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Carpel Tunnel Syndrome (CTS)

Carpel Tunnel Syndrome (CTS)

Carpal tunnel Syndrome is the commonest condition affecting a single nerve or a mononeuropathy.

It commonly affects IT professionals, chefs, and sportsmen.

It is an inflammation of a nerve known as Median Nerve which runs through a tunnel in the wrist made up of muscle endings in the wrist. It usually happens due to a decrease in the diameter of the tunnel due to various conditions.

Carpel Tunnel Syndrome affects the hand and wrist.

Causes:

  • Excessive use of your hand or the wrist which puts pressure on the nerve.
  • People with diabetes are prone to CTS, which is a common feature of diabetic neuropathy.
  • Autoimmune Diseases
  • People who undergo hemodialysis for chronic kidney damage experience a build-up in the hand of a protein called beta 2-microglobulin which may result in CTS.
  • Pregnancy: Since there is a hormonal shift in pregnancy and natural retention of water there is a probability of development of CTS during pregnancy.
  • Hypothyroidism
  • Trauma: Any severe injury to the wrist may lead to carpal tunnel syndrome.

Symptoms of CTS

  • Pain in the wrist, especially at night
  • Muscle Wasting in the hand
  • Difficulty in movement of the wrist
  • Pinprick sensation in the hand
  • Numbness of the fingers.
  • Loss of Temperature and touch sensation in the fingers

Tests

  • Neurological Tests
  • Clinical Tests
  • Blood Tests: Hb1AC, T3, T4, TSH, HGH, etc

Management

  • Splinting
  • Local Steroid Injections
  • Decompression Surgery
  • Physiotherapeutic Rehabilitation
  • Correction of the underlying cause
  • Rest

Useful Tips

  • Use a wrist support/mouse pad while using the system
  • Stretch your wrist every hour to avoid stiffness of joints.
  • Do not keep your wrist on the mouse for a long period of time
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3 Months ago