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Carpal Tunnel Syndrome Treatments

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Carpal Tunnel Syndrome (CTS) is a painful, progressive condition caused by the compression of your median nerve in your wrist and is common among people who perform repetitive motions with their hand and wrist such as typing.



A proper explanation of the cause of this condition from Wikipedia is:

"It is caused by pressure exerted on the median nerve at the point where it passes through the wrist. The median nerve supplies sensation to the thumb-side of the palm, and to the thumb, index finger, middle finger, and the thumb-side of the ring finger. It also supplies movement to part of the hand."

Numbness and sharp rising pains are common symptoms of carpal tunnel syndrome, but there are also some others that will help you to diagnose if you or a friend has this condition. These symptoms are:

- Weakness in one or both hands

- Numbness or tingling in the thumb and next two or three fingers of one or both hands

- Numbness or tingling of the palm of the hand

- Wrist or hand pain in one or both hands

- Pain extending to the elbow

- Impaired fine finger movements (coordination) in one or both hands

- Weak grip or difficulty carrying bags (a common complaint)

- Atrophy of the muscular bulge under the thumb (in advanced or chronic cases

If you are showing any signs of the symptoms mentioned above then we recommend that you consult a professional - whether it be your local doctor or physician.

The good news is that carpal tunnel CAN be treated and there are surgical and non-surgical methods. The two surgical methods which can be used to treat carpal tunnel are:

Open Release Surgery - This is the most common surgical procedure and is when the patient is anesthetised and given a small 2 inch incision to the wrist to cut the carpal tunnel ligament. Full recovery from this type of surgery can take up to a few months.

Endoscopic surgery - This is when incisions are made to the wrist and palm so the carpal tunnel ligament can be cut. As with open release surgery, the patient is anesthetised before any incisions are made. However, Endoscopic surgery may allow faster recovery and limit the risk of scars.

Some of the non-surgerical treatments include drugs, exercise and alternative therapies:

Drugs - In special circumstances, various drugs can ease the pain and swelling associated with carpal tunnel syndrome. Nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen, and other nonprescription pain relievers, may ease symptoms that have been present for a short time or have been caused by strenuous activity. Orally administered diuretics ("water pills") can decrease swelling. Corticosteroids (such as prednisone) or the drug lidocaine can be injected directly into the wrist or taken by mouth (in the case of prednisone) to relieve pressure on the median nerve and provide immediate, temporary relief to persons with mild or intermittent symptoms. (Caution: persons with diabetes and those who may be predisposed to diabetes should note that prolonged use of corticosteroids can make it difficult to regulate insulin levels. Corticosterioids should not be taken without a doctor's prescription.) Additionally, some studies show that vitamin B 6 (pyridoxine) supplements may ease the symptoms of carpal tunnel syndrome.

Exercise - Stretching and strengthening exercises can be helpful in people whose symptoms have abated. These exercises may be supervised by a physical therapist, who is trained to use exercises to treat physical impairments, or an occupational therapist, who is trained in evaluating people with physical impairments and helping them build skills to improve their health and well-being.

Alternative therapies - Acupuncture and chiropractic care have benefited some patients but their effectiveness remains unproved. An exception is yoga, which has been shown to reduce pain and improve grip strength among patients with carpal tunnel syndrome.

To seek clarification on health problems, a professional doctor can offer more advice.
Carpal Tunnel Syndrome Treatments
More than the above is to reduce any inflammation of tissues in the wrist that puts pressure on the median nerve. It is also to determine the causes of your carpal tunnel symptoms. You can then identify whether there are certain dealings for you to avoid or do differently and ways you can help prevent the condition. Another is also to prevent nerve damage and loss of muscle strength in your fingers and hand.

Carpal tunnel treatment is based on the seriousness of the condition, whether there is any nerve damage and whether other remedies have helped. Options include with surgery or without surgery.

Carpal tunnel treatment without surgery If your symptoms are not severe, expect your health professional to recommend nonsurgical kind of carpal tunnel treatment to see whether symptoms improve. This includes the following: Evaluating any other medical conditions that might contribute to carpal tunnel syndrome, and changing your treatment for those conditions if necessary. Changing or avoiding activities that may be causing symptoms, and taking frequent breaks from repetitive tasks.Wearing a wrist splint to keep your wrist straight, usually just at night. See an illustration of a wrist splint.Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation. Although studies have not shown NSAIDs to be effective for carpal tunnel syndrome, they may help you to relieve symptoms. Doing exercises to stretch and strengthen the muscles in the hand and arm. Learning ways to protect your joints as you go through your daily activities.

Surgery is sometimes recommended when other carpal tunnel treatment has not helped- if a carpal tunnel condition has continued for a long time or the risk of nerve damage. Surgery is usually successful. In some cases it does not completely relieve the numbness and pain in the fingers or hand. This may be the case if there has been permanent nerve damage caused by long-standing carpal tunnel syndrome or by underlying conditions such as diabetes.

The two kinds of surgery are: Open carpal tunnel release is the traditional procedure used to correct carpal tunnel syndrome. It consists of making an incision up to two inches in the wrist and then cutting the ligament to enlarge the carpal tunnel. This procedure is generally done under local anesthesia on an outpatient basis, unless there are unusual medical considerations.

Endoscopic carpal tunnel release may allow faster functional recovery and less postoperative discomfort than the other one. The doctor make two incisions in the wrist and palm, inserts a camera attached to the tube, observes the tissue on a screen and cuts the carpal ligament.
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