Monday to Sunday, including holidays: 8h - 20h
Phone number: 282 420 020
Av. S. João de Deus - Parque de Saúde da Misericordia de Portimão,
8500-508 Portimão
Opening Hours
Monday to Friday: 7am - 10pm
Saturdays, Sundays and Bank Holidays: 8 am - 10 pm
Urgent Care
Daily: 8am - 9pm
Clinical Analysis
Monday to Friday: 7am - 8pm
SaturdaySunday and Bank Holidays: 8am - 8pm
Av. General Humberto Delgado, Lote 7 7520-103 Sines
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Hospital Particular Alvor
00h15mUrgent Care
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00h00mUrgent Care
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00h51mUrgent Care
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Madeira Medical Center
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waiting times
Hospital Particular Alvor
00h15mUrgent Care
Hospital Particular Gambelas
00h00mUrgent Care
00h00mPaediatrics
Hospital Particular da Madeira
00h51mUrgent Care
00h00mPaediatrics
Madeira Medical Center
00h00mUrgent Care
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Orthopaedic Surgeon
Coordinator
of the Department
HPA Magazine 16
Diagnosis is fundamentally reached by the specialist on observation. Electromyography is only necessary in cases when there is doubt or for medico-legal reasons.
Surgery is indicated when conservative treatment fails.
The alarm signals, are when the lack of sensitivity becomes permanent meaning that surgery is urgent. One thing is when the fibres of a nerve connect and disconnect, the hand is then normal for periods of time. On other occasions there is a change in sensitivity, and yet others when the nerve fibres no longer connect and which, if they remain disconnected for a long time, lose their ability to recover; irreversible injuries are created and the lack of sensitivity will be permanent and irrecoverable.
Surgical treatment involves carrying out a simple surgical intervention, which can be performed under local anaesthesia, on an outpatient basis. This surgery consists of sectioning a ligament, the flexor retinaculum, which closes the carpal canal, in order to decompress the nerve and thus resolve the patient's complaints.
Recovery is quick, mobility and dexterity are not lost, and the patient is able to perform all activities that do not involve the use of force. Strength is the last function to be recovered.
The patient leaves surgery with a large dressing that limits the use of his hand, however, on the second day after surgery this dressing is replaced with a smaller one that allows him to perform almost all daily activities. Patient should avoid getting the dressing wet until the 10th day after surgery, at which time the dressing is removed. The stitches fall off spontaneously.
The patient leaves surgery with a large dressing that limits the use of his hand, however, on the second day after surgery this dressing is replaced with a smaller one that allows him to perform almost all daily activities. Patient should avoid getting the dressing wet until the 10th day after surgery, at which time the dressing is removed. The stitches fall off spontaneously.
The patient is encouraged to perform active mobility exercises and fight oedema (swelling) by raising the hand.
When both hands are involved, bilateral surgery is encouraged. Patients do not always initially accept this idea. However, when questioned after the surgery, most consider it to have been a good option. It has the advantage of needing less time off work, is more economical and results in a faster recovery due to the need to use the hands.
There is rarely a need for physiotherapy and relapse is infrequent.