Carpal Tunnel Syndrome: It's All in the Wrist
What is carpal tunnel syndrome?
It's a lack of blood supply to the median nerve, one of three
major nerves in the hand. When the nerve doesn't get enough oxygen, the hand gets a "pins
and needles" feeling, numbness and pain.
When
should you see a doctor?
People come in when pain keeps them from getting a good night's
sleep or because their hands feel weak.
Many call for an appointment because they're dropping things. That
happens because they've developed numbness in their hands, so they can't
feel how tightly they are gripping an object.
It's important not to wait, because patients who have had carpal tunnel
syndrome for a short period of time have better results from treatment.
What
treatments are available?
Initially most patients are treated with a wrist-neutral splint
that keeps the wrist from bending at night, relieving pain and numbness.
Occasionally, a splint plus an injection of cortisone is required.
Cortisone decreases inflammation in the carpal tunnel, making it easier
for the blood supply to reach the nerve.
Some patients may need surgery. The patient is given a local anesthetic
and can go home the same day. Surgery gives immediate relief of night pain
and allows damaged nerves to heal.
How
long is the recovery period after surgery?
It depends on the type of surgery-a newer surgical procedure
requires a very small incision, so there is less pain and a shorter
recovery.
Some patients can play golf a week after this procedure.
Can
people return to the job that caused carpal tunnel syndrome?
Although their symptoms are improved, even with surgery some
people may have to modify the type of work they're doing.
Prevention
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