Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition causing pain, numbness, and tingling in the hand and arm. It occurs when the median nerve is compressed in the narrow passageway in the wrist.

What Causes Carpal Tunnel Syndrome?

  • Repetitive hand and wrist movements (e.g., typing, assembly line work)
  • Underlying medical conditions (e.g., diabetes, rheumatoid arthritis)
  • Pregnancy-related hormonal changes
  • Anatomical factors like a smaller carpal tunnel
  • Tendinopathy of the wrist tendons causing additional pressure

Recognizing the Symptoms

  • Numbness and tingling in the thumb, index, middle, and ring fingers
  • Pain in the hand and wrist that may spread up the arm
  • Weakness in the hand
  • A feeling of clumsiness or dropping objects

Seeking Diagnosis and Treatment

Consult a healthcare professional if you experience persistent symptoms. Diagnosis may include:

  • A physical examination
  • Nerve conduction studies or electromyography
  • Ultrasonography or MRI for confirmation

Treatment options vary and may include:

  • Wrist splinting at night
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Nutritional management to reduce tendon swelling
  • Corticosteroid injections for pain relief
  • Physical therapy for wrist flexibility and strength
  • Surgery if nonsurgical treatments fail

Preventing Carpal Tunnel Syndrome

While prevention isn’t always possible, the risk can be reduced by:

  • Taking breaks and stretching during repetitive tasks
  • Maintaining proper posture at work
  • Avoiding excessive pressure on the wrists
  • Managing underlying medical conditions

Early diagnosis and treatment are key to effective management.

References