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Carpal Tunnel Introduction

 

Carpal Tunnel Syndrome (CTS) is a painful condition caused by compression of the median nerve within the small space, or carpal "tunnel," of the wrist. The carpal tunnel is a narrow space formed by the wrist (carpal) bones, transverse carpal ligament, the median nerve, and specific tendons.  Carpal Tunnel causes numbness, weakness, tingling, and/or burning pain in, primarily, the first three fingers of the hand.  These symptoms may, however, may radiate into the thumb, hand, forearm and shoulder. Carpal Tunnel is the most common peripheral compression neuropathy and repetitive stress injury (RSI) in the United States.

 

 

Carpal Tunnel is most common in people who perform repetitive tasks with their hands, such as factory assemblers and frequent computer users. This repetitive movement causes inflammation and swelling of the soft tissues surrounding the carpal tunnel. Inflamed tendons are the usual culprit.  They press on the median nerve, which causes the aforementioned numbness and pain.

 

Carpal tunnel syndrome can also be the result of an underlying joint or bone disease (arthritis, osteoarthritis, rheumatoid arthritis), certain hormonal or metabolic changes (pregnancy, menopause, thyroid imbalance), and changes in blood-sugar levels (type 2 diabetes).  It may also result from certain conditions and injuries of the wrist.  These may include sprains, breaks, or other direct trauma which causes wrist swelling and inflammation.  Carpal Tunnel is most common in women between the ages of 40 and 60.

 

Carpal Tunnel Statistics

 

According to the U.S. National Center for Health Statistics (1):

  • Carpal tunnel syndrome affects over 2 million people in the United States.
     

  • Approximately 260,000 carpal tunnel release surgeries are performed each year, with nearly 47 percent of these being work-related.
     

  • Carpal tunnel syndrome accounts for the highest average in number of days missed at work, when compared to all other work-related injuries or illnesses.

 

Carpal Tunnel Symptoms

 

Carpal tunnel symptoms are often similar to other health conditions or problems. Carpal Tunnel sufferers may experience some or all of the following symptoms:

  • Pain in the wrist that radiates into the hand and sometimes the forearm and shoulder

  • Numbness, tingling, and/or burning pain in the hand and first three fingers

  • Weakness in the hand and difficulty making a fist.

  • Pain or numbness may be worse at night.

 

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