Carpal Tunnel Syndrome
Carpal tunnel syndrome is a condition in which there is pressure on the median nerve as it passes through the wrist. This can cause pain, tingling, and numbness in the hand and fingers.
- Pain, tingling, and numbness in the thumb, index, middle, and ring fingers
- Weakness in the hand
- Difficulty in gripping objects
- Pain that worsens at night
- Repetitive motions of the hand and wrist, such as typing, using a computer mouse, or playing a musical instrument
- Injury or trauma to the wrist
- Arthritis
- Pregnancy
- Physical exam and medical history
- Nerve conduction studies to measure the speed of electrical signals in the nerves
- Electromyography to measure the electrical activity of the muscles
- Extracorporeal Shockwave Therapy: ESWT is a noninvasive medical treatment that uses shockwaves that are high-energy sound waves directed at the affected area, stimulating healing and reducing pain.
- Rest and avoid activities that aggravate the condition
- Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections
- Wrist splinting to keep the wrist in a neutral position and reduce pressure on the median nerve
- Physical therapy to stretch and strengthen the affected area
- Surgery to relieve pressure on the median nerve, but this is typically a last resort.
Prevention is key in managing carpal tunnel syndrome. Taking breaks and stretching during repetitive activities involving the hand and wrist can help prevent the condition. Wearing wrist splints during activities that require repetitive motions can also help prevent carpal tunnel syndrome.