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Carpal Tunnel Syndrome Treatment in India

The common condition of Carpal tunnel syndrome (CTS) affects the wrist, hand and sometimes complete upper extremity. CTS in pregnancy is the most common problem which is due to swelling caused by fluid retention. The tunnel is (like a narrow canal) located at the base of the palm and is defined by the overlying transverse carpal ligament and wrist bones. The median (a major nerve) and some tendons pass from this tunnel that is responsible for controlling movement and sensation of the hand. This also provides for muscle strength at the bottom of the thumb. A part of the ring finger, little finger and also the outer edges of the palm are unaffected by this condition as the median nerve does not serve these parts.

Causes of Carpal Tunnel Syndrome

This common disorder can affect a large number of patients. The causes are –

  • Wrist dislocation and fracture
  • Swelling and inflammation around the tendons
  • Aberrant anatomy
  • Diabetes
  • Fluid retention
  • Tumor
  • Rheumatoid and degenerative arthritis

Symptoms of Carpal Tunnel Syndrome

  • Swollen feeling in the fingers
  • Pins and needles feeling or numbness in the fingers
  • Hand weakness
  • Difficulty in manipulating small objects
  • Numbness or pain that disrupts sleep or get worse at night
  • Difficulty in making a fist
  • Tingling or burning in the middle fingers, index or thumb that moves up to the arms reaching elbows
  • Difficulty in dropping objects or getting hold of the object with the hands

Diagnosis of Carpal Tunnel Syndrome

CTS (Carpel tunnel syndrome) require appropriate diagnosis –

  • In order to confirm the diagnosis of CTS within the wrist and hands of the patient, Electrodiagnostic studies (nerve conduction and EMG) are done.
  • Complete medical history of the patient is examined.
  • This also involves a complete clinical exam. A doctor can ask his patient to perform certain tasks with the help of his hands. This is done in determining the condition of CTS.

Carpal Tunnel Syndrome Treatment

The treatment for CTS depends upon the severity of the condition. Some of the suggestions from a physicians are: -

  • Proper resting should be given to wrist and hands for a long period all through the day.
  • One can also wear splints that will help in immobilizing the wrist.
  • Daily consumption of nonsteroidal-anti-inflammatory (NSAID) drugs along with other nonprescription pain relievers for reducing inflammation and pain.
  • Occupational therapy is done for loosening the tendons in the wrists and hands.

Surgery for carpel tunnel syndrome is performed when wrist splints or medicines have failed to provide relief from pain. The surgical procedure of CTS is performed under local anesthesia where the patient is awake and his hand or wrist is completely numb. Key hole and open surgery are the two types of CTS surgery.

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