Carpal Tunnel Syndrome

Carpal Tunnel Syndrome: Causes, Risk Factors and Management

Carpal Tunnel Syndrome (CTS) is where the Median nerve becomes compressed within the carpal tunnel.

The carpal tunnel is located in the underside of your wrists. Carpals are the wrist bones and it forms a small tunnel shape with the surrounding soft tissues (ligaments and tendons etc.).

The typical presentation is pain, numbness and a pins and needles sensation. The symptoms are usually noticed at night, but they can be noticed during the day too. Repetitive tasks such as typing or drawing can be common triggers for these symptoms.

It is important not to ignore CTS as it can lead to some unfavourable outcomes such as permanent sensory loss due to the compression of the median nerve.

There are a few reasons why CTS may be caused. Usually, it is because of some sort of mechanical trauma or elevated pressure within the carpal tunnel.

There are a few risk factors that can increase the chances of you suffering with CTS:

  1. Pregnancy

  2. Obesity

  3. Diabetes

  4. Rheumatoid Arthritis

  5. Cysts

  6. Tumours

  7. Alcholism

Conservative care is typically favoured and is the primary treatment for CTS, which is wrist splinting, and should be trialled for up to 8 weeks. If it’s working, you can continue splinting. However, if you are finding no relief, then you may require an additional treatment which may depend on your specific situation.

Get in touch if you’re struggling with your CTS!

BOTCC out!

References:

  • https://www.ncbi.nlm.nih.gov/books/NBK448179/

  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389835/

  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117610/

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