Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition caused by compression of the median nerve as it passes through the carpal tunnel (a narrow passageway in the wrist) into the hand. This nerve compression can lead to various symptoms such as numbness, tingling, and weakness in the hand and fingers. These symptoms can affect hand function and may make it difficult to perform daily tasks. A range of treatment options is available to manage symptoms and improve quality of life for those affected by carpal tunnel syndrome.
Symptoms
Carpal tunnel syndrome can cause a variety of symptoms including:
- Numbness and tingling, often in the thumb and first three fingers (all except pinky finger)
- Numbness and tingling can be particularly noticeable at night or after activities that involve wrist flexion
- Pain, sharp or burning, which may extend from the wrist up the arm or down into the fingers
- Weakness in the hand and fingers
- Decreased grip strength, which makes it difficult to hold objects or perform fine motor tasks
If you experience any of these symptoms, early diagnosis and treatment are crucial to preventing further nerve damage and maintaining hand function.
Treatments
Treatment for carpal tunnel syndrome varies depending on the severity of symptoms and the impact on daily activities. Conservative approaches are usually recommended first, but surgical intervention is an option for more severe or urgent cases.
- Surgery: If conservative treatments fail to provide relief, surgical intervention may be necessary. Carpal tunnel release surgery involves cutting the ligament that forms the roof of the carpal tunnel, thereby reducing pressure on the median nerve. This procedure is typically performed on an outpatient basis, and most patients experience significant improvement in symptoms post-surgery.
- Lifestyle Modifications: Simple changes like adjusting wrist positions during activities, taking frequent breaks, and using ergonomic tools can often alleviate symptoms from carpal tunnel syndrome. Applying cold packs and avoiding activities that exacerbate symptoms may also provide relief.
- Bracing or Splinting: Wearing a wrist splint keeps the wrist in a neutral position, reducing pressure on the median nerve. This can help to alleviate symptoms, especially if worn at night when the wrist may otherwise be contorted or twisted during sleep.
- Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce inflammation and ease pain associated with carpal tunnel syndrome. In some cases, corticosteroid injections may be recommended to reduce swelling and provide temporary relief.
- Physical Therapy: Stretching and strengthening exercises for the hand and wrist can help reduce symptoms and improve hand and wrist function. A physical therapist can guide you in performing these exercises correctly.