Carpal tunnel syndrome is a nerve disorder of the hand. It is caused by compression of the median nerve. The median nerve gets squeezed inside a narrow passage in the wrist called the carpal tunnel. This nerve provides feeling to the thumb, index and middle fingers, and half the ring finger.
Carpal Tunnel Syndrome
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Carpal tunnel syndrome is created by pressure on the median nerve. This pressure is caused by the carpal tunnel becoming narrower. The narrowing can be caused by many factors, including:
A risk factor is something that increases your chance of getting a disease or condition.
Risk factors for carpal tunnel syndrome include:
Carpal tunnel syndrome causes symptoms in one or both hands or wrists. Symptoms may include:
The doctor will ask about your symptoms and medical history. A physical exam of your arms, wrists, and hands will be done. The exam will include tests of strength, sensation, and signs of nerve irritation or damage.
Other tests may include:
It is important to correct whatever is causing the carpal tunnel syndrome. Sometimes making simple changes in your workplace or home may help relieve symptoms.
Treatment may also include:
A splint will prevent extreme movements of the wrist. It is most effective when worn at night. It can help you avoid waking up with symptoms.
Surgery may be needed if symptoms are severe, or continue after you try other treatments. The most common procedure is the carpal tunnel release.
If you are diagnosed with carpal tunnel syndrome, follow your doctor's instructions.
You may reduce your chances of getting carpal tunnel syndrome by taking these steps:
American Academy of Orthopaedic Surgeons
American Association of Neurological Surgeons
Canadian Centre for Occupational Health and Safety
Carpal tunnel syndrome. EBSCO DynaMed website. Available at: http://dynamed.ebscohost.com. Updated October 8, 2012. Accessed October 23 ,2012.
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Last reviewed October 2012 by John C. Keel, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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