Carpal Tunnel Syndrome (CTS) is a condition that affects the hand and wrist, caused by pressure on the median nerve, which runs through the carpal tunnel—a narrow passageway in the wrist.
Symptoms:
- Numbness, tingling, or burning sensation in the thumb, index, middle, and part of the ring finger.
- Weakness in the hand, making it difficult to grip objects.
- Pain that may radiate up the arm.
- Symptoms often worsen at night.
Causes & Risk Factors:
- Repetitive hand movements (e.g., typing, using tools, playing instruments).
- Wrist injuries (fractures or sprains).
- Medical conditions (diabetes, rheumatoid arthritis, hypothyroidism).
- Pregnancy (due to fluid retention).
- Genetics (some people have a naturally smaller carpal tunnel).
Diagnosis:
- Physical examination (checking for numbness, weakness, and pain).
- Nerve conduction studies (NCS) to measure how fast electrical signals travel through the median nerve.
- Electromyography (EMG) to assess muscle response.
Treatment Options:
-
Non-Surgical:
- Wrist splints (especially at night).
- Anti-inflammatory medications (NSAIDs like ibuprofen).
- Corticosteroid injections for temporary relief.
- Lifestyle changes (reducing repetitive hand motions, ergonomic adjustments).
- Physical therapy and hand exercises.
-
Surgical:
- Carpal Tunnel Release Surgery (cutting the transverse carpal ligament to relieve pressure on the nerve).
- Usually recommended for severe or persistent cases.
Prevention Tips:
- Take frequent breaks when doing repetitive hand motions.
- Maintain good wrist posture and avoid excessive bending.
- Use ergonomic tools (keyboard, mouse, wrist supports).
- Stretch and strengthen the wrist and hand muscles.