The carpal tunnel is created by the wrist bones on the bottom and a ligament over the top. The median nerve runs through the tunnel along with the flexor tendons to the wrist. Pressure within the tunnel can compromise the nerve and lead to carpal tunnel syndrome.
Symptoms of Carpal Tunnel Syndrome
The hallmark of carpal tunnel syndrome is numbness in the thumb, index and middle finger. Additional symptoms can include:
- Numbness that is worse at night
- Weakness in the thumb muscles of the hand (in severe cases)
The condition is more common in pregnant women, middle age women, and people with jobs that include daily repetitive hand motions.
Diagnosis and Treatment
Diagnosis and Treatment of Carpal Tunnel Syndrome
The condition is diagnosed by a nerve conduction study, an electrical study that measures the length of time that it takes for a signal to cross the carpal tunnel. A delay is indicative of carpal tunnel syndrome.
Initial treatment usually consists of NSAIDs and wrist splints (especially for use at night). If the symptoms persist, cortisone injections can be tried.
If conservative (nonoperative) measures fail, or there is evidence of nerve damage (such as weak thumb muscles or profound numbness), then the carpal tunnel can be released by surgically incising the ligament to give the nerve root more room. This procedure is a commonly performed surgery and is considered very reliable.