Carpal Tunnel Syndrome (CTS);Carpal Tunnel; It is a narrow channel formed by the bones and transverse carpal ligament in the part of the wrist facing the palm. The median nerve and tendons of the finger muscles pass through it. This nerve; It is responsible for the sensation of the thumb, index, middle finger and half of the ring finger. It also exercises the thumb base muscles and makes the thumb strong. If the median nerve is compressed in this canal, Carpal Tunnel Disease occurs
What are the complaints?
*Numbness, tingling, numbness in the hand and fingers
*Weakness in the thumb and falling of handled objects
*Pain can sometimes spread to the elbow, arm, shoulder and even the neck.
*The fact that night complaints are at the forefront is an important finding. It may wake you up from sleep.
What are the causes?
The cause of carpal tunnel syndrome is often seen to be the work done. Engaging in a job where hands and fingers are constantly used may cause nerve compression in the future.
*Inflammation and swelling around the tendons due to excessive use
*Edema (It is common in pregnant women and causes swelling of the carpal tunnel tissues.)
*After wrist fractures and dislocations
*Rheumatic diseases such as Rheumatoid Arthritis
*Hypothyroidism
*Diabetes
* Tumors
*In other cases with synovitis
How is it diagnosed?
The diagnosis is made clinically. Diagnosis can be made by complaints and clinical examination findings. EMG supports the diagnosis and shows how serious the problem is. Blood tests and radiological examinations; It may be requested if there is a suspicion of the disease thought to be the cause.
How is it treated?
Treatment usually begins with the use of splints. Edema around the median nerve is tried to be reduced with the added anti-inflammatory drug. Physical therapy methods or injections around the tendon can be added to the treatment.
The purpose of the surgery is to relieve the tunnel by opening it and, if there is swelling and thickening in the tendon sheaths, to remove the pressure on the median nerve by cleaning them. Surgery is usually It does not require hospitalization. Relief occurs 24-72 hours after the operation. At the end of this period, they gradually begin to use their hands. Stitches are removed after 12-14 days. Differences in recovery vary depending on patient conditions. It is not appropriate to return to tasks requiring strength before 4-6 weeks. Full recovery, full return of strength, and nerve regeneration process may take 3-4 months. Post-operative physical therapy may be necessary.
Points to consider:
*Use the splint that will reduce carpal tunnel pressure.
* If there is extreme night pain, use a rest splint.
*Avoid repetitive grasping and pinching movements.
*- Avoid working with your wrist constantly bent.
In the initial period of the disease, treatment is rest and avoid repetitive activities on the wrist.
Do not apply heat during the acute period of the disease (2-3 weeks).
Read: 0
