Carpal tunnel syndrome
Carpal tunnel syndrome — is syndrome that caused by compression of the median nerve at the point where it passes through the carpal tunnel under the transverse carpal ligament. Carpal tunnel syndrome often formed in people who have a long time working with the computer mouse. Typical symptoms of carpal tunnel syndrome is:
- the patient feels a pain and tingling in the hands, which is more pronounced in his wrist at night;
- feeling swollen hand and wrist;
- numbness of the index and middle fingers.
With prolonged duration such desiase as a carpal tunnel syndrome in a patient may develop finger bone osteoporosis in combination with a spasm of blood vessels and persistent burning pain.
Median nerve compressed at the wrist, resulting numbness or pain.
The cause of the carpal tunnel syndrome may be discovered as result of the patient neurological examination and his lifestyle study. Revealed typical symptoms of muscular-tonic at the forearm of the same hand. Often the diagnosis of the carpal tunnel syndrome may be limited by the neurological examination only.
Damage of the median nerve (median nerve neuropathy or neuritis) causes a impairment of sensitivity in the I, II and III fingers.
Median nerve and transverse carpal ligament anatomy.
Diagnistic on EMG and ENG to differentiate this lesion of the median nerve at the wrist by squeezing the nerve root affected intervertebral disc or muscles at the cervical and brachial levels, which also may causes a pain and paresthesia in the relevant sections of the upper extremity.
Patients can use the Katz hand diagram to mark the specific location of symptoms (pain, numbness or tingling, or other) and the diagrams can then be graded as classic, probable, possible, or unlikely to be carpal tunnel syndrome.
Carpal tunnel syndrome classic patterns of numbness, pain, tingling and decreased sensation. Symptoms affect at least two of digits 1, 2, or 3. The classic pattern permits symptoms in the fourth and fifth digits, wrist pain, and radiation of pain proximal to the wrist, but it does not allow symptoms on the palm or dorsum of hand.
Carpal tunnel syndrome probable patterns of numbness, pain, tingling and decreased sensation. Same symptom pattern as classic, except palmar symptoms are allowed unless confined solely to the ulnar aspect. In the possible pattern, not shown, symptoms involve only one of digits 1, 2, or 3.
Carpal tunnel syndrome unlikely patterns of numbness, pain, tingling and decreased sensation. No symptoms are present in digits 1, 2, or 3.
Lock your wrist and pad from a roller as a preventive measure removes the burden on the median nerve and ligaments in the wrist.
If neurosurgeon or neurologist set a clinical diagnosis of carpal tunnel syndrome, depending on disease severity manifestations patient will be treated by conservative procedures or operative treatment (if conservative therapy does not give a positive stable effect).
Elimination of the pain, tingling and paresthesia in fingers in the treatment of median nerve neuropathy (neuritis) in the case of carpal tunnel syndrome is accelerated by using of physiotherapy.
Depending on the severity of the manifestations of the carpal tunnel syndrome in a patient, the following therapeutic action may be used:
- electrical stimulation of median nerve and muscles
- vitamins (B, C and E)
- homeopathic remedies
- surgery (neurolysis, nerve trunk cross-linking, etc.)
In treatment of median nerve neuropathy (neuritis) caused by carpal tunnel syndrome for removal of pain, tingling and paresthesia in the fingers accelerated by the use of physiotherapy.
If you have any questions, you can ask them to our neurosurgeon or neurologist: (499) 130–08–09
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Peripheral neuropathies (neuritis):
- Facial nerve neuropathy (neuritis), Bell's palsy
- Median nerve neuropathy (neuritis)
- Peroneal nerve neuropathy (neuritis)
- Radial nerve neuropathy (neuritis)
- Sciatic nerve neuropathy (traumatic neuritis)
- Tibial nerve neuropathy (neuritis)
- Trigeminal nerve neuropathy (traumatic neuritis)
- Ulnar nerve neuropathy (neuritis)
- Neuropathy and polyneuropathy (alcoholic, diabetic)
- Optic nerve and retina diseases:
- Opto-chiasmatic arachnoiditis (optic chiasm)
- Pain in the arm and neck (trauma, osteochondrosis)
- Sciatica, leg pain (hernia and protrusion of the disc)
- Traumatic neuropathies (neuritis)
- Trigeminal neuralgia
- Tumors of peripheral nerves
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