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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:

  • Thyroid dysfunction
  • Diabetes
  • Fluid retention due to menopause or pregnancy
  • High BP
  • Trauma or fracture to the wrist
  • Autoimmune disorders like rheumatoid arthritis

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 - How Endoscopic Surgery is Beneficial?

Dr. Prathmesh Jain 84% (35 ratings)
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. Less invasive: Needless to say, there are only one or two small incisions done for this procedure, so less surrounding tissue is damaged. Same day surgery: No hospitalization is required, and unless required, the patient can return home on the same day of surgery. Reduced recovery time: The recovery period is usually substantially less compared to the traditional surgical approach. 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. 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. Anesthesia: This is done under local anesthesia. Therefore, complications arising out of general anesthesia are completely avoided. Indications 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.

Carpal Tunnel Syndrome - Causes And Prevention

Dr. Radhakrishnan Paulraj 84% (10 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Chennai
Carpal Tunnel Syndrome - Causes And Prevention
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: 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. 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. Pregnancy: Pregnancy 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. 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: 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 Wear wrist splints: These are support devices which can help correct problems for repetitive actions throughout the day while you are sleeping. 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. If you wish to discuss about any specific problem, you can consult an orthopaedist.
4166 people found this helpful

Carpal Tunnel Syndrome (CTS) - How Physiotherapy Can Help?

Dr. Kapilchand Narra 89% (10 ratings)
B.P.T, M.P.T
Physiotherapist, Hyderabad
Carpal Tunnel Syndrome (CTS) - How Physiotherapy Can Help?
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!
5080 people found this helpful

Carpal Tunnel Syndrome - 7 Ways to Ease the Pain

Dr. (Maj) Pankaj N Surange 88% (43 ratings)
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: 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. 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. 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. 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. 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. 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. 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.
4128 people found this helpful

Carpal Tunnel Syndrome - Easy Ways to Deal With it!

Dr. M.Kaushik Reddy 89% (142 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Carpal Tunnel Syndrome - Easy Ways to Deal With 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 stationary 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 relieving unbearable pain. Anti-Inflammatory 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.
4764 people found this helpful

Popular Questions & Answers

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 90% (5522 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 93% (13426 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,
2 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% (49212 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

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