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A Guide to Carpal Tunnel Syndrome

A Guide to Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition that results from a combination of factors that cause compression of the median nerve. While symptoms may be minor at first, they often become more severe over time and can progress to the point of potential impairment. While you should visit an orthopedic doctor for a diagnosis, here is some basic information about carpal tunnel syndrome.

FAQ About Carpal Tunnel Syndrome

What causes carpal tunnel syndrome?

The median nerve runs through the wrist and hand and connects to each finger, except for the 5th finger (pinkie). The median nerve is located within the carpal tunnel, a passageway made of the carpal bone that form the floor and sides and the transverse carpal ligament which forms the roof.  Narrowing of the carpal tunnel or swelling of the tissues around the median nerve puts pressure on the nerve.

What are the symptoms?

Pain can be felt in the thumb and index, middle and ring fingers, and in some cases the forearm as well. Carpal tunnel syndrome also causes a numb, tingling sensation. As the condition progresses, you may also experience weakness in the hand. This causes problems with gripping objects, and you may drop items more often.  While these symptoms may start gradually and be intermittent at first, with time, symptoms may progress and become persistent.  The symptoms may be worse at night or when holding your hand in one position for a prolonged period of time.

Who has the highest risk of developing it?

Risk factors for developing carpal tunnel syndrome include heredity, repetitive motions, prolonged extremes of motion, hormonal changes during pregnancy and medical conditions like diabetes, thyroid disorders and rheumatoid arthritis.  Carpal tunnel syndrome often runs in families, with some people being genetically predisposed to having a smaller carpal tunnel which is more vulnerable to nerve compression. People in positions that involve the same hand motions over and over, also have a higher risk of developing the condition.

What treatments are available?

Treatments are usually provided by an orthopedic doctor and can be surgical or nonsurgical. Early treatment may help slow or stop the progression of carpal tunnel syndrome before irreversible damage to the median nerve occurs from longstanding compression in the carpal tunnel.  Nonsurgical treatments include wrist braces, anti-inflammatory medications, exercises, and steroid injections. Avoiding activities that inflame the carpal tunnel is also recommended. When symptoms are more severe, surgery may be used to release the transverse carpal ligament and decrease the pressure on the median nerve.

The sooner you get treatment for carpal tunnel syndrome, the better the outcome. Advanced Orthopaedic Associatesin Wayne, NJ, offers a wide range of surgical and nonsurgical treatments for conditions affecting the wrist and hand. We’re also equipped to treat other conditions, including tendonitis, fractures, and contusions. New patients can go here to prepare for their first appointment. You can also call (973) 839-5700 to schedule an appointment with an orthopedic doctor today.