Carpal Tunnel Syndrome

Written By Michael Moses

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome is a medical condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed or squeezed at the wrist. This nerve is responsible for controlling sensation and movement in the thumb and first three fingers, excluding the pinky. The compression of the median nerve can result in various uncomfortable and sometimes debilitating symptoms.

Causes of Carpal Tunnel Syndrome:

  1. Repetitive Hand Movements: Jobs or hobbies that involve repetitive hand and wrist movements, such as typing, assembly line work, or playing musical instruments, can increase the risk of CTS.

  2. Anatomical Factors: Some individuals may have a naturally smaller carpal tunnel or other anatomical factors that make them more prone to developing CTS.

  3. Medical Conditions: Certain medical conditions like diabetes, rheumatoid arthritis, and thyroid disorders can increase the risk of CTS.

  4. Pregnancy: Hormonal changes during pregnancy can lead to fluid retention and increased pressure on the median nerve, causing CTS symptoms in some women.

Symptoms of Carpal Tunnel Syndrome:

  • Numbness and Tingling: People with CTS often experience numbness, tingling, or a "pins and needles" sensation in the thumb, index, middle, and ring fingers.

  • Weakness: Weakness in the hand and a tendency to drop objects may occur.

  • Pain: Pain in the wrist, hand, or forearm can range from mild to severe and may radiate up the arm.

  • Nighttime Symptoms: Many individuals with CTS report worsened symptoms at night, often waking up with discomfort.

Treatment Options:

  1. Conservative Approaches: For mild cases, non-surgical treatments may be effective. These include wrist splints to keep the wrist in a neutral position, rest, and modifying activities that exacerbate symptoms.

  2. Hand Therapy: Hand therapy exercises and techniques can help strengthen the hand and wrist and improve symptoms.

  3. Medications: Non-prescription pain relievers or anti-inflammatory drugs may be recommended to alleviate pain and inflammation.

  4. Steroid Injections: In some cases, a corticosteroid injection into the carpal tunnel can provide relief from symptoms.

  5. Surgery: When conservative treatments fail to provide relief, surgical intervention may be necessary. Carpal tunnel release surgery is a common procedure that involves cutting the ligament that is pressing on the median nerve, thereby relieving the pressure.

Conclusion:

Carpal Tunnel Syndrome can be a debilitating condition, but with early diagnosis and appropriate treatment, individuals can often find relief from their symptoms. If you suspect you have CTS or are experiencing any of the symptoms mentioned above, it's crucial to consult with a healthcare professional for a proper evaluation and guidance on the best course of action. Remember that early intervention is key to preventing the condition from progressing and affecting your quality of life.

Michael Moses