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WHAT IS CARPAL TUNNEL SYNDROME?

Carpal tunnel syndrome is when the median nerve of the wrist is compressed in the carpal tunnel at the base of the hand affecting the motor and sensory function of the thumb and three fingers of the hand. The median nerve is a major nerve of the hand and so its compression causes numbness, pain, and tingling sensation in the hand and arm.

 

Carpal tunnel syndrome gets worse with time, so early diagnosis and treatment are mandatory. When the symptoms are mild, a conservative approach and precautions like wearing a splint and avoiding activities that involve extreme movements of the wrist are advised.  But in severe cases, it can lead to severe nerve damage. Carpal tunnel release surgery is the gold standard for carpal tunnel syndrome.

 

Carpal tunnel release surgery can be performed by Open or Endoscopic technique. Symptomatic relief is achieved by relieving the pressure on the median nerve by increasing the size of the carpal tunnel, and by severing the ligament that forms the roof of the tunnel.

SYMPTOMS OF CARPAL TUNNEL SYNDROME

WEAKNESS IN THE AFFECTED HAND
TROUBLE IN HOLDING THINGS
TINGLING & BURNING SENSATION IN THUMB AND FINGERS

REASONS FOR GETTING CARPAL TUNNEL SYNDROME

  • Repetitive movements of hand during typing 
  • Degenerative conditions like arthritis, osteoarthritis, and rheumatoid arthritis
  • Racket holding sports and physical activities
  • Activities that involve extension and flexion of the hand and wrist for a prolonged time like playing a few musical instruments 
  • Hormonal changes during pregnancy

 

SURGICAL OPTIONS

A small incision is made in the palm of your hand and the transverse carpal ligament is cut to increase the size of the tunnel and relieve the pressure on the median nerve.

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Endoscopic carpal tunnel release surgery is done through a smaller incision and a part of the carpal ligament which causes the pressure on the nerve is removed.

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NON SURGICAL OPTIONS

 

• Conservative treatment options may help in controlling pain and numbness in the initial stage of the disease • Wearing a splint, especially at night • Medications like non-steroidal, anti-inflammatory drugs like Ibuprofen • Taking cortisone/steroid injections • Physiotherapy plays an important role in some specific exercises

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CARPAL TUNNEL SYNDROME DIAGNOSIS

  • Clinically testing for Tinel sign
  • Imaging Test – X-rays, Ultrasound, or MRI 
  • Electromyogram 
  • Nerve Conduction Studies – the doctor tapes electrodes to the patient skin to measure the signals in the nerve of the hand and arm.

WAYS OF PREVENTING CARPAL TUNNEL SYNDROME

  • Keeping your wrist straight
  • Use a splint or brace that helps keep your wrist in a straight position
  • Keep your hands warm
  • Take breaks from work whenever you can
  • Put the hands and wrists in the right position while working

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Frequently Asked Questions

It takes four to six weeks to recover from carpal tunnel syndrome. 

Anything that aggravates and inflames the tendons can cause carpal tunnel syndrome including repetitive hand movements, pregnancy, and arthritis. 

The pain level of the CTS depends upon the severity of the condition. In the mild stage, the pain feels like pricking pins and needles, also the feeling of numbness in the thumb.

  • Mild (stage 1)
  • Moderate (stage 2)
  • Severe (stage 3)
  • Other nerve compression syndrome 

  • Avoid bending your arms during sleeping time. The median nerve travels down the entire length of your arm
  • Wear a night wrist splint
  • Support your arms
  • Keep your hands warm
  • Apply pressure to wrists
  • Apply ice 

It is a less invasive endoscopic surgery. During the surgery, the doctor inserts an endoscope, a thin tube attached to the camera, through a small incision in the palm. 

Yes, carpal tunnel syndrome is a medical condition that can highly affect lifestyle and health thus, many insurance policies cover carpal tunnel syndrome. Talk to our HospiOne Team for more details. 

Carpal tunnel release surgery is very effective and successful for many patients. However, due to unhealthy lifestyles or other factors, some patients might develop CTS again after surgery. The recurrence rate of CTS after surgery is less than 5%.

After the CTS surgery, it is sensible to wait until the wound heals. The wound healing takes 10-14 days. Most people can drive for approximately two weeks post carpal tunnel surgery. 

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