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Carpal Tunnel Syndrome - Symptom, Treatment And Causes

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.

Conditions related to carpal tunnel syndrome are:

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

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.

Popular Health Tips

Carpal Tunnel Syndrome - Ways To Manage it!

Dr. Shekhar Srivastav 86% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Carpal Tunnel Syndrome - Ways To Manage it!
Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids. There are easier ways of dealing with this issue on an everyday basis, as follows. * Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve. * Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve. * Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body. * Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain. * Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium. * Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse. Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.

Physical Therapy: A Treatment Option for Carpal Tunnel Syndrome(CTS)

Dr. Rajesh Pal 87% (72 ratings)
BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
Physical Therapy: A Treatment Option for Carpal Tunnel Syndrome(CTS)
Carpal Tunnel Syndrome can be said to be one of the most painful disorders to have. There is a high likelihood that a lot of people can agree with this statement as the number of people who suffer from this issue is just so high! Yet, a funny thing to take note of is the fact that even people who are experts on CTS, which is the abbreviation of Carpal Tunnel Syndrome, are not really aware as to what its causes are! That being said, it really does not mean that a person whose life has been affected negatively by it does not make a conscious effort to get better so that the condition is not as painful. In order to do this, what he or she would do is to commit to doing some exercises which directly address the problem at hand. To start with the exercises, it makes sense, to begin with, the one which is the simplest and this happens to be an exercise which is often known as the shake. What this requires the person to do is to shake his or her hands while making sure to keep them flexible. This action is pretty much the same as a person would do, if he or she were to try to air dry his or her hands without making use of a towel. Another simple exercise which is prescribed by quite a lot of doctors who are accomplished experts when it comes to Carpal Tunnel Syndrome is one in which the person who has the condition makes his or her hands a fist. After this is done, what he or she needs to do is to release the fist and go on to stretch the fingers out as wide as possible. The extension should attempt to be in the shape of a fan. It may be surprising, but it can be said that the ill effects of something which is as troublesome as Carpal Tunnel Syndrome can be improved if these simple exercises are done with regularity. However, if a person is looking for a drastic change, it can be expected that he or she would have to do more by the way of complex exercises, at least on a relative scale. One of these exercises is to join the hands in a prayer position and then separate the palms, but make sure the fingers stay pressed to each other; an act known as steepling the fingers. With these simple exercises in place, you can avoid the pain of dealing with Carpal Tunnel Syndrome for good!
3 people found this helpful

How To Know More Your Wrist Pain? It Might Be A Carpel Tunnel Syndrome!

Dr. Priyanka Saini (P.T.) 92% (77 ratings)
Bachelor of Physiotherapy, Advanced Dry Needling Therapist
Physiotherapist, Noida
How To Know More Your Wrist Pain? It Might Be A Carpel Tunnel Syndrome!
Any condition that results in numbness and tingling in the hand and arm caused by a pinched median nerve in the wrist leads to carpel tunnel syndrome. Irritation of the median nerve in this manner causes tingling and numbness of the thumb, index, and the middle fingers. Symptoms: people mainly experience hand numbness, sensation of pins and needles in hand, hand pain at night, hand weakness/clumsiness (loss of gripping power) or wrist weakness. Special test: 1. Phalen sign- tingling in the median nerve distribution is induced by full flexion (or full extension for reverse phalen) of the wrists for up to 60 seconds (this test has 80% specificity). 2. The carpal compression test- this test involves applying firm pressure directly over the carpal tunnel, usually with the thumbs, for up to 30 seconds to reproduce symptoms (this test has specificity of 96%). All special tests are performed by the physical therapist. Diagnosis: carpel tunnel syndrome is suspectedly based on symptoms, supported by physical examination signs, and confirmed by nerve conduction testing. Treatment: mild symptoms usually can be treated with home care. 1. Stop activities that cause numbness and pain. Rest your wrist longer between activities. 2. Ice your wrist for 10 to 15 minutes 1 or 2 times a day along with physiotherapy treatment. 3. Nonsteroidal anti-inflammatory drugs (nsaids) to relieve pain and reduce swelling. 4. Wear a wrist splint at night. This takes pressure off your median nerve. The sooner you start treatment, the better your chances of stopping symptoms and preventing long-term damage to the nerve.
2 people found this helpful

Carpal Tunnel Syndrome - Measures That Can Help Treat It!

Dr. Himanshu Gupta 85% (10 ratings)
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 Pregnancy Arthritis 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- A sensation of numbness A sensation akin to the pain experienced when needles are inserted into the skin Pain (mostly at night) The build- up of pressure can occur due to a number of reasons. They are- Painful injury Fracture Tenosynovitis (a condition that affects the tendons along the sides of the thumb) 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- Phalen s test (a test that is carried out to determine any pain or numbness in the fingers within one minute of this activity) Wrist flexion/median nerve compression test Tinel s test (a test that is used to diagnose irritated nerves) 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 Getting ample rest Educating yourself on the various symptoms Knowing certain activities or movements that trigger symptoms Attending physiotherapy sessions Physiotherapy as an important form of treatment for Carpal tunnel syndrome Extensibility of muscle as well as soft tissue Strengthening the forearms and the ability to grip things and pinch too Maintaining posture and performing hand agility exercises can improve the hand movement 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 Gliding training for nerves/ tendons for unrestricted motion Endurance training for strengthening the upper limb as well as the wrist
2420 people found this helpful

Hand Pain - Can Carpal Tunnel Disorder Cause It?

Dr. Rajinder K. Sharma 91% (2989 ratings)
MBBS, D.O. Orthopedic Surgery
Orthopedist, Chandigarh
Hand Pain - Can Carpal Tunnel Disorder Cause It?
The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand. Causes De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions: - Clenching The fist - Handling on or holding objects - Turning the wrist Treatment for this includes the following: - Wearing a prop to rest the thumb and wrist - Calming drugs - Cortisone infusions Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand: - Palm and a few fingers - Wrist - Lower arm The treatment methods includes the following: - Resting the hand and wrist - Painkillers - Wrist support - Steroid infusions - Active recuperation - Breaks Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following: - Stiffness - Swelling - Loss of proper motion and movement The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly. Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling. In the hand, the regions where this regularly happens are as follows: - Base of the thumb - Center joint of one or more fingers - End joint, which is nearest to the fingertip The treatment depends on the seriousness of the injury and the following may be used: - Painkillers - Props for the fingers or wrist - Heat - Non-intrusive treatment Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb. Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb. Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases.
2968 people found this helpful

Popular Questions & Answers

I want to know about cubital tunnel syndrome (entrapment of ulnar nerves at elbow) and its possible treatment.

Dr. Niti Jain 89% (11 ratings)
Physiotherapist, Delhi
Use a elbow band of your size. Do not lift heavy weights untill your pain subside. Hot fomentation at home. Ultrasonic therapy or laser therapy at physiotherapy clinic with tens and manipulation would cure your problem.
1 person found this helpful

My mother has carpal tunnel in her right wrist and the pain has been compounded due to a recent (7 weeks old) chikungunya fever. We wish to get it operated now. She is a little worried as her previous left hand surgery for same problem did not end so well. We would like to consult about the same.

Dr. (Mrs.) Saroj Das 91% (5649 ratings)
D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
You should take Acupressure therapy and take Biochemic Nat phos 200x 4 tab thrice a day with warm water and take it 5 days than consult private online.

My illness started last 6 month, 1st I have numbness (ghanghanahat) in my left hand and after sometime in right hand and my head spin in evening after text doctor said to me this is carpal tunnel problem in left hand. And after MRI doctor said you have cervical problem also mild disc bulge c4 c5 after talking allopathic medicine no relief found than I started ayurveda and thoda relief mila. One day I stated pain in my right lower abdomen after ultrasound pata chala I have stone in kidney 5mm and gallbladder 14mm no pain in gallbladder stone till now, but pain in kidney stone. After talking bebbris vulgaris mother tincher homoeopathic medicine. Now I have no pain in kidney after ultrasound on 7th May 2016 Doctor said No stone in kidney now. Only have stone in gallbladder 14mm. I have also numbness in both hands. Left me jyada hai. Now I stooped all medicine last 1 month Allopathic and ayurveda both. Then I have discuss with one doctor & she suggested me continue berberis vulgaris Q. Take Hypericum 1x, 2 tabs twice daily with warm water. Gelsemium 30 Ch, 3 drops twice daily. But no relief found I have pain and numbness in my left thumb and palm please suggested me some medicine because left hand numbness and pain is very bad. Thanks Doctor.

Dr. Anuradha Sharma 88% (14321 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Avoid medicine at present time tk physiotherapy treatment must for you to reduce numbness do stretching exercise of spine after treatment and strength exercise of hand. Avoid long sitting and toward bending,
3 people found this helpful

I am 64 yrs old. I have swelling around my eyes and feel sleepy when I try to concentrate on any thing specially computer. I also have Carpal tunnel syndrome on my right hand, Can it be cured w/o surgery.

Dr. Rushali Angchekar 95% (53876 ratings)
Homeopath, Sindhudurg
Homoeopathic treatment- calc fluor 6x -4 pills 3 times calcivita syrup 1 spoonful 3 times bio combination no 19 rheumatism- 4 pills 3 times for 8 days and revert back.
8 people found this helpful

Health Quizzes

A quick yet deep understanding about the carpal tunnel syndrome!

Dr. Prathmesh Jain 86% (59 ratings)
M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Carpal tunnel syndrome is not a long-term disease, as it usually resolves within months. True or False. Take this quiz to know now!
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Carpal Tunnel Syndrome and Pregnancy - Are They Related?

Dr. Ankit Varshneya 91% (162 ratings)
MS orth, Diploma ort
Orthopedist, Agra
CTS causes numbness and pain in your fingers. True or False. Take this quiz to know now!
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Carpal Tunnel Syndrome - What To Know?

Dr. Anjali Kolhe 86% (34 ratings)
MD - Anaesthesiology, F.U.I.C.C.(Pain) Pain Management Specialist
Pain Management Specialist, Nagpur
Carpal tunnel syndrome does not affect the little finger. True or False? Take this quiz to know now.
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129 people took this quiz