Carpal Tunnel Syndrome is a medical condition related to pain, numbness and tingling in the part of hand which receives sensations from the median nerve, the nerve which controls all sensation and nerve function on the palm side of the thumb.
When a person persistently experiences symptoms like:
- Numbness, tingling, and pain in the thumb and first three fingers of the hand
- Pain and burning that travels up the arm
- Wrist pain at night that interferes with sleep
- When the hand may ‘fall asleep’ frequently and begin to drop objects
- Swelling in the wrist
If you have any of the above symptoms must consult our medical team >> Click here for Appointment
Here it is very important to understand that anyone who has repeated use of wrists and hands more than normal can have carpal tunnel syndrome CTS but the patients suffering from the following medical conditions are more susceptible to it:
- Thyroid dysfunction
- Fluid retention from pregnancy or menopause
- High blood pressure
- Autoimmune disorders such as rheumatoid arthritis
On confirmation that the patient is indeed suffering from CTS the doctor will decide on the level of treatment to be given thereof which would depend on how severe the pain and the symptoms are. it is advisable that CTS medical condition should not be left untreated as it can cause permanent nerve damage, disability and loss of hand function.
The treatment prescribed by the doctor may be inclusive of the following:
- Advice to the patient to avoid positions that over-extend the wrist
- Wrist splints that hold the hand in a neutral position, especially at night
- Mild pain medications to reduce inflammation
- Treatment of any such conditions that have caused CTS
- Steroid injections into carpal tunnel area to reduce inflammation
- Surgery involving cutting away bands of tissues in the wrist which are placing pressure on the nerve
It is advisable that if any swelling or pain in the wrist or hand persists it should immediately be consulted as CTS medical condition if left untreated can cause permanent nerve damage, disability and loss of hand function. If you have any of the above symptoms must consult our medical team >> Click here for Appointment
Carpal tunnel release can be done small incision and minimally invasive technique that is endoscopic carpal tunnel release. Dr Vikas Gupta has been one of the first surgeons in India to perform endoscopic carpal tunnel release.
Watch video of endoscopic carpal tunnel release
FAQ – Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is basically a hand and arm condition which is caused by a nerve pinched or compressed in the wrist.
Carpal tunnel is a narrow passage on the palm of the wrist, surrounded by bones and ligaments. It acts as a protective shield to the tendons that help bend fingers and a nerve in the wrist.
CTS is caused when the median nerve that is responsible for creating sensation and movement in the hand gets compressed. Though the exact reason why the median nerve gets compressed is unknown yet there are certain risk factors which trigger it off such as
- Any injuries sustained by the wrist
- Pregnant woman are more prone to develop CTS
- Repetitive pressure on the hand
- Health disorders such as rheumatoid arthritis or diabetes
- Hereditary history of CTS
The symptoms of Carpal Tunnel gradually develop and start off by becoming worse during nights or waking up in the morning. The most common signs are numbness, pain and tingling in the thumb, the middle or the index finger and half of the ring finger.
Other significant signs are a dull and subtle pain in the forearm or hand, the hand will feel as if it is being pricked by needles and pins, swelling, change in the skin color of the hand and weakness at the base of the thumb.
Another unique symptom that patients with CTS suffer from is their tendency to drop objects becomes frequent as their holding and grasping ability is impaired and their ability to type might also be affected.
In cases of very mild symptoms of CTS, the patient can take breaks from the activities that create pressure on the hands or apply ice packs to bring down swelling. If these techniques fail to bring down the swelling or the pain then it is advisable to seek medical attention. Initial treatment begins with oral anti inflammatory drugs, corticosteroid injections or splinting the wrist.
When conservative techniques also fail then the orthopedic surgeon undertakes surgical technique to bring relief to the enervating condition that might be via endoscopic method or open surgery.
The orthopedics will conduct a thorough medical and physical check up looking for visible signs and symptoms. The clues that the orthopedics searches for are related to the timing of discomfort occurrence in the patient. To conclude the diagnosis with conviction, orthopedic runs an X-ray of the damaged wrist, has an electromyography or nerve conduction study undertaken.
The ligament tissues gradually grow back after the surgery. With continuance of gentle therapy exercises movement is slowly brought back to the hand on one hand and ensuring avoidance of forceful and repeated hand and wrist motions.
Weakness and soreness takes several weeks to subside and depending upon personal attributes of each patient, recovery is enabled slowly to help restore the functioning as was prior to the surgery.
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