What are possible treatment options for focal dystonia of the hand?

Open surgery is preferred over endoscopic surgery in carpal tunnel syndrome in the following conditions: Revision carpal tunnel release requiring neurolysis of the median nerve and transposing an ulnarly-based fat pad flap over the median nerve. End-stage carpal tunnel syndrome requiring a tendon transfer to restore thumb abduction function due to complete paralysis of the abductor pollicis brevis muscle. These procedures are more complex and require proper exposure of the median nerve. In straightforward carpal tunnel syndrome, either method will yield similar results.

Main types of arthritis in the hand Arthritis in the hand can be categorised into 2 main types: Degenerative or osteoarthritis inflammatory arthritis such as psoriatic arthritis, rheumatoid arthritis, septic arthritis and gouty arthritis Of the two, degenerative or osteoarthritis is the more common type. Osteoarthritis is simply the premature wear of the cartilage surfaces in a joint and can be primary or secondary. Primary causes of osteoarthritis can be either from age-related degeneration or excessive wear and tear from repeated overuse of the particular joint.