CARPAL TUNNEL

Carpal Tunnel Syndrome has become a very common diagnosis in today’s world.  It results when there is pressure on the Median Nerve at the wrist.  Carpal Tunnel Syndrome is one of many cumulative trauma disorders. 

Cumulative trauma disorders occur when a gradual build-up of tiny amounts of damage occur to the musculoskeletal system.

Carpal Tunnel can be triggered by wrist fractures or even fluid retention during pregnancy, but more commonly it results from repetitive motion and overuse. 

Women are five times more likely to have symptoms than are men. This is thought to probably be due in part to the variance in body fluids that women experience due to pregnancy, menstruation, menopause, and post-hysterectomy.

Symptoms of carpal tunnel are generally tingling in the first 3 or 4 fingers initially.  The tingling may eventually become outright numbness.  Other symptoms can be wrist pain, temperature variations in the hand, and loss of grip strength.  Neck pain is a common complaint of people with carpal tunnel syndrome.  The median nerve passes through several structures in the neck on its way down the arm.  Problems anywhere along its path can cause painful symptoms in the hand, wrist, arm, or neck. 

Treatment is started as soon as the diagnosis is confirmed. Confirmation is generally done by a nerve conduction test.  

Initially, treatment consists of resting from aggravating activities and the use of anti-inflammatory medications.  This may be followed by use of a splint on the wrist at night and specific exercises to keep the wrist mobile and the finger tendons gliding properly.  Modalities such a ultrasound or iontophoresis may also be used to decrease inflammation or stimulate circulation to the area. 

To complete the treatment, it is imperative to address the cause of the problem.  The work station or work activities need to be modified to lessen the stress on the neck, wrist, and hand.  Otherwise, the symptoms are at high risk for returning if the person goes back to the same work station and work activities. 

To learn more about reducing cumulative trauma stresses and exercises to address carpal tunnel problems, contact your physical therapist.