Understanding Carpal Tunnel Syndrome

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Orthopedics

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Last updated: Mar 24, 2025

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a common condition that occurs when the median nerve, which runs from your forearm into your hand, becomes compressed within the carpal tunnel - a narrow passageway in your wrist.

Common Symptoms

  • Numbness and tingling in the hand and fingers
  • Pain that may extend up the arm
  • Weakness in hand grip
  • Night-time symptoms that may wake you from sleep
  • Difficulty with fine motor tasks

Risk Factors

  • Repetitive hand and wrist movements
  • Pregnancy and hormonal changes
  • Diabetes
  • Obesity
  • Arthritis
  • Work-related factors (typing, assembly line work)

Diagnosis

Your healthcare provider may:

  1. Perform physical examination
  2. Test nerve function (EMG/NCS)
  3. Review medical history
  4. Assess hand strength and sensation

Treatment Options

Conservative Treatment

  • Wrist splinting
  • NSAIDs for pain relief
  • Activity modification
  • Ergonomic adjustments
  • Physical therapy exercises

Advanced Treatment

  • Corticosteroid injections
  • Surgery (carpal tunnel release)

Prevention Strategies

  • Maintain proper posture
  • Take regular breaks
  • Perform stretching exercises
  • Use ergonomic equipment
  • Keep wrists in neutral position

When to Seek Medical Care

Consult your healthcare provider if you experience:

  • Persistent symptoms
  • Weakness in grip
  • Dropping objects frequently
  • Sleep disruption from symptoms

Long-term Outlook

With proper treatment and management, most people experience significant improvement in symptoms and can return to normal activities.

Complications if Untreated

  • Permanent nerve damage
  • Chronic pain
  • Loss of hand function
  • Reduced quality of life

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