Carpal tunnel syndrome is a condition brought on by increased pressure on the median nerve at the wrist. In effect, it is a pinched nerve at the wrist. Symptoms may include numbness, tingling, and pain in the arm, hand, and fingers.
There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Carpal tunnel syndrome happens when pressure builds up from swelling in this tunnel and puts pressure on the nerve. When the pressure from the swelling becomes great enough to disturb the way the nerve works, numbness, tingling, and pain may be felt in the hand and fingers.
Thyroid conditions, rheumatoid arthritis, and diabetes also can be associated with carpal tunnel syndrome. There may also be a combination of causes.
A detailed history including medical conditions, how the hands have been used, and whether there were any prior injuries is important when diagnosing CTS. An X-ray may be taken to check for the other causes of the complaints such as arthritis or a fracture.
In some cases, laboratory tests may be done if there is a suspected medical condition that is associated with CTS. Electrodiagnostic studies (NCV–nerve conduction velocities and EMG–electromyogram) may be done to confirm the diagnosis of carpal tunnel syndrome as well as to check for other possible nerve problems.
The symptoms of carpal tunnel syndrome may often be relieve without surgery. Our wrist doctor may recommend one or more of the following remedies:
When symptoms are severe or do not improve, surgery may be needed to make more room for the nerve. Pressure on the nerve is decreased by cutting the ligament that forms the roof (top) of the tunnel on the palm side of the hand. Incisions for this surgery may vary, but the goal is the same: to enlarge the tunnel and decrease pressure on the nerve.
Following surgery, soreness around the incision may last for several weeks or months. The numbness and tingling may disappear quickly or slowly. It may take several months for strength in the hand and wrist to return to normal. Carpal tunnel syndrome symptoms may not completely go away after surgery, especially in severe cases.
If you are experiencing wrist pain, Dr. Arora can evaluate your condition for a thorough diagnosis. Braces for carpal tunnel syndrome treatment are also available right at each of the southeast Michigan offices, and they can be obtained via insurance or by cash pay.
Make an appointment to see him in Warren or Macomb Township in Macomb County, West Bloomfield in Oakland County, or Howell in Livingston County.