Carpal tunnel syndrome (CTS)
Definition:
Is a common condition that causes numbness, tingling, weakness, and other symptoms in the hand and arm. It occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed or squeezed at the wrist within a narrow passageway called the carpal tunnel.
Principal causes:
Causes of carpal tunnel syndrome can include:
Repetitive motions: Activities that involve repetitive wrist movements, such as typing on a keyboard, using a computer mouse, or operating machinery, can increase the risk of developing CTS.
Anatomical factors: Certain anatomical features, such as a small carpal tunnel or a wrist fracture that alters the tunnel's shape, can predispose individuals to CTS.
Medical conditions: Conditions such as rheumatoid arthritis, diabetes, thyroid disorders, and pregnancy can increase the risk of developing CTS due to inflammation or fluid retention that affects the median nerve.
Trauma or injury: Direct trauma to the wrist, such as a fracture or sprain, can cause swelling or inflammation that compresses the median nerve.
Hormonal changes: Fluctuations in hormone levels, such as those that occur during pregnancy or menopause, can affect the sensitivity of the median nerve and increase the risk of CTS.
Symptoms:
Numbness or tingling: Sensations of numbness, tingling, or pins and needles in the thumb, index finger, middle finger, and half of the ring finger.
Weakness: Weakness or clumsiness in the hand, which may cause difficulty with fine motor tasks such as gripping objects or buttoning clothing.
Pain: Dull or aching pain in the hand, wrist, or forearm, which may worsen at night or with certain activities that involve repetitive wrist movements.
Burning sensation: A burning or electric shock-like sensation in the fingers or palm of the hand.
Symptoms that worsen with certain activities: Symptoms of CTS may worsen with activities that involve prolonged wrist flexion or extension, such as driving, reading, or using handheld devices
Diagnosis of carpal tunnel syndrome typically involves a physical examination, evaluation of symptoms, and may include nerve conduction studies or electromyography to assess nerve function and rule out other conditions.
Our Treatment as a EvivaPHYSIO:
Treatment for carpal tunnel syndrome may include:
Rest and activity modification: Avoiding activities that exacerbate symptoms and practicing proper ergonomics and wrist positioning to reduce strain on the median nerve.
Wrist splinting: Wearing a splint at night or during activities that aggravate symptoms to keep the wrist in a neutral position and alleviate pressure on the median nerve.
Physical therapy: Specific exercises and stretches to improve wrist flexibility, strengthen supportive muscles, and alleviate pressure on the median nerve.
The prognosis for carpal tunnel syndrome depends on various factors, including the underlying cause, severity of symptoms, and response to treatment. In many cases, symptoms improve with conservative measures and self-care strategies. However, it is important to seek medical attention if symptoms persist or worsen, or if they are accompanied by other concerning symptoms such as weakness, loss of coordination, or muscle atrophy in the hand. Early intervention and appropriate management can help alleviate symptoms, improve function, and prevent long-term complications.