Carpal Tunnel Syndrome: Diagnosis And Treatment
Carpal Tunnel Syndrome is a progressive ailment of the hands and wrists
. This syndrome's name was coined from the Greek word "karpus" which translates to "wrist". It entails swelling in both the wrist and hand region which causes damage to the nerves in that area. Hyperthyroidism, arthritis and diabetes can sometimes lead to this condition. It can also be developed due to pregnancy or obesity.
It often begins in a mild version but gradually develops into a more pronounced form with pain, coldness, numbness and tingling. The pain may become so severe that it shoots up the entire length of the arm. Eventually, a person's fine motor coordination and strength may begin to deteriorate due to the increasing numbness. Insomnia may occur due to constant pain. The sufferer may also begin to drop objects such as writing utensils and silverware, which impedes their quality of life even further. The neck and shoulder area often become uncomfortable, as well.
An early diagnosis allows immediate treatment that can prevent Carpal Tunnel Syndrome from getting out of control. The first step in diagnosis would be to have a thorough examination by a physician who specializes in the hand. The doctor would be looking for swelling, discoloration and deformity. Tests including tapping the wrist to note tingling, which is called Tinel's sign, or Phalen's maneuver which involves the bending forward of the wrist. Blood tests may be done in order to discover any underlying medical causes. A nerve velocity test may also show indicators of the syndrome.
If it is determined that Carpal Tunnel Syndrome is indeed the diagnosis, the treatment plan will be determined by the severity. Rest and a curtailing of activities that may aggravate it will be called for. The wrist may need to be immobilized by wearing a supportive splint. Ice may help reduce the swelling, as well. There are exercises to stretch the area which may slow down or stop the malady's progress. Various medications may be prescribed including Corticosteroids and Vitamin B6.
For severe cases, there is a surgical procedure that cuts the fibrous tissue binding the wrist in order to relieve pressure in the nerve area. This surgery is called a Carpal Tunnel Release and will require exercise and physical rehabilitation therapy post-operation.
In up to seventy-five percent of all cases, the symptoms can be relieved with exercise, rest and immobilization. If the condition has progressed too far, the exercise routine may make it worse. If Carpal Tunnel Syndrome is suspected, it would be a wise choice to get in to see a doctor fairly quickly so that an early diagnosis is made and proper steps for remediation may be taken.
by: Andrew Stratton
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