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Carpal tunnel syndrome

In order to understand what carpal tunnel syndrome is, we must first talk about the median nerve. The median nerve transmits sensation and supplies some of the muscles responsible for movement in the arm, wrist and hand. This nerve passes through the carpal tunnel to reach the hand.

Carpal tunnel: It is a tunnel located in the wrist and consists of the small bones of the hand and is surrounded from the front by a thick ligament at the wrist joint. Inside this tunnel, the median nerve and the tendons of the flexor muscles of the hand (the tendons responsible for gripping the fingers and thumb) pass.

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Tendons of the flexor muscles of the fingers: shown in the picture in black and purple. These tendons are responsible for gripping the fingers of the hand.The tendon of the muscle responsible for flexing the thumb is shown in blue.

As for the median nerve, it is shown in the picture in yellow, and is covered from above by the carpal ligament.
As we can see in the picture, the median nerve supplies all fingers except the little finger. In carpal tunnel syndrome, there is pressure on the median nerve, and this pressure causes pain, numbness, and tingling in all fingers except the little finger. As I explained, this nerve supplies the flexor muscles of the fingers and thumb, and this pressure makes it difficult to use the hand.

Causes:

1. Repetitive movements of the hand (ex: typing).2. Osteoarthritis.3. Rheumatoid arthritis.4. Hormonal or metabolic changes (ex: pregnancy, menopause, thyroid).5. Diabetes6. Hereditary7. Trauma or other condition to the wrist.

Symptoms:

1. Weakness in gripping activities.2. Pain or numbness.3. Pins and needles in fingers (In thumb, index, middle, and ring finger).

Diagnosis:

1. Tinel's sign.2. Wrist flexion test.3. EMG and nerve conduction tests.

Treatment:

Splinting.

Exercises :

1. Stretching exercises2. Nerve glide exercises3. Strengthening exercises

Anti-inflammatory medication.

Cortisone injections.

surgery.

Physiotherapy - post operative

Swelling & pain management.

Scar management.

Rang of motion exercises (wrist & fingers ).

Strengthening exercises (wrist and fingers).

Post operative complications

Weakness in wrist muscles

Numbness and pain in the scar area and around it.

Healing Hands, Restoring Life

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