What Is Carpal
Tunnel Syndrome
Carpal tunnel syndrome can be a painful
condition and it affects the hand and wrist.
The actual ‘carpal tunnel’ is a narrow passageway made up of
bones and ligaments at the base of your hand by your wrist.
This passageway also contains the median nerve and tendons used
by the thumb and fingers.
The tendons located in the carpel tunnel connect your
muscles to your bones, while the median nerve provides the
sensation and feeling to the fingers and hand. Only the fingers
served by the median nerve – which are the thumb, the index and
middle fingers, and part of the ring finger, are affected when
carpal tunnel syndrome is present.
This nerve controls the feeling and action of the fingers
and hand. It allows you to feel temperature, pain, numbness,
tingling, and also controls sweating of the hand. If one is
suffering from carpel tunnel syndrome, the ligaments and
tendons in the carpal tunnel become swollen and inflamed.
The swelling from the carpel tunnel syndrome causes the
swollen tendons and ligaments to squeeze against the median
nerve. This amount and type of pressure on the nerve can have a
tendency to injure the hand, causing pain or numbness. In some
cases, carpal tunnel syndrome can even be brought on by one's
job, especially id it requires lots of repetitive motion.
People suffering from carpel tunnel
syndrome can often experience difficulty performing
simple tasks such as fastening their buttons, turning a key in
the lock or even unscrewing lids from jars and bottles.
The diagnosis of carpal tunnel syndrome is based on a
physical examination as well as the symptoms that the patient
is experiencing. The doctor may also ask the patient about his
occupation and discuss the risks of certain jobs that may
contribute to carpal tunnel syndrome. The physician may also
discuss the carpal tunnel treatments that are available.
Your doctor may also perform a series of tests to confirm
the diagnosis of carpel tunnel syndrome. The tests preformed
may include the Tinel, Phalen and electromyography tests.
The Tinel Test involves the doctor gently tapping the median
nerve at the wrist and a patient is said to have carpel tunnel
syndrome if a tingling sensation is felt. The Phalen Test
involves the patient placing the backs of the hands together
and bending the wrists for one minute to see if this causes any
symptoms. The electromyography tests the nerves and muscles
using small electrical pulses and can help to confirm the
carpel tunnel syndrome diagnosis.
If you are experiencing symptoms, your doctor will be able
to discuss carpel tunnel syndrome tests, diagnosis and
treatments with you further.
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