Understanding Carpal Tunnel Syndrome: Causes, Symptoms, and Treatment Options

A Comprehensive Guide for Patients

Orthopedics

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Last updated: Mar 24, 2025

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a common condition that occurs when the median nerve, which runs from your forearm into your palm, becomes pressed or squeezed at your wrist.

Key Symptoms

  • Numbness and tingling in the hand and fingers
  • Pain that may extend up the arm
  • Weakness in thumb and first two fingers
  • Difficulty gripping objects
  • Symptoms often worse at night

Common Causes

  • Repetitive hand and wrist movements
  • Pregnancy and hormonal changes
  • Diabetes
  • Arthritis
  • Wrist injuries or trauma

Risk Factors

  • Age (most common in 40-60 year range)
  • Gender (more common in women)
  • Occupation (assembly line work, typing)
  • Medical conditions (diabetes, thyroid disorders)

Diagnosis

  • Physical examination
  • Nerve conduction studies
  • Electromyography (EMG)
  • Ultrasound or MRI in some cases

Treatment Options

Conservative Treatment

  • Wrist splinting
  • NSAIDs for pain relief
  • Activity modification
  • Ergonomic adjustments

Medical Interventions

  • Corticosteroid injections
  • Physical therapy
  • Surgery (carpal tunnel release) when conservative treatment fails

Prevention Strategies

  • Proper hand and wrist positioning
  • Regular breaks during repetitive activities
  • Workplace ergonomic modifications
  • Stretching exercises

When to See a Doctor

  • Persistent symptoms lasting several weeks
  • Difficulty with daily activities
  • Progressive weakness in hand
  • Failed home treatment measures

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