Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is a condition that affects the nerve in the mid-palm, called the median nerve. As the median nerve travels from forearm into the palm of the hand it passes through a tunnel (carpal tunnel) through the wrist surrounded by bones and a thick ligament. These bones and ligaments that make up the carpal tunnel do not allow for much swelling or inflammation to occur about the nerve. When an inflammation or swelling does occur the nerve may become pinched and lead to symptoms. Direct pressure/trauma over the nerve or repetitive wrist activities can lead to carpal tunnel syndrome. Symptoms invariably cause numbness to the thumb, index and middle finger, especially during the night and upon wake in the morning. Often numbness may be accompanied by aching pain. Tapping of the nerve at the wrist can cause an electrical shock sensation down into the fingers. Occasionally, patients will also notice weakness in the hand with grip. The diagnosis of Carpal tunnel syndrome can be made by physical examination by a physician and reliably confirmed with nerve testing.
Recommendations:
- Consult a physician if you think you have carpal tunnel syndrome
- Acute treatment starts with reduction of inflammation - RICE regimen (Rest, Ice, Compression, and Elevation).
- Rest, avoidance of overuse and decreasing the offending activity is fundamental in the treatment of Carpal tunnel syndrome
- Prevention of CTS requires careful attention to your wrist posture and repetitive movements. Often an ergonomic work station evaluation can be helpful
- Stretch before, during, and after an activity, to allow for more joint and nerve mobility
- Use Wrist Supports and Wrist Night Braces