throbbing sensation has already disappeared in both her forearms.
ID had been suffering for a few months from a rapid deterioration of her strength and dexterity in her right hand, to the point of not being able to open a bottle of water. Her family doctor was unable to get her to be seen by a specialist in peripheral nerves in a timely manner. She decided to visit Exception MD and within an hour was diagnosed with severe double compression of the ulnar nerve at the wrist and elbow.
A week later, ID underwent surgery under Walant-type local anesthesia (no tourniquet), and her recovery began. At her postoperative visit, after her wound had healed, she was able to open a bottle, her strength was improving, and her muscles were recovering. She is relieved that she was able to save her hand before it was too late.
PS, a nurse, has been suffering from elbow pain for months. She lacks strength and drops objects. She consults, and the diagnosis is made. Compression of the ulnar and median nerves in the elbow, known as lacertus and cubital tunnel syndrome. She underwent a quick operation under Walant.
AF, a basketball player, could no longer play because of pain and numbness in the little finger of his right hand. He was having trouble dribbling because he lacked dexterity and control. His problem was related to an ulnar nerve compression in his wrist.
Once operated on, his dexterity and strength returned almost instantly. His testimony is worth a thousand words.
NU is a surgeon who injured his thumb while skiing. He is no longer able to operate and is worried about his career. He consults with two colleagues in his hospital, who are not comfortable operating on him and refer him to Dr. Brutus, who regularly operates on physicians. He consulted at Exception MD.
Digital X-rays and an ultrasound performed on-site confirm that a major ligament is torn in the young surgeon’s thumb. A few days later, NU underwent surgery.
Here is a video at three-week post-op, as rehabilitation begins.
A few weeks later, he began operating on his patients again and returned to his normal life.
PT is a surgical oncologist with osteoarthritis in the base of his thumb, whose pain is resistant to cortisone infiltrations. He has tried PRP, but in his case, without success. He has decided to have surgery because he is worried that he will not be able to hold a pair of forceps or other instruments to operate. He is not yet ready to be forced to retire because of his hand.
He consults Dr. Brutus, as he knows he operates on many doctors and surgeons. The good news is that his condition makes joint replacement with a total prosthesis of the Maia type possible.
The surgery takes place at a time that is convenient for PT, under Walant-type local anesthesia (no tourniquet). PT watches his surgery and can even participate in it. With the use of local anesthesia, we were able to verify the stability in the joint replacement during active movement during the surgery, which enables PT to begin rehabilitation earlier, thus recuperating faster and better.
As a matter of fact, a week after his joint replacement, rehabilitation begins. Eight weeks later, PT is back in the operating room and back to his life.
RP suffers from a contracture in two fingers of his hand. He knows that this condition runs in his family. As a musician, he is very concerned that he will not be able to continue making and playing his musical instruments. LP is not only an artist but also a maker of stringed instruments. For this reason, he chose Dr. Brutus because of his unique expertise.
The surgery went perfectly under local anesthesia. Dr. Brutus prescribed radiation therapy postoperatively to reduce the risk of disease recurrence after surgery.
FF is diabetic and therefore prone to trigger fingers. Because diabetes slows healing and increases the risk of postoperative infection, FF wants to have surgery in the least invasive way. His research led him to Exception MD for endoscopic trigger finger surgery, which is not offered anywhere else in Canada.
The surgery was painless, under local anesthesia, while FF watched the procedure unfold on a video screen. The recovery time was a few days.
DV is a specialist in manicure and pedicure.
AF had been suffering from elbow tendonitis for months. Despite physical therapy, pain persisted, and AF was convinced that surgery would be required. Dr. Brutus explained that PRP was worth trying before going ahead with surgery.
EW works in the dental field. As a dental health professional, she is prone to nerve compression in the wrist and arm (Lacertus and carpal tunnel syndrome). She underwent surgery and was happy to return to work two weeks after her surgery.
In the weeks that followed, she experienced electric shock-like pain when she touched her two small scars. Painful sensations can appear at the scar sites during the healing process. They are called dysesthesias. Multi-Lock System Laser treatments were performed.
Your hands are unique and valuable. When the need for surgery arises, choose quality service and a tailored approach. Dr. Brutus holds high ratings on independent platforms. His patients consistently recommend him for his outstanding approach, dedicated team, and the high standard of care provided.
How to ease your carpal tunnel syndrome symptoms? How to recognize trigger finger? What should you bring on the day of your surgery?
Dr. Brutus offers a series of publications on a variety of health topics. Written in a clear and simple language, in collaboration with experts in various fields, these books are offered free of charge for download.