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Carpal Tunnel

Carpal Tunnel Syndrome: Understanding, Causes, and Treatment

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) commonly 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.

What are the causes of Carpal Tunnel Syndrome?

Several factors can contribute to the development of carpal tunnel syndrome. These include:

  • Repetitive hand movements: Engaging in repetitive hand and wrist movements, especially in occupations that involve continuous typing, using vibrating tools, or performing tasks requiring forceful gripping or wrist flexion, can strain the tendons within the carpal tunnel, leading to inflammation and nerve compression.

  • Wrist Injury or Trauma: A sudden injury or trauma to the wrist, such as a fracture or sprain, can cause swelling and inflammation within the carpal tunnel, compressing the median nerve. Even minor injuries can contribute to the development of CTS, especially if they affect the structures within the wrist.

  • Anatomical or Hereditary Factors: Certain anatomical variations, such as smaller carpal tunnel or wrist bones or ligaments abnormalities, may predispose individuals to CTS. Additionally, genetic factors, including variations in wrist anatomy or a predisposition to inflammation, can influence susceptibility to conditions like CTS.

  • Medical Conditions: Underlying medical conditions such as diabetes, rheumatoid arthritis, thyroid disorders, and hormonal changes associated with pregnancy can increase the risk of nerve compression and CTS symptoms. Furthermore, obesity can exacerbate pressure on the median nerve due to metabolic changes and increased inflammation.

How is Carpel Tunnel Syndrome Diagnosed & Treated?

At McKinley Orthopedic and Sports Medicine, we employ a comprehensive approach to diagnose and treat CTS. Our team will conduct a thorough physical examination, review your medical history, and may order diagnostic tests such as X-rays or ultrasound to confirm the diagnosis.

Treatment options for carpal tunnel may include a combination of the following:

  • Wrist Splinting

  • Medication to reduce inflammation and pain

  • Physical Therapy

  • Corticosteroid injections

  • In severe cases, Dr. Carey can perform surgery to relieve pressure on the median nerve.

What happens if Carpal Tunnel goes untreated?

Untreated carpal tunnel syndrome can significantly affect hand function and overall quality of life. Chronic compression of the median nerve may lead to persistent numbness, tingling, and weakness in the affected hand and fingers, making simple tasks challenging. Prolonged pressure can also result in muscle atrophy and damage, limiting fine motor skills and coordination. Functional impairment becomes evident, impacting daily activities and work-related tasks. Additionally, untreated symptoms can cause chronic pain and discomfort, disrupting sleep patterns and reducing productivity. Compensatory movements may lead to overuse injuries in other body areas, exacerbating musculoskeletal issues. Early intervention and proper treatment are crucial to prevent these complications.

When Should I Seek Medical Help?

It's essential to seek medical help if you experience persistent symptoms such as numbness, tingling, or weakness in your hand or fingers, particularly if these symptoms interfere with daily activities or disrupt sleep. Early diagnosis and treatment can help prevent further nerve damage and improve outcomes. Our dedicated team at McKinley Orthopedic and Sports Medicine is here to help.