The carpal tunnel is a narrow passageway of our wrist. Carpal tunnel syndrome is a condition which occurs when that carpal tunnel becomes narrowed or when tissues surrounding the flexor tendons swell, putting pressure on the median nerve. Median nerve controls some of the muscles that helps in the movement of thumb and carries information back to the brain about sensations in your thumb and fingers. It is a condition that causes numbness, tingling and other symptoms in the hand and arm.
Symptoms of carpal tunnel syndrome:
Carpal tunnel syndrome includes the following symptoms;
- Burning, tingling, numbness, and pain primarily in the thumb and index, middle, and ring fingers
- Occasional shock like sensations which radiate to the thumb and index, middle, and ring fingers
- Tingling or pain that may travel up the forearm toward the shoulder
- Weakness and clumsiness in the hand and that may make it difficult to perform fine movements such as buttoning your clothes
- Dropping things due to numbness, weakness, or a loss of proprioception
Treatments of carpal tunnel syndrome:
Carpal tunnel syndrome treatments range from non-surgical to surgical treatments. If the condition diagnosed early, then the carpal tunnel syndrome can often be relieved or treated without surgery.
Non-surgical options of carpal tunnel syndrome treatment are;
Bracing or splinting a brace or splint at night will keep you from bending your wrist in your sleep. To reduces pressure on the nerve in the carpal tunnel try to keep your wrist in a straight or neutral position. You can also wear a splint during the day when doing activities that aggravate your symptoms.
Nonsteroidal anti-inflammatory drugs (NSAIDs) medications such as naproxen and ibuprofen can help relieve pain and inflammation.
Nerve gliding exercises some patients may get benefit from exercises that help the median nerve move more freely within the region of the carpal tunnel. Specific exercises may be recommended by doctor.
Steroid injections corticosteroid is a powerful anti-inflammatory agent that can be injected into the carpal tunnel. These injections are used to relieve painful symptoms or help to calm a flare up of symptoms.
If non-surgical options failed to treat your symptoms then doctor suggests you surgery as carpal tunnel syndrome treatment option.
Open carpal tunnel release is minimally invasive procedure which increases the size of the tunnel and decreases pressure on the median nerve.
Endoscopic carpal tunnel release uses a special knife to divide the transverse carpal ligament. Outcomes are similar as open carpal tunnel release.
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