Carpal Tunnel Syndrome (CTS) is a common neurological condition that occurs by compression of the median nerve as it travels through the carpal tunnel in the wrist. CTS is more frequent in females, with a female-to-male ratio of approximately 3 to 1. In most patients, carpal tunnel syndrome gets worse over time. If untreated, it may lead to dysfunction of the hand, loss of sensations in the fingers, and weakness.

SYMPTOMS OF CARPAL TUNNEL SYNDROME:

  • Pain in the affected hand or wrist, often most pronounced at night, causing them to wake up with discomfort.
  • Numbness or tingling in the fingers or hand.
  • Weakness in the hand, making it difficult to grip objects.

CAUSES OF CARPAL TUNNEL SYNDROME:

  • Repetitive hand use: Activities such as typing or using a computer mouse for extended periods, can contribute to CTS.
  • Anatomic factors: Wrist fracture, dislocation, or arthritis can alter the space within the carpal tunnel and place pressure on the median nerve.
  • Health conditions: Conditions like diabetes, rheumatoid arthritis, and thyroid disorders can increase the risk of developing CTS.
  • Pregnancy: Hormonal changes during pregnancy can cause swelling that results in pressure on the nerve.

DIAGNOSING CARPAL TUNNEL SYNDROME:

  • Review of medical history and physical examination.
  • Imaging modalities: ultrasound or MRI.
  • Nerve conduction studies.
  • Diagnostic injection into the carpal tunnel space.

TREATING CARPAL TUNNEL SYNDROME:

Treatment options may include:

  • Short-term rest
  • Bracing or splinting
  • Icing or heat therapy
  • Physical therapy
  • Over the counter or prescription medications
  • Therapeutic injections: steroid injections, regenerative injections
  • Surgical intervention

PREVENTING CARPAL TUNNEL SYNDROME:

  • Maintaining proper body mechanics during activities
  • Incorporating hand strengthening exercises

It is important to note that early diagnosis and appropriate management can lead to successful outcomes. If you suspect carpal tunnel syndrome or experience persistent hand and wrist pain, contact us for a consultation with one of our providers at Remedy Pain Solutions.

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