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Carpal Tunnel Syndrome (Orthopedics)

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Carpal Tunnel

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is caused by pressure on the median nerve. The carpal tunnel is a narrow passageway surrounded by bones and ligaments on the palm side of the hand. When the median nerve is compressed, symptoms can include numbness, tingling, and weakness in the hand and arm.

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  • Weakness when gripping objects with one or both hands.
  • Pain or numbness in one or both hands.
  • "Pins and needles" feeling in the fingers.
  • Swollen feeling in the fingers.
  • Burning or tingling in the fingers, especially the thumb and the index and middle fingers.

Complications of CTS can arise from the condition itself or the treatments administered. CTS may lead to irreversible median nerve damage, resulting in permanent impairment and disability. Muscle weakness and atrophy at the base of the thumb can cause reduced dexterity.

  • Frequent, repetitive movements with the hands.
  • Extending or flexing the wrist for long periods of time.
  • Rheumatoid arthritis and other conditions that cause inflammation in the joints.
  • Hormonal or metabolic changes (for example, menopause, pregnancy or thyroid imbalance)
  • Reduce your force and relax your grip. If your work involves a cash register or keyboard, for instance, hit the keys softly.
  • Take short, frequent breaks. Gently stretch and bend hands and wrists periodically.
  • Watch your form.
  • Improve your posture.
  • Change your computer mouse.
  • Keep your hands warm.

The syndrome is characterized by pain in the hand, numbness, and tingling in the distribution of the median nerve. Risk factors for CTS include obesity, monotonous wrist activity, pregnancy, genetic heredity, and rheumatoid inflammation.

How is it diagnosed?

How is it diagnosed?
  • Wear a splint.
  • Add warmth.
  • Ice it.
  • Give your wrists a workout.
  • Raise the wrist.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), can provide short-term relief from CTS.
  • Steroid injections.
  • Consider surgery.
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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

In an open release surgery, the surgeon cuts about a 2-inch incision on the wrist. Then he or she uses common surgical instruments to cut the carpal ligament and enlarge the carpal tunnel. In an endoscopic carpal tunnel release, the doctor makes 2, half-inch incisions. One is on the wrist, and one is on the palm.

 

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