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  • Spine Disease
    • Disc Herniation (Lumbar, Cervical)
    • Spondylolisthesis
    • Degenerative Disc Disease
    • Spinal Stenosis (Lumbar, Cervical)
    • Forward Head Posture (FHP)
  • Pain Disease
    • Shingles & Intercostal Neuralgia
    • Carpal Tunnel Syndrome
    • Plantar Fasciitis
    • Coccydynia (Tailbone Pain)
    • Ischial Bursitis
  • Joint Disease
    • Osteoarthritis (Degenerative Arthritis)
    • Knee Cartilage Injury
    • Pes Anserine Bursitis
    • Adhesive Capsulitis (Frozen Shoulder)
    • Rotator Cuff Tear

Carpal Tunnel Syndrome

Background

Carpal Tunnelis a small canal made of bones and ligaments located under the skin on the top of wrist, connecting the tendons and nerves to the hand. Carpal Tunnel Syndrome is a disorder in which the canal is compressed due to various reasons, subsequently pinching the median nerve and causing pain, tingling/numbness, and paresthesia in the palm and fingers of the afflicted hand

Symptoms

  • Wrist pains, along with tingling/numbness in the areas in the hand where the median nerves branch out- thumb, index, and long fingers, and palms.
  • Pain is characteristically exacerbated during the night.
  • In cases of extreme compression of median nerves, tingling/numbness and paresthesia is accompanied by thumb muscle atrophy.
  • Tingling/numbness in the afflicted area is triggered by bending the wrist for 1~2 minutes, or by tapping on the wrist.
  • In severe cases, sleep is interfered due to excruciating, burning pain in the hand, which is alleviated by shaking the hand and wrist (Night Cry).

Causes

Most common cause of Carpal Tunnel Syndrome is compression of carpal tunnel due to thickening of enveloping ligament. Others include fracture or dislocation in areas near carpal tunnel, or from previous injuries near carpal tunnel; edema from infection, inflammation, or injuries; increase of aponeurosis; and compression caused by tumors within the carpal tunnel.
The incidence rate is higher in women, obese, older, and diabetics. The condition may temporarily afflict women during pregnancy. Though both genders are prone to the condition, those of ages 40~60 are more likely to be affected, especially middle-aged women.