What is Carpal Tunnel?
The carpal tunnel is a narrow tunnel in the wrist, the median nerve travels through this tunnel. This tunnel controls feeling in the palm side of the thumb, index finger, and long fingers. The nerve also controls the muscles around the base of the thumb.
What are the causes?
Carpal tunnel syndrome occurs when the tissues surrounding the wrist swell and put pressure on the median nerve. This swelling reduced the space of the carpal tunnel and affects the median nerve. Family history is a important factor because carpal tunnels are smaller in some people, and this trait can run in families. Hand use over time can be an important role in this condition.
Who can be affected?
It’s more common in women than men, also occurs more frequently in older people and people with the following conditions: diabetes, rheumatoid arthritis, and thyroid gland imbalance.
What are the symptoms?
Numbness, tingling, and pain in the hand, also you can fell an electric shock mostly in the thumb, index, and long fingers, strange sensations and pain traveling up up the arm toward the shoulder.
How is’t diagnostic?
The diagnosis is clinical, but we can send an Electrophysiological test to confirm the diagnosis. This test measures the electrical conduction of the median nerve function.
How can be treated?
For most people, carpal tunnel syndrome will progressively worsen without some form of treatment. It may, however, be modified or stopped in the early stages.
Nonsurgical treatment includes:
- A brace or splint in the wrist keeps the wrist in a neutral position. This prevents the nightly irritation of the median nerve.
- Medications. These medications include anti-inflammatory drugs (NSAIDs).
- Activity changes. Changing patterns of hand use.
- Surgical Treatment.
- Surgery may be considered if you do not gain relief from nonsurgical treatments. The decision whether to have surgery is based mostly on the severity of your symptoms.
- Carpal tunnel surgery can be done with local anesthesia.