Carpal Tunnel syndrome

Conditions
Carpal Tunnel syndrome

Health Plus Physical Therapy Center

Physical Therapy center located at 2114 Oak Tree Rd, Edison, NJ 08820

At Health Plus, we provide tailored therapy services to address various conditions and injuries. Our goal is to help you regain mobility, alleviate pain, and enhance your well-being. With advanced techniques and compassionate care, we’re here to support your journey to recovery.

Carpal Tunnel Syndrome:

Carpal Tunnel Syndrome (CTS) is a common condition characterized by compression of the median nerve as it passes through the narrow carpal tunnel in the wrist. This compression leads to a range of symptoms affecting the hand and fingers. Understanding the causes, symptoms, diagnosis, and treatment options is essential for effectively managing Carpal Tunnel Syndrome.

Anatomy:

The carpal tunnel is a narrow passageway in the wrist formed by bones and ligaments. The median nerve, along with tendons, passes through this tunnel, facilitating hand movement and sensation.

Causes:

Repetitive Hand Use: Frequent, repetitive movements of the hand and wrist, common in activities such as typing or assembly line work.
Prolonged Pressure: Continuous pressure on the median nerve due to activities like prolonged use of vibrating tools.
Trauma or Injury: Wrist injuries or fractures may contribute to the development of CTS.
Medical Conditions: Conditions such as diabetes, rheumatoid arthritis, or thyroid disorders may increase the risk.

Symptoms:

Numbness and Tingling: Usually in the thumb, index, middle, and part of the ring finger.
Pain or Discomfort: Aching or burning sensations in the hand and wrist.
Weakness: Reduced grip strength and difficulty holding or manipulating small objects.
Nighttime Symptoms: Symptoms often worsen at night, causing sleep disturbances.
Radiating Pain: Pain may radiate up the arm towards the shoulder.

Diagnosis:

Clinical Examination: Evaluation of symptoms, assessment of hand strength, and examination of hand reflexes.
Nerve Conduction Studies: Electromyography (EMG) to measure the speed of electrical impulses in the median nerve.
Imaging: X-rays or ultrasound to rule out other conditions causing similar symptoms.

Treatment Options:

Rest and Immobilization:
a. Avoiding activities that exacerbate symptoms. b. Wearing a wrist splint to keep the wrist in a neutral position, especially at night.
Medications:
a. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce inflammation and alleviate pain. b. Corticosteroid Injections: Injected into the carpal tunnel to reduce swelling and provide relief.
Physical Therapy:
a. Stretching and strengthening exercises for the hand and wrist. b. Ergonomic education to improve hand and wrist posture during activities.
Lifestyle Modifications:
a. Workstation adjustments to reduce strain on the wrist. b. Taking breaks during repetitive tasks.
Surgical Intervention:
a. Carpal Tunnel Release: A procedure to surgically cut the ligament, relieving pressure on the median nerve.

Prevention:

Ergonomic Practices: Maintaining proper hand and wrist posture during activities.
Regular Breaks: Taking breaks to rest and stretch during repetitive tasks.
Wrist Support: Using ergonomic tools and wrist support during activities that involve repetitive hand movements.

Conclusion:

Carpal Tunnel Syndrome is a manageable condition with various treatment options. Early diagnosis and appropriate intervention can help alleviate symptoms and prevent long-term nerve damage. Individuals experiencing persistent hand or wrist discomfort, numbness, or weakness should seek medical attention for accurate diagnosis and personalized treatment recommendations.