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What is Carpal tunnel syndrome (CTS)? Why does it happen?

Carpal tunnel syndrome (CTS) is a condition that affects the hand and wrist, causing pain, numbness, and tingling sensations. The carpal tunnel is a narrow passageway in the wrist formed by the carpal bone and a ligament called transverse carpal ligament when the space within the carpal tunnel narrows, it can put pressure on the median nerve and leads to symptoms of carpal tunnel syndrome.

Causes of carpal tunnel syndrome

  1. Repetitive hand and wrist motions

  2. Hand and wrist anatomy

  3. Medical conditions

1. Repetitive hand and wrist motions:

Engaging in repetitive activities that involve the hand and wrist, such as typing, assembly line work, or playing musical instruments, can contribute to the development of CTS.

2. Hand and wrist anatomy: 

Certain anatomical factors can increase the risk of developing carpal tunnel syndrome. For example, having a smaller carpal tunnel, fractures or dislocations of the wrist, or certain types of arthritis can compress the median nerve more easily.

3. Medical conditions:

Certain medical conditions can contribute to the development of carpal tunnel syndrome, including diabetes, thyroid dysfunction, obesity, rheumatoid arthritis, and hormonal changes during pregnancy or menopause.

Symptoms of CTS

The symptoms of carpal tunnel syndrome can vary but commonly include:

  • Persistent hand and wrist pain that affects your daily activities.

  • Numbness or tingling that lasts for an extended period.

  • Weakness in the hand or difficulty gripping objects.

  • Pain, numbness, and tingling in the hand and fingers, especially the thumb, index finger, middle finger, and half of the ring finger.

  • Weakness in the hand and a tendency to drop objects.

  • Sensations of pins and needles or an electric shock-like feeling in the hand.

  • Discomfort may radiate up the arm or into the shoulder.

DO’S AND DON’TS

There are several do’s and don’ts that can help manage and prevent further worsening of the symptoms of CTS.

DO’s

  • Take Breaks: Take breaks consistently every hour from hand and wrist usage

  • Stretch and exercise: For flexibility and better circulation it is good to do stretching exercises, strengthening exercises for the hand, wrist, and fingers

  • Maintain good posture: Ensure proper ergonomics (the scientific discipline concerned with the understanding of interactions among humans and other elements of a system) by sitting in a comfortable and supportive chair with your feet flat on the floor. Keep your wrists straight and level with your forearms while typing or using a mouse.

  • Use proper technique: Study and follow proper techniques for activities that involve hands. This can reduce strain on your wrists.

  • Use ergonomic tools: Utilize ergonomic keyboards, mice, and other tools that provide better support and minimize strain on your hands and wrists.
  • Apply cold or warm packs: Cold packs or ice wraps reduce inflammation and swelling. Warm packs or a warm soak can help relax the muscles.

Don’ts

  • Avoid repetitive motions: Repetitive hand movements for straight hours without breaks should be avoided.

  • Avoid excessive force: Do not put excessive force or pressure on your hands and wrists during activities. This can trigger your symptoms.

  • Avoid awkward positions: Unnatural hand and wrist positions while typing, writing, and performing any tasks. Keep your wrists straight and aligned with your forearms.

  • Don’t ignore pain or discomfort:  If you are experiencing pain, numbness, tingling, or any other symptoms of CTS, do not ignore them. Take medical advice as soon as possible

  • Avoid tight grips: Avoid holding objects too tightly.

  • Don’t rely on wrist supports alone: While wrist supports or braces can provide temporary relief, they should not be relied upon as a long-term solution. Addressing the root causes of CTS is important.

How can we Treat CTS?

It is recommended to seek medical attention if you experience persistent symptoms of carpal tunnel syndrome. The sooner you seek treatment, the better your chances of relieving symptoms and preventing further damage.

Non-surgical treatments: In mild to moderate cases, non-surgical treatments are often recommended. These may include wearing a wrist splint to keep the wrist in a neutral position, modifying activities that aggravate symptoms, taking anti-inflammatory medications, and undergoing physical therapy or occupational therapy.

Corticosteroid injections: In some cases, a corticosteroid injection into the carpal tunnel can help alleviate symptoms and reduce inflammation.

Surgery: If symptoms persist or worsen despite non-surgical interventions, surgery may be considered. Carpal tunnel release surgery involves cutting the ligament that forms the roof of the carpal tunnel, which relieves pressure on the median nerve.

If you are facing some carpal tunnel syndrome symptoms which are mentioned above, better consult an Orthopedic Specialist

or neurologist and take an accurate diagnosis and appropriate treatment. Carpal tunnel syndrome without treatment can cause permanent nerve and muscle damage.