CARPAL TUNNEL SYNDROME
Dr. Deepika Kaushal (BPT)
Kayakalp, VMRT, Holta, Palampur, Himachal Pradesh
Carpal tunnel syndrome is created by pressure on the median nerve caused by the narrowing of the carpal tunnel. The narrowing can be caused by many factors including: –
- Swelling of the tissue in carpal tunnel due to injury or fluid changes in the body.
- Hereditary narrow carpal tunnel
- Repetitive motions like typing or any motion of the wrist that you do over and over.
- Tumors (rare) Medical conditions sometimes linked to CTS Certain jobs of getting the conditions, those
Jobs include: –
- Rheumatoid arthritis
- Women are 3 times more likely thanmen
- Assembly like worker
- Sewer / knitter
- Hair stylist
Sign and symptoms: – In severe cases
- Dull/sharp or shooting pain
- Numbness/tingling or a burning feeling in your thumb/index and middle finger
- Arm pain may extend to your shoulder
- Weakness in your hand
- Swelling in your hand
- Itching and numbness in palm of your hand
- As carpal tunnel syndrome becomes more severe, you may have less grip strength because the muscle in your hand shrink, pain and muscle cramping will also become worse.
- Muscle nerve begins to lose function because of the irritation or pressure around it.
- Slower nerve impulses
- Loss of feeling in the fingers
- Loss of strength and coordination, especially the ability to use your thumb to pinch.
- You could end up with permanent muscle damage and lose function in your hand.
Special test help diagnose carpal tunnel syndrome
- Your doctor may ask to tap the palm side of your wrist or fully flex your wrist with your arms completely extended.
- EMG/NCV measures the function of the nerve across the carpal tunnel.
Treatment:- Physiotherapy treatment: –
- Lifestyle changes if your symptoms are due to repetitive motion you can take more frequent breaks or do it bit less of the activity that’s you pain. Certain tretching/strengthening exercise could help.
- Immobilization: – use a splint/ brace.
- Medication: – anti-inflammatory drugs
Especially in mild to moderate cases
- Ultrasound Therapy
- Carpal bone mobilization/flexor retinaculum stretching to open the carpal tunnel
- Nerve and tendon gliding exercises to ensure full unrestricted nerve motion is available
- Muscle and soft tissue extensibility
- Cervicothoracic spine to correct any referral of double crush syndrome
- Grip and pinch, thumb abduction and forearm strengthening in later phase