Carpal tunnel syndrome is a common source of
hand numbness and pain. It is caused by increased pressure on a nerve
entering the hand through the confined space of the carpal tunnel. The
physician may make the diagnosis simply by discussing the symptoms and
examining the patient. Electrical testing of the nerve function is often
performed to help confirm the diagnosis. Carpal tunnel syndrome becomes
more common as we grow older and seems to affect people with certain
medical conditions such as diabetes, thyroid conditions and rheumatoid
arthritis more frequently. Trauma or injury to the wrist that causes
swelling, such as a sprain or a fracture, can cause the syndrome. Repeated
motions using the wrist can also cause carpal tunnel syndrome. It is more
common in women than men and affects up to 10 percent of the population.
Treatment often begins with a brace or splint worn at night to keep the
wrist in a natural position. Simple medications such as TylenolŪ or
AdvilŪ can help decrease pain. Changing patterns of hand use to avoid
aggravating positions and activities may be helpful. Surgery can also be
effective in diminishing symptoms. Risks of the surgery include bleeding,
infection and nerve injury. Some pain, swelling and stiffness are expected,
but severe problems are rare.
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CHEONG, DENOVE, ROWELL & BENNETT
Carpal tunnel syndrome is a common source of
hand numbness and pain. It is caused by increased pressure on a nerve
entering the hand through the confined space of the carpal tunnel. The
physician may make the diagnosis simply by discussing the symptoms and
examining the patient. Electrical testing of the nerve function is often
performed to help confirm the diagnosis. Carpal tunnel syndrome becomes
more common as we grow older and seems to affect people with certain
medical conditions such as diabetes, thyroid conditions and rheumatoid
arthritis more frequently. Trauma or injury to the wrist that causes
swelling, such as a sprain or a fracture, can cause the syndrome. Repeated
motions using the wrist can also cause carpal tunnel syndrome. It is more
common in women than men and affects up to 10 percent of the population.
Treatment often begins with a brace or splint worn at night to keep the
wrist in a natural position. Simple medications such as TylenolŪ or
AdvilŪ can help decrease pain. Changing patterns of hand use to avoid
aggravating positions and activities may be helpful. Surgery can also be
effective in diminishing symptoms. Risks of the surgery include bleeding,
infection and nerve injury. Some pain, swelling and stiffness are expected,
but severe problems are rare.
