Carpal tunnel syndrome (CTS) is caused because the median nerve gets excess pressure when it passes through a narrow alley on the side of the palm (carpal tunnel). The median nerve works to control some muscles to move the thumb and bring sensation back to the brain. CTS is more common in women and people over 50 years. Looking for Carpal Tunnel Syndrome Treatment Specialist? Call or Whatsapp us at 64762106.
Causes Carpal Tunnel Snydrome
The median nerve is very sensitive to pressure, so even the slightest pressure is prone to cause CTS syndrome. Here are some factors that can increase the risk of CTS:
Arthritis, especially if there is swelling in the wrist joint or tendon that runs through the carpal tunnel.
Hormonal changes, for example during pregnancy that can affect the connective tissue and put pressure on the nerves.
The thyroid gland does not produce enough hormones, namely hypothyroidism.
Heavy work that requires the use of wrists.
Symptoms Carpal Tunnel Syndrome
Carpal tunnel syndrome causes tingling and numbness in the hands. Sometimes, the symptoms are also felt in the forearm. This condition appears gradually in a few weeks. CTS symptoms tend to get worse at night. Hanging or shaking hands can help reduce pain and tingling.
The following are common symptoms of CTS: Numbness, tingling, and pain in the thumb and first three fingers of the hand. Pain and burning that spread to the arms. Wrist pain at night. Weakness in the muscles of the hand.
Treatment Carpal Tunnel Syndrome
In treating CTS, sufferers should avoid activities that can worsen symptoms. CTS can be overcome by bandaging the wrist, taking drugs, to surgery. The following CTS treatments can be done:
Non Surgery Carpal Tunnel Syndrome Treatment
If CTS can be known early, non-surgical treatment methods can work to reduce the symptoms of CTS. This treatment is done by stroking the wrist to hold the wrist during sleep, so that it helps relieve the symptoms of tingling and numbness at night.
Take nonsteroidal anti-inflammatory drugs (NSAIDs) which can help ease pain in the short term. In addition to NSAIDs, corticosteroid drugs can also be taken.
Our hand specialist will inject the carpal tunnel with corticosteroids, such as cortisone, to relieve pain. Sometimes doctors use the help of ultrasound to guide this injection. Corticosteroids work by reducing inflammation and swelling, and reducing pressure on the median nerve.
Surgery Carpal Tunnel Syndrome Treatment
Surgery is done if the symptoms of CTS are severe. The goal of carpal tunnel surgery is to relieve pressure by cutting out the ligaments that compress the median nerve. There are two surgical techniques that can be performed, namely endoscopic surgery and open surgery. This is the difference.
Endoscopic Carpal Tunnel Syndrome Surgery Treatment
In this surgical technique, our hand surgeon uses a device such as a telescope equipped with a small camera (endoscope) to see the inside of the carpal tunnel. Then, the surgeon begins to cut the ligament through one or two small incisions in the hand or wrist. Endoscopic surgery is useful for reducing pain in the first few days or weeks after surgery compared to open surgery.
Open Carpal Tunnel Syndrome Surgery Treatment
The surgeon immediately makes an incision in the palm of the hand over the carpal tunnel and cuts the ligament to free the nerves.
During the healing process after surgery, the ligament tissue will gradually grow back. This healing process takes several months and the skin can heal in a few weeks.