Carpal tunnel syndrome

Carpal tunnel syndrome | Self-healing

If symptoms are moderate, frequent breaks and ice application may be useful.

Moreover, it is suggested to use a comfortable and not too tight brace during the night.

 



Carpal tunnel syndrome

Carpal tunnel syndrome | Prevention

Some little tricks can help reducing the risk of carpal tunnel syndrome, especially if daily activities involve repetitive movements of the hand.

It is necessary to reduce the force and relax the grip: in example for prolonged handwriting, use a big pen with an oversized, soft grip adapter in order to avoid to grip the pen tightly or press as hard on the paper.

Take frequent breaks, especially if doing a job that involves the use of an equipment that vibrates or that requires to exert a great amount of force.



Carpal tunnel syndrome

Carpal tunnel syndrome | Therapy

Surgery is the resolving treatment however in the initial stages it is possible to rely on some therapies to improve the symptoms.

A brace that keeps the wrist straight, especially used when sleeping, can help easing the symptoms. If the Carpal tunnel syndrome is related to an inflammation, anti-inflammatory drugs can be useful while they are totally superfluous in absence of phlogistic processes. Cortisone infiltrations help reducing the edema and consequently to ease the symptoms.



Carpal tunnel syndrome

Carpal tunnel syndrome | Diagnosis

It is recommended to call the doctor when frequently starting noticing the symptoms described above. Neglecting them can lead to a serious damage of the nerve over time.

The doctor will be able to suspect the trouble from the first examination.

Besides verifying the moments when symptoms appear and their exact location (i.e. if the little finger is involved this means it is not carpal tunnel syndrome), he will decide whether or not to test fingers sensitivity; moreover by flexing or pressing the wrist he will better understand the situation.



Carpal tunnel syndrome

Carpal tunnel syndrome | Causes

The syndrome is due to nerve’s compression.

The causes of this may be thickening and swelling of the tendons sheathes that flow in the carpal canal together with the nerve.

For this reason some work activities can promote the trouble more than others, especially if they involve several flections and extensions of the tendons, under stress and for long periods; those who frequently use their hands, as tailors, typists, workers, in particular if work requires to keep the hand flexed for long, are more at risk.



Carpal tunnel syndrome

Carpal tunnel syndrome | Symptoms

One of the main nerves directed towards the hand, the median nerve, passes, together with 9 other tendons that allow the fingers to flex, through the carpal tunnel, a canal in the wrist.

The tunnel is a rigid structure, surrounded by bones on three sides and a “roof” of carpal ligament on the fourth; for this reason, if stress increases inside the canal (i.e. due to thickening of the ligament or tendons inside it) the nerve starts suffering: this phenomenon leads to carpal tunnel syndrome.



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