Carpal tunnel syndrome

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome is a neurological compression disorder that affects the median nerve as it passes through the carpal tunnel from the wrist. It can result in pain, numbness or paresthesia, weakness, and numbness in the hand and fingers.

What causes Carpal Tunnel Syndrome?

Causes of Carpal Tunnel Syndrome include:

• Age: Over time, the structure of the carpal tunnel can stiffen and narrow, increasing pressure on the median nerve.
• Anatomy: Some people have a narrower-than-normal carpal tunnel, which increases the risk of developing carpal tunnel syndrome.
• Repetitive injuries: Repetitive injuries to the hand and forearm, such as typing on a keyboard or playing tennis, can increase the risk of developing carpal tunnel syndrome.
• Medical Conditions: Arthritis, obesity, hypothyroidism, and diabetes can increase the risk of developing carpal tunnel syndrome.
• Pregnancy: Hormones and weight gain during pregnancy can increase pressure in the carpal tunnel and trigger carpal tunnel syndrome.
• Wrist Fractures or Injuries: Wrist fractures or injuries can alter the anatomy of the wrist and increase pressure on the median nerve.
• Work: People who perform repetitive tasks with their hands and forearms, such as typing, may be at higher risk of developing carpal tunnel syndrome.

How is Carpal Tunnel Syndrome Diagnosed?

Diagnosis of carpal tunnel syndrome is made through a combination of medical history, physical examination, and special tests. Some of the procedures used to diagnose carpal tunnel syndrome include:

• Medical history: The doctor may ask about symptoms, medical history, and risk factors, such as occupational or repetitive injuries.
• Physical examination: The doctor may evaluate the sensation, strength, and function of the affected hand and fingers.
• Electromyography (EMG): This test measures the electrical activity of the muscles and nerves to determine if there is compression on the median nerve. It confirms the diagnosis of carpal tunnel syndrome and provides a degree of involvement.

How is carpal tunnel syndrome treated?

Treatment for carpal tunnel syndrome may include a combination of conservative therapies and, in severe cases, surgery. Some treatment options include:

• Conservative therapy: This may include resting the affected hand and fingers, stretching and strengthening exercises, and wearing night splints to prevent poor nighttime wrist positions that perpetuate median nerve compression.
• Lifestyle modifications: Modifying repetitive activities or changing jobs can help prevent or improve symptoms.
• Medication: Anti-inflammatory and pain relievers can help relieve pain and inflammation.
• Physical therapy: Physical therapy can help improve mobility and strength in the affected hand and fingers.
• Surgery: In severe cases of carpal tunnel syndrome, surgery may be necessary to relieve pressure on the median nerve.

Book an appointment with Dr. Jordi Jiménez. He will see you at the center of Palma de Mallorca and help you regain your quality of life.