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Carpal Tunnel Syndrome (Median nerve entrapment)

Carpal Tunnel Syndrome is a painful condition of the hand and fingers caused by compression of a major nerve where it passes over the carpal bones through a passage at the front of the wrist, alongside the flexor tendons of the hand. It may be caused by repetitive movements over a long period, or by fluid retention, and is characterized by sensations of tingling, numbness, or burning.

The carpal tunnel is a narrow passageway of ligament and bones at the base of your hand. It contains nerve and tendons. Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the nerve to be compressed. Symptoms usually start gradually. As they worsen, grasping objects can become difficult.

What causes the problem? Some people have smaller carpal tunnels than other people do. Other causes include performing repetitive tasks, wrist injury, or swelling due to certain diseases, such as rheumatoid arthritis. Women are three times more likely to have carpal tunnel syndrome than men.

What treatments are available?

Prevention is the best option for carpal tunnel syndrome. While the home or work environement may have situations where repetitive tasks are necessary, there are several steps that can be taken to reduce the risk of developing this painful condition. These include maintaining good posture, keeping a neutral position with wrists and hands, and avoiding excessive cold, vibration or unnatural movements while performing tasks.

Treatment includes resting your hand, splints, anti-inflammatory medicines, and surgery.

See also: Rheumatoid Arthritis, Neuropathy Source: U.S. National Library of Medicine and the National Institutes of Health