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Carpal Tunnel

Carpal Tunnel

Compression of the median nerve results in median nerve neuropathy (carpal tunnel syndrome). A small opening encircled by bones and ligaments on the hand’s palm side is known as the carpal tunnel. Numbness, tingling, and weakness in the hand and arm are possible signs of a pinched median nerve.

Carpal tunnel syndrome may result from the structure of the wrist, medical conditions, and maybe from repeated hand motions.

When wrist and hand function are properly restored, the tingling and numbness are typically relieved.

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Causes

  • The median nerve is compressed, which results in carpal tunnel syndrome. The median nerve travels from the forearm to the hand via the carpal tunnel, a channel in the wrist.

    Carpal tunnel syndrome may result from anything that compresses or irritates the median nerve in the carpal tunnel region. Both a wrist fracture and the swelling and inflammation brought on by rheumatoid arthritis can constrict the carpal tunnel and aggravate the nerve.
    Carpal tunnel syndrome frequently has more than one underlying cause. It’s possible that a number of risk factors work together to cause the illness to develop.

Symptoms

Symptoms of carpal tunnel syndrome typically appear gradually and include:

Feeling tingling or numbness. You can experience numbness and tingling in your hand or fingers. Typically, the little finger is unaffected, but the thumb, index, middle, and ring fingers are. It’s possible that these fingers will feel electric shock-like.
Weakness. You might drop objects and feel weak in your hands. The thumb’s pinching muscles, which are likewise controlled by the median nerve, may be weak or the hand may be numb.

TREATMENTS

As soon as symptoms of carpal tunnel syndrome appear, get treatment. Early on, the issue might resolve itself if you take easy steps for yourself. As an illustration:

To give your hands a respite, take more frequent pauses.
Steer clear of activities that exacerbate symptoms.
Use cold packs to minimize edema.

NSAIDs, or nonsteroidal anti-inflammatory medications. In the short term, NSAIDs like ibuprofen (Advil, Motrin IB, and other brands) may help reduce carpal tunnel syndrome pain.

However, there is no proof that these medications alleviate carpal tunnel syndrome.

Splinting of the Wrist :
During the night, tingling and numbness can be relieved with the use of a splint that immobilizes the wrist. Despite being worn exclusively at night, the splint can also aid in preventing symptoms during the day. Because nighttime splinting doesn’t require the use of drugs to be effective, it can be a viable alternative if you’re pregnant.

If symptoms are severe or don’t improve with previous therapies, surgery can be necessary.

In order to relieve pressure, the ligament pushing on the median nerve is removed during carpal tunnel surgery.

There are two possible methods for doing the surgery:

Endoscopic procedures. To see within the carpal tunnel, your surgeon will use an endoscope, which is a telescope-like instrument with a tiny camera attached. Your surgeon makes one or two tiny incisions on the hand or wrist to cut the ligament. Rather than using a telescope to guide the instrument used to cut the ligament, some surgeons choose to use ultrasonography.

In the initial days or weeks following surgery, endoscopic surgery could cause less discomfort than open surgery.

A surgical incision. To release the nerve, your surgeon creates an incision in the hand’s palm covering the carpal tunnel and slices through the ligament.

Hip discomfort may be relieved with intra-articular injections. An injection of cortisone is injected straight into the hip.
Bursa Trochanteric Bursitis-related pain in the outer hip may be relieved by injections.   

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