Carpal Tunnel Syndrome
What Is Carpal Tunnel Syndrome?
It is a neuropathic disease that occurs as a result of compression of the median nerve in the wrist. Carpal tunnel syndrome, which occurs when damage to the median nerve occurs as a result of a trauma to the wrist, is usually noticed with severe pain in the wrist.
It is likely to be seen in all age groups. However, it is more common between the ages of 45-65. The incidence is high in women over 40 years of age.
Although it is characterized by age, excessive standing at a computer, stress at work, and prolonged driving have also been among the risk factors for carpal tunnel syndrome. If the disease progresses and is not treated, there may be loss of sensation, weakness and weakness in the fingers.
Risc Factors of Carpal Tunnel Syndrome
Pregnancy, individuals actively using the wrist, genetic predisposition, excess weight, rheumatic diseases, edema are risk factors that increase the compression of the median nerves. At the same time, rheumatoid arthritis, thyroid diseases, diabetes, etc. Diseases are also among the risk factors for carpal tunnel syndrome.
What Are The Symptoms of Carpal Tunnel Syndrome?
It is often noticed by exercise and pain in the use of hands or wrists.
Symptoms such as pain, numbness and tingling in the hands and wrists, tingling and numbness in the fingertips are seen. In the first stages, night pains continue with day pains in the later stages.
Physical examination (Phalen and Tinel test, carpal compression test, etc.), MRI, EMG, ultrasonography, computed tomography and blood tests are used to diagnose the disease. The patient has difficulty in clenching his fist and holding his hand above his head for a long time during physical examination. For some patients, it manifests itself as arm and neck pain. It may vary according to the course of the disease, its severity and the patient's past history.
What Are The Treatment Methods In Carpal Tunnel Syndrome?
The disease is carried out with drug therapy and physical therapy in the initial stages. Treatment methods such asconservative treatment, rest, use of analgesic and nonsteroidal anti-inflammatory drugs, steroid injections are applied.
In physical therapy applications, the disease is followed up with treatment methods such as electrotherapy, electrical stimulation, and cold compresses. Surgical operation may be required in the following cases.