Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a prevalent condition resulting from compression of the median nerve as it traverses the carpal tunnel in the wrist. This compression leads to symptoms such as numbness, tingling, and weakness in the hand and fingers. CTS commonly affects individuals engaged in repetitive hand movements, such as typing or assembly line work, and is more frequently observed in women.

At Healme Clinic, we specialize in the diagnosis and treatment of Carpal Tunnel Syndrome, offering personalized care plans to alleviate symptoms and enhance patients' quality of life.

What is the Carpal Tunnel?

The carpal tunnel is a narrow passageway located on the palm side of the wrist, formed by bones and ligaments. This tunnel houses the median nerve and tendons responsible for finger movement. When the tunnel narrows or tissues surrounding the flexor tendons swell, pressure on the median nerve increases, leading .

Causes of Carpal Tunnel Syndrome

Several factors can contribute to the development 

• Repetitive Hand Movements: Activities involving repetitive wrist motions can inflame the tendons, exerting pressure on the median nerve.
• Pregnancy: Hormonal changes during pregnancy can cause fluid retention, increasing pressure within the carpal tunnel.
• Medical Conditions: Conditions such as diabetes, rheumatoid arthritis, and thyroid gland imbalance can heighten the risk
• Anatomical Factors: Individuals with smaller carpal tunnels may be more susceptible to nerve compression.

Symptoms

CTS symptoms often develop gradually and may include

• Numbness or tingling in the thumb, index, middle, and ring fingers.

• Pain or discomfort in the wrist or hand, sometimes extending to the forearm

• Weakness in the hand, leading to difficulty gripping objects

• A sensation of swelling in the fingers, even without visible swelling

Symptoms often worsen at night and can disrupt sleep.

Diagnosis

At Healme Clinic, our comprehensive diagnostic approach includes

• Physical Examination: Assessing the wrist and hand for signs of CTS, including specific tests like Tinel's and Phalen's maneuvers.
• Electrodiagnostic Tests: Nerve conduction studies and electromyography (EMG) to evaluate the function of the median nerve and identify any abnormalities.
• Imaging Studies: Ultrasound or MRI may be utilized to visualize the structures within the carpal tunnel and rule out other conditions.

Treatment Options

Treatment at Healme Clinic is tailored to the severity of symptoms and individual patient needs:

Non-Surgical Treatments

• Wrist Splinting: Wearing a splint to keep the wrist in a neutral position, especially during sleep, can relieve pressure on the median nerve.

• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce pain and inflammation.

• Corticosteroid Injections: Injecting corticosteroids into the carpal tunnel can provide temporary symptom relief.

• Physical Therapy: Exercises to stretch and strengthen the wrist and hand muscles, improving flexibility and reducing pressure on the nerve.

Surgical Treatment

If non-surgical methods are ineffective, surgical intervention may be considered

• Carpal Tunnel Release Surgery: This procedure involves cutting the ligament pressing on the median nerve to alleviate pressure. It can be performed using open or endoscopic techniques.

Post-surgery, patients typically experience symptom relief and improved hand function.

Rehabilitation and Recovery

Following treatment, especially surgery, rehabilitation is crucial for restoring hand strength and function:

• Physical Therapy: Tailored exercises to regain strength and flexibility.

• Occupational Therapy: Guidance on modifying daily activities to prevent symptom recurrence.

Recovery times vary, but many patients return to normal activities within a few weeks to months, depending on the treatment method and individual healing processes.

Prevention

To reduce the risk of developing 

• Maintain proper wrist posture during activities
• Take regular breaks from repetitive tasks
• Perform hand and wrist stretching exercises
• Use ergonomic tools and workstations

Healme Clinic's Commitment

At Healme Clinic, we are dedicated to providing comprehensive care for individuals with Carpal Tunnel Syndrome. Our multidisciplinary team of specialists utilizes advanced diagnostic tools and personalized treatment plans to ensure optimal patient outcomes.

If you are experiencing symptoms of CTS, contact Healme Clinic for a thorough evaluation and effective treatment options tailored to your needs.