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Carpal Tunnel Syndrome - Symptom, Treatment And Causes

What happnes in Carpal Tunnel Syndrome?

The median nerve gets compressed while passing in to the hand, in carpal tunnel syndrome. The median nerve is situated towards the palm (also called carpal tunnel). The sensations for feeling in the thumb, long finger, index fingers and a portion of the ring finger are provided by the median nerve. It also provides the muscle of the thumb its impulse. Carpal tunnel syndrome may affect both or just one hand. Compression is caused due to the swelling within the wrists. It may result in weakness, numbness and a tingling sensation right next to the thumb. There usually is another medical ailment that leads to the wrist’s swelling and prevents proper flow of blood.

Carpal tunnel syndrome might become worse if the wrist gets overstretched repeatedly. Repeated wrist motions may cause compression and swelling in the median nerve. The problems are:

  • Poor wrist positioning during mouse and keyboard use
  • Extended periods of vibration while using power tools or hand tools
  • Any repetitive movements that stretches the wrist activity like typing or playing the synthesizer

Diagnoses and Symptoms :

Women are thrice as more likely for having carpal tunnel syndrome when compared with men. Carpal tunnel syndrome gets frequently diagnosed from 30 to 60 years of age. High BP, arthritis and diabetes are a few conditions that increase the likelihood for having carpal tunnel syndrome. Higher salt intake, a high BMI (body mass index), smoking and a sedentary lifestyle are all lifestyle factors which might increase the chances of having carpal tunnel syndrome. Jobs involving repetitive wrist movements like keyboard related work, construction work and manufacturing offer higher chances for having carpal tunnel syndrome. Assisted with tests known as nerve-conduction studies, a physical exam and with your medical history a doctor will diagnose the condition. A detailed wrist, shoulder, neck and hand evaluation is included in a physical exam. This is done for checking for any nerve pressure causes. The doctor checks for deformities, tenderness and swelling in the wrists. They then check for sensation in the fingers and also the hand’s muscular strength.

Treatable by medical professional Require medical diagnosis Lab test always required Short-term: resolves within days to weeks Non communicable
Pain and burning that travels up the arm. Wrist pain at night that interferes with sleep. Numbness, tingling, and pain in the thumb and first three fingers of the hand.

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Carpal Tunnel Syndrome - Most Common Causes

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Carpal Tunnel Syndrome - Most Common Causes

Carpal tunnel syndrome is a condition that causes numbness or tingling in the hands and arms besides other symptoms. Carpal tunnel is basically a narrow passage on the palm side of the wrist. This condition is caused when a nerve in the carpel tunnel is compressed. Since this median nerve runs up through the hands to the forearm, it affects the arms as well. Not only does it cause nerve pain, but also results in limited functionality of the thumb.

To prevent this syndrome, one needs to understand its causes. We have discussed some of the primary causes below:

  1. Issues with the thyroid hormone: Hypothyroidism, an imbalance or lack of thyroid hormones in the body, can create problems that lead to issues with the overall musculoskeletal system. An over-active pituitary gland can also cause issues that affect mobility and motor skills. This can lead to or exacerbate the carpal tunnel syndrome.
  2. Arthritis: Arthritis causes swelling and inflammation of joints and tendons, which tend to increase the symptoms of carpal tunnel. Eventually, arthritis can also lead to compression of the median nerve and other structures in the wrist, thereby leading to carpal tunnel syndrome.
  3. Pregnancy or menopause: During pregnancy as well as menopause, women experience tingling or numbness in their hands, which is believed to be caused by carpal tunnel. Experts say that when a fluid called oedema builds up in the tissues around the wrists and other parts of the body, it puts a pressure on the median nerve, leading to pain.
  4. Work pressure: Experts believe that behaviours can increase the risk of carpal tunnel. The other instances which cause this syndrome include physical labour, using mechanical tools and repeated stress to the wrist. However, various studies suggest that there isn’t any direct association between using a computer and carpal tunnel syndrome. It may just cause different forms of hand pain.
  5. Imbalance of body fluids: Fluid retention in the body increases the pressure within the carpal tunnel, which irritates the median nerve. This is common during pregnancy and menopause as discussed earlier.
  6. Obesity: One of the significant risk factors for this syndrome is being obese. So be careful about gaining excess weight.
  7. Other conditions: Certain conditions like hormonal imbalance, diabetes and kidney failure may increase the chances of carpal tunnel syndrome. It also occurs in people who usually have narrow carpel tunnels. In some cases, it is inherited and is passed from one generation to the next.
  8. Inflammatory conditions: Illnesses that end up in inflammation, such as rheumatoid arthritis, can affect the lining around the tendons in the wrist and put pressure on the median nerve.
  9. Fractures: A fracture in the wrist can cause narrowing of the carpal tunnel and irritate the nerve.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4683 people found this helpful

Carpal Tunnel Syndrome - Measures That Can Help Treat It!

MS - Orthopaedics, M.Ch - Orthopaedics, MBBS
Orthopedist, Ghaziabad
Carpal Tunnel Syndrome - Measures That Can Help Treat It!

Also known as Median Nerve Compression, Carpal Tunnel Syndrome is characterized by a sensation of tingling and numbness in the hands or the arm caused due to a strained nerve of the wrist. This condition occurs due to stress which affects the functioning of the part of median nerve, situated along the wrist.

Various Causes of Carpal Tunnel Syndrome:
Constant movement of the hands in activities such as typing on the computer

Various Symptoms of Carpal Tunnel Syndrome:
The symptoms of this syndrome start to show up when there is excessive pressure build up in the median nerve of the wrist. You may experience-

  1. A sensation of numbness
  2. A sensation akin to the pain experienced when needles are inserted into the skin
  3. Pain (mostly at night)

The build- up of pressure can occur due to a number of reasons. They are

  1. Painful injury
  2. Fracture
  3. Tenosynovitis (a condition that affects the tendons along the sides of the thumb)
  4. The compression of the nerve may develop anywhere, and not necessarily the wrist only.

Diagnosis of Carpal Tunnel Syndrome:
Doctors base their diagnosis of the condition on the symptoms and certain tests. These include-

  1. Phalen’s test (a test that is carried out to determine any pain or numbness in the fingers within one minute of this activity)
  2. Wrist flexion/median nerve compression test
  3. Tinel’s test (a test that is used to diagnose irritated nerves)
  4. Few nerve enlargements may be revealed by an ultrasound, X-Ray, MRI scan, CT scans etc. The doctor generally recommends any of the above tests to determine carpal tunnel syndrome.

Important measures that help treat the condition are

  1. Getting ample rest
  2. Educating yourself on the various symptoms
  3. Knowing certain activities or movements that trigger symptoms
  4. Attending physiotherapy sessions
  5. Physiotherapy as an important form of treatment for Carpal tunnel syndrome
  6. Extensibility of muscle as well as soft tissue
  7. Strengthening the forearms and the ability to grip things and pinch too
  8. Maintaining posture and performing hand agility exercises can improve the hand movement
  9. Mobilization of the Carpal bone and stretching of the flexor retinaculum (a fibrous band near one’s wrist) so as to widen the carpal tunnel
  10. Gliding training for nerves/ tendons for unrestricted motion
  11. Endurance training for strengthening the upper limb as well as the wrist

In case you have a concern or query you can always consult an expert & get answers to your questions!

2424 people found this helpful

Carpal Tunnel - How Endoscopic Surgery is Beneficial?

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Carpal Tunnel - How Endoscopic Surgery is Beneficial?

The carpal tunnel is the passageway for the median nerve to pass through on the inner side of your hand, when your palms are facing down. For example, while typing, there is a lot of movement of the fingers and this puts a lot of pressure on this tunnel. In fact, people who are involved in a lot of typing are one of the most prone people for carpal tunnel syndrome (CTS). Other causes would include trauma, fractures, etc., where the tunnel is injured.

Conventional measures to treat CTS included a combination of exercise and pain killers in mild to moderate cases. In moderate (sometimes) to severe cases, surgery was also done. However, with advancements in medical technology, endoscopic surgical procedure is gaining popularity.

What is done?
In endoscopic surgery, a small incision is made in the wrist or one each in the palm and the wrist. Through this, a flexible tube with a camera and minute cutting tools are inserted into the wrist. Another ligament known as transverse carpal ligament is cut. This reduces the pressure on the median nerve, which provides relief from the CTS symptoms.

What to expect as benefits?
The intention behind the surgery remains the same in both traditional and endoscopic procedures. The pressure on the median nerve is released, restoring movement and reducing pain in the joints. In addition, the endoscopic procedure has the following benefits.

  1. Less invasive: Needless to say, there are only one or two small incisions done for this procedure, so less surrounding tissue is damaged.
  2. Same day surgery: No hospitalization is required, and unless required, the patient can return home on the same day of surgery.
  3. Reduced recovery time: The recovery period is usually substantially less compared to the traditional surgical approach.
  4. Back to work: Depending on which is your dominant hand, you would be able to return to your regular work earlier than with regular surgery. If your non-dominant hand is involved, a day or two of rest is required. If your dominant hand was involved, give it up to four weeks for complete recovery.
  5. Reduced chances of nerve injury: The area of operation has many nerves and blood vessels, and endoscopic surgery reduces the chances of damaging adjacent nerves.
  6. Anesthesia: This is done under local anesthesia. Therefore, complications arising out of general anesthesia are completely avoided.

While these sound promising, your doctor will decide if you are a candidate for endoscopic procedure depending on the following:

  • Nonsurgical treatment including exercise and pain killers have not provided relief, even after several months.
  • Severe symptoms including those of nerve damage, like loss of sensation, altered coordination, etc., is affecting your normal daily routine.
  • Person requiring bilateral surgery like severe trauma, wheelchair dependent, etc.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2596 people found this helpful

Carpal Tunnel Syndrome - 7 Ways to Ease the Pain

Pain Management Specialist, Delhi
Carpal Tunnel Syndrome - 7 Ways to Ease the Pain

If you suffer from rheumatoid arthritis, you may be at a high risk of developing Carpal tunnel syndrome. This is a very painful condition in which the hands and wrists are affected. The Carpal tunnel refers to a structure which is formed by the bones present in the wrist and the surrounding connective tissues, through which the nerves and tendons controlling the thumb movement pass. Carpal tunnel syndrome occurs when the connective tissues get swollen because of inflammation and the nerves passing through the tunnel are crowded and squeezed.

Ways to get relief from Carpal tunnel syndrome:

Here are some common ways by which a patient with Rheumatoid arthritis can get relief from any discomfort caused due to Carpal tunnel syndrome:

  1. Get your Rheumatoid arthritis treated. Carpal tunnel syndrome is commonly caused because of an underlying sickness such as rheumatoid arthritis. Medicines such as disease modifying anti-rheumatic drugs are used to manage the condition and for reducing inflammation which causes carpal tunnel syndrome.
  2. Getting enough rest is also very important. You must avoid using that hand or wrist, which has been affected for some weeks. This will allow the inflamed tissue to heal. 
  3. You may wear a wrist splinter. A splint is suggested for resting your wrist therefore, it is kept in a neutral position. It can be worn during the day or when you are sleeping.
  4. You can take prescribed non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief. These also help in reducing the swelling of tissues within the carpal tunnel.
  5. A Cortisone shot may also be effective for easing the carpal tunnel syndrome. These steroid injections are given directly into the carpal tunnel. You will be able to get temporary relief from pain.
  6. A set of Carpal tunnel exercises have been developed by doctors. These are designed for stretching the wrists and for keeping them limber. You must perform these exercises on a regular basis for best results. Yoga is also effective for easing carpal tunnel syndrome. Performing regular yoga will help you to improve your wrist pain. The upper joints of the body are strengthened. 
  7. Take breaks at work on a regular basis. By changing your position and taking short breaks, your Carpal tunnel symptoms are bound to improve. This is more essential for people who do a job where great stress is placed on the wrists. If you are into typing, you need to take breaks and stretch your wrists.

There are several alternative therapies for easing carpal tunnel syndrome, which  are being studied and researched on. They include the likes of acupuncture, chiropractic care, magnets, botox treatments and vitamin B6 supplements. If you wish to discuss any specific problem, you can consult a pain management specialist.

4173 people found this helpful

Carpal Tunnel Syndrome - An Overview

M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Carpal Tunnel Syndrome - An Overview

The human hand has multiple bones, tendons, ligaments and muscles which in unison help us to grip things and manipulate other objects to do our work. Within the wrist lies a narrow passageway on the palm side which houses the main nerve for movement of the nine tendons. These tendons help us to move our fingers individually and grip things or accomplish any task we want with our hands.

What is carpal tunnel syndrome?
Carpal tunnel syndrome is a condition where this nerve gets pinched due to a variety of factors and may have adverse effects. Some of the symptoms include tingling, numbness and pain with movements of the arm.

Causes of Carpal Tunnel Syndrome:
The nerve within the wrist which is known as the median nerve can be pinched due to a variety of factors:

  1. Movements where the wrists are always higher and in an angle: Repetitive movements of the wrists where the hands are always at a lower angle, can increase the chances of carpal tunnel syndrome. This is usually a workplace related problem and thus be caused by bad hand posture.
  2. Medical Conditions: There are certain medical conditions that may also trigger the onset of carpal tunnel syndrome such as diabetes, thyroid, menopause and other problems.
  3. PregnancyPregnancy has also known to cause carpal tunnel disorder as it can alter the balance of fluids within your body. However, other factors could also put your fluids in imbalance and cause problems with the median nerve.
  4. Conditions that may cause inflammation: Certain conditions such as rheumatoid arthritis can cause the inflammation within the joints which might lead to the median nerve being pinched which in turn might lead to carpal tunnel syndrome.

Some Preventive Measures from Carpal Tunnel Syndrome:

  1. Breaks from repetitive work: It is important for your wrists to have a break when you are doing repetitive tasks that might cause carpal tunnel syndrome. Relax and stretch your muscles within the break time
  2. Wear wrist splints: These are support devices which can help correct problems for repetitive actions throughout the day while you are sleeping.
  3. Take pain reliever if you start having chronic pains: If your wrist pain is not letting you functions normally, take a pain reliever such as ibuprofen or aspirin and go to a doctor as soon as possible for a more thorough treatment.
4815 people found this helpful

Popular Questions & Answers

I am using pregabalin (75) from the past 5 months for carpel tunnel syndrome. What effect does it shows to my body and when?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hand pain it might be due to carpal tunnel syndrome, where the pain will be felt in the wrist. You can do hot water fermentation/ wax therapy for shoulder and for the wrist pain (hand pain) you can do ice therapy which will reduce the pain.

Hi, I am 18. I fell today and hurt my hand. It's been 12 hours since the fall. My thenar eminence swelled up ten minutes ago. I can move around my thumb with minimal to no pain but, the palm hurts. Is it broken or sprained?

General Physician, Mumbai
Dear Lybrateuser, - Get an x-ray of the affected hand done to rule out any bony injury - apply ice pack for 10-15 min 3-4 times a day on the affected area - elevate the limb to reduce swelling - take am anti-inflammatory tablet 2-3 times a day after meals.
2 people found this helpful

Hi I want to know where I can I get operated for finger Joints I have no movement in my index finger and ring finger of right hand.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Finger Painyour finger pain can be due to various reasons our suggestion would be to do warm water bath to relieve from pain. If the pain doesn't subside please do ice therapy to reduce the inflammation from the finger.

4 year back when I was 6 month pregnant then I suffered from carpel tunnel syndrome, it still exist. I consult many doctor then give me Deflazacort but didn't prove to be fruitful. But with the time gradually its going to cure itself but still irritating. When I leave taking Deflazacort and pain killer it again start annoying me. Tell me any natural thing to eat which eradicate it.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
The recovery from carpal tunnel surgery takes time – anywhere from several weeks to several months. If the nerve has been compressed for a long period of time, recovery may take even longer. Recovery involves splinting your wrist and getting physical therapy to strengthen and heal the wrist and hand. You should not take deflazacort frequently as it is strong steroid
1 person found this helpful

I have nerves problem. When can go for EMG Test. .whats the use of EMG Test. .please explain me.

DM - Neurology, MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine
Neurologist, Ghaziabad
For nerves problem NCV test is done which gives us an idea about type and severity of nerves involvement.

Table of Content

What happnes in Carpal Tunnel Syndrome?

Conditions related to carpal tunnel syndrome are:

Diagnoses and Symptoms :

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Hello friends, main Dr.(major) Vipin Kakar. I am an ENT surgeon. Aaj main aapko kuch aise tips batauga hearing loss ke baare mein, bachho aur bado mein jo aapke bahut kaam aa sakte hai aur aap uspe amal karke uska faida utha sakte hai. Aajkal hearing loss navjaat shishu, jo ek din ka paida hua bachha, usme bhi pata chal jata hai ke hearing loss hai ya nahi hai. Ab hum hearing loss ki kyun baat kar rahe hai? Kyunki hearing loss ek bahut hi common janam jaat problem hai jo ki 1 lakh mein se 250-400 bachho mein paayi jaati hai.

Agar hum thyroid ki problem ko socho toh wo 1 lakh mein se sirf 40 bachho mein hai, jab ke hearing loss 250-400 bachho mein hai. Toh videsho mein toh koi bhi discharge nahi ho sakta hospital se bina hearing ki jaach karaye. Toh ab hum 1 din ke bachhe ka hearing test karke ye pata laga lete hai ki usko aage treatment ki zarurat hai ya nahi. Ab hume ye jaanna hai ki hum kyun itna jaldi pata lagana chahte hai? Agar treatment hoga utna hi bachhe ko faida hoga. Jo janam se suntan aur bolta nahi hai, wo bachhe ka agar ilaaj der mein karayege toh results bilkul aadhe ho jayege. Aaj ki date mein hearing loss ka ilaaj sambhav hai. Ab hearing loss alag alag cheezon se hota hai toh aap agar apne kisi bachhe mein aapko lagta hai ki hearing loss hai ya wo theek tarah se aawazo pe response nahi de raha hai toh aap kripya karke apne ENT surgeon ke paas jayiye. Hearing loss ki treatment ke liye jis tarah ki bimaari hogi jis wajah se hearing loss hoga use treat kiya jaa sakta hai.

In case, agar usko hearing loss 90% se zada hai jisme hum koi dawai se nahi thik kar sakte toh unke liye aajkal humlog Cochlear implant bhi kar rahe hai. Cochlear implant ke liye ek surgery hai jisme do tarah ki machine lagti hai, ek sir ke andar jo surgery se lagayi jaati hai aur ek machine bahar lagti hai. Bahar wali machine aawaz ko catch karti hai aur andar wali machine ko bhejti hai. Toh kuch saal, therapy ke baad bachha ekdum normal bolne lag jaata hai. Main aapko Cochlear implant ka ek demonstration dena chahta hu. Jo machine andar lagti hai wo toh surgery madhyam se andar lag jayegi lifelong, dusri machine jo bahar lagti hai wo ye ek coin ke jitni hoti hai. Ye coin taqreeban itna bada hota hai aur ye sir mein baalon mein chup jaata hai. Bas itna hi aur ye aawaz catch karke andar wale implant ko bhejta hai aur therapy ke baad aapka bachha, agar aapne timely ilaaj karwaya hai toh woe k normal school mein jaane laayak ho jaata hai.

Kuch bachhe toh itna acha karte hai ke aap pata nahi laga sakte ki unka implant bhi hua hai ya nahi. Lekin har case mein implant nahi ho sakta hai. Kuch hearing loss simple kaan ki machine se bhi thik ho jaate hai aur kuch jinme kaano mein paani bhar jata hai. Toh paani nikaalne se bachha normal sunne lag jata hai. Ab main aapko kuch aisi cheezein videos mein dikhana chaahuga jisse aap dekh kar aapko vishwaas bhi ho jayega ki bachha implant ke baad ek normal school mein jaane laayak ho jata hai aur aapko ye pata lagana bahut hi mushkil hai ke kis bachhe ko implant hua hai aur kaunsa bachha normal hai.
(Another person in a video) Swar clinic mein ek choti si class thi ya conference tha usme bataya gaya ke Bilateral implantation bahar hone shuru ho gaye hai aur agar aap chaahe toh aap apne bachhe ka .aap aayiye, aap suniye ke kya kaha jaa raha hai aur aap decide kijiye. Toh humne wo class attend ki, then and there after the conference, we decided that we will go for this Bilateral Implantation. Aur Bilateral implant 2 saal baad hua, first implant and the second implant, mtlb 4 saal aur 6.5 saal uski age thi jab ye implant hua.

(The kid who got the implant) I thank cochlear implant company and Swar clinic, it is because of the innovation of Cochlear Implant Company and efforts of Swar clinic that I can hear and speak like other children. I am very happy that I am studying in a regular school and talk to my friends comfortably. I am thankful to Dr. Vipin uncle and Dr. Suneeta aunty for their efforts and making me what I am today. I would like to add that I have two implants, with two implants I have no problem in school and I have no fears also. I request all parents to go for Bilateral implant for their children. Thank you.

(Dr. Vipin Kakar in the video again) ab in cheezon ke baad agar aapko apne bachhe mein ya parivaar mein agar aapko koi sunne se related queries hai toh aap Lybrate ke through aap mujhe contact kar sakte hai.
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And therefore, 3 main prone of metabolic syndrome which is diabetes, type 2 diabetes, hypertension and cholesterol. And that's how surgery called bariatric surgery need to do metabolic surgery. Now we know that weight causes a lot of problem across the world. So, the weight causes the problem from head to toe, hypertension, thyroid problems, respiratory problems, sleep apnea and heart failure. It causes a problem in the stomach which are like hernia reflux disease, gallstones, hepatitis, obesity, pancreatitis, development of hernia because of obesity. Obesity is the cause of infertility. A lot of pain like osteoarthritis and high uric acid levels. So, all these things are because of diabetes. 40 different cancers are directly linked to obesity. So in men, there are high chances of prostate cancer and lung cancer. Much higher chances of uterine cancer and breast cancer. So the preventions are the best form of cure.

So, what happen when your BMI is more than 37.5 or it is above 32.5 and with uncontrolled diabetes, with the most conservative association across the world that such as American Diabetes Association, The International Diabetes, if your sugar is not under control with medications, at best you can go for metabolic surgery or bariatric surgery. You can't stick with good sugar control. A chronic diabetic would have the vessels of his heart, his eyes, his kidneys, kidney damage, heart failure because of diabetes, you can have blindness because of diabetes or loss of sensation in the foot in diabetic neuropathy. The best way to get treated with metabolic surgery. What happens with type 1 diabetes. In this bariatric surgery does not cure. But if you are obese, reduce your weight so that the insulin level comes down and other complications will also come down. For all those who want to get in touch with me, consult me, seek an appointment, please do consult me through
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