Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed at the wrist. This compression can cause pain, numbness, tingling, and weakness in the hand and fingers, especially the thumb, index, and middle fingers. CTS can interfere with daily activities, making tasks like typing, lifting objects, or even holding a phone difficult.

What Causes Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when swelling or other factors put pressure on the median nerve in the narrow “carpal tunnel” space in the wrist. Key causes include:

• Repetitive Hand Movements: Frequent use of hands for activities like typing, lifting, or assembly line work can stress the wrist.
• Health Conditions: Conditions such as arthritis, diabetes, or hypothyroidism can increase the risk of CTS.
• Injuries: Wrist fractures or sprains can alter the space within the carpal tunnel, increasing pressure on the median nerve.

Symptoms of Carpal Tunnel Syndrome

Common signs and symptoms of CTS include:

• Numbness and Tingling: Often experienced in the thumb, index, and middle fingers, especially at night.
• Hand Weakness: Difficulty holding objects or performing fine motor tasks.
• Pain and Discomfort: Aching or burning pain in the wrist, which can extend up to the arm.

Treatment Options for Carpal Tunnel Syndrome

Relieving symptoms and preventing further nerve damage are the primary treatment goals. Options include:

• Activity Modification: Adjusting hand and wrist movements to reduce strain on the median nerve.
• Wrist Splinting: Wearing a wrist splint at night or during activities can help keep the wrist in a neutral position, reducing pressure on the nerve.
• Physical Therapy: Stretching and strengthening exercises can help improve flexibility and support the wrist.
• Medications: Anti-inflammatory drugs can relieve pain and swelling around the nerve.
• Corticosteroid Injections: Steroid injections into the carpal tunnel can reduce inflammation for short-term relief.
• Surgery: In severe cases, surgery may be necessary to release pressure on the median nerve by enlarging the carpal tunnel.