Carpal Tunnel Syndrome

CTS is the result of compression of the wrist's median nerve which in turn causes pain and numbness in the hand

1,517 Questions
Carpal Tunnel Syndrome

What happens if carpal tunnel is untreated?

In the worst case scenario, untreated carpal tunnel syndrome can result in permanent numbness and weakness in the hand.

The numbness shows up in your thumb, index, middle, and half of your ring finger.

The weakness is in your thenar muscles - at the base of the palm side of your thumb.

To see a video showing you where these muscles are and an example of thumb muscle atrophy, see the attached video link.

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Carpal Tunnel Syndrome

What are the major restrictions for 2 weeks after carpal tunnel surgery?

Main restrictions are - no heavy lifting & keep surgery location dry. I had surgery on both hands at the same time about 5 years ago and have never had any more problems/pain. Best thing I ever did for pain relief! I did have bandages on both hands but was still able to grasp and hold utensils for eating. I was back to work on 'light-duty' after 10 days and back to normal about a week after that. Hope this helped.

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Carpal Tunnel Syndrome

When can you drive after carpal tunnel surgery?

The next day but you have to take care not to put too much pressure on the hand for a while. You must keep in mind also that in case of accident you may end up having trouble with your insurance . So you had better consult them as well.

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Carpal Tunnel Syndrome

What causes numbness in fingertips?

lack of blood causes numbness


The numbness of your fingertips could be caused by variety of reasons and medical conditions. If the numbness is more pronounced in the mornings and is accompanied by some bluish discoloration, you may have a blood circulation problem. In a few cases, numbness in fingers may also point to deficiencies in essential vitamins and minerals. In extreme cases, your symptoms could also be caused by a form of peripheral nerve damage caused by Type II diabetes. If there is a history of diabetes in your family, please consult a physician at the earliest. You should also visit a doctor if the numbness persists for several days at a stretch, or if you begin to experience any pain.

However, your symptoms appear similar to those seen in patients with carpal tunnel syndrome. This is a form of repetitive strain injury (RSI) caused due to prolonged repetitive movements of the hands and wrist. Commonly, such an RSI is linked to the nature of your work. For example, extended typing on a keyboard can produce pressure on the carpal tunnel, which forms a tunnel through which the median nerve runs to your fingers. Any pressure on this tunnel can compress the nerve, leading to the type of numbness you have described. You could also experience similar numbness if you sleep in an awkward position with your hands under your body, putting pressure on the nerves of your fingers. If so, a simple change in sleeping positions will reduce the numbness.
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Carpal Tunnel Syndrome

How soon can you play golf after carpal tunnel surgery?

Although I am not a doctor, I recommend two years. Your doctor may have a different opinion.

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Carpal Tunnel Syndrome

What is grade 1 spondylolisthesis at the L4-5 level mean?

degeneration of spine

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Arthritis
Keyboarding
Carpal Tunnel Syndrome

Can you get arthritis from typing too much?

Typing can cause repetitive stress syndrome leading to carpal tunnel problems or tennis elbow. Usually this happens if you sit at the wrong height, or type with fingers in isolation. That is the reason people should learn touch typing if they use the computer for any great length of time. Basically if you are feeling pain after typing, you should examine what you are doing wrong. If you ignore the pain for too long, you may end up needing carpal tunnel surgery.

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Carpal Tunnel Syndrome

What causes thumb numbness?

It may result from damage to the nerves supplying the thumb or from damage to or occlusion of the blood supply somewhere higher up the arm. Severe damage to the thumb itself may also cause considerable loss of sensitivity. Theoretically, at least, it might also be caused by damage to the opposite side of the brain, but in such cases, the numbness will probably affect a wide range of regions of the arm and shoulder.

In a dumb bum, too much rum could also cause a numb thumb--among other things!:-)

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Carpal Tunnel Syndrome
Nerves

What causes a constant 'pins and needles' sensation down left arm?

You should always see your doctor with these symptoms. Most of the time it's stress through the neck and shoulder area and when under stress the muscles freeze up (like a knot.) A good soak in the tub with Epsom Salts will certainly help, and rub your neck and shoulders well with A535. If you are still having this problem then please see your doctor immediately.

If the pins and needles go along with a heavy chest or jaw pain call 911! It may be due to anxiety due to stress (many patients think they are having a heart attack and it turns out to be anxiety.) It's better to be safe than sorry.

NumbnessNumbness and tingling and parasthesia on the left side of the body means that there may be an abnormality in the right side of the brain.It can be a neurological pathology like motor neuron disease,TIA or stroke or autoimmune condition like multiple sclerosis in which the immune system attacks the central nervous system (CNS), leading to demyelination.It can be diagnosed by MRI brain and MRS of the brain.

Other possibilities are vit B12 deficiency,diabetes, hypothyroidism, hypoparathyroidism or peripheral nerve trauma or compression.

If tingling is there only on the left half of the body,it means a right side pathology of the brain.So I feel that clinical evaluation from a neurologist is necessary to rule it out.

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Arthritis
Carpal Tunnel Syndrome

Is carpal tunnel syndrome the same as arthritis?

Not exactly. The term "carpal" refers to the bones of the wrist; the condition "carpal tunnel syndrome" is caused by compression of a nerve passing through this area.

Arthritis, of which there are a number of types, refers to inflammation of a joint (arthri is a Latin prefix meaning "joint").

So while both conditions involve joint problems, the one is caused by irritation of a nerve in the wrist only, while the other involves inflammation, and often deformation and immobilization, of joint tissues and can occur in any joint.

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Carpal Tunnel Syndrome

When can you do house work after carpal tunnel surgery?

When your doctor advises you to do so. It varies on how severe the carpal tunnel was/is, but I would say 1-3 months.

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Carpal Tunnel Syndrome

Can wearing magnets help carpal tunnel?

I assume you mean carpal tunnel syndrome? The carpal tunnel is simply the area affected by the problem. There can be many causes of this, none of which are affected by the use of magnets. There has been no evidence to show that magnets help carpal tunnel at all. There has been double blind studies where the doctor nor the patient knows if they have the "real treatment" or the "fake treatment", and at the end they look at both groups..if the fake or placebo group does just as good or better than the tested or real treatment, you know it doesn't work. This type of study has been done with magnets to no avail.

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Carpal Tunnel Syndrome

What are the complications of carpal tunnel surgery?

Complications of carpal tunnel surgery or carpal tunnel release are similar to any other type of surgery such as

  • bleeding
  • swelling
  • inflammation of site
  • infection
  • soreness at the incision site (called pillar pain) - this may last for a few months
  • the one complication that is more serious is if the median nerve is cut or nicked; with this you can have permanent numbness and tingling of the fingers.

The median nerve is around the thickness of a number 2 pencil. It's very difficult to cut it unless the surgeon is careless or cannot see what he/she is doing.

The most common nerve injury is a bruising of the nerve from a retractor or from scissors. This type of injury usually gets better with time but may create some numbness or burning pain temporarily.

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Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome and how does it originate?

Carpal tunnel syndrome (CTS) is a medical condition in which the median nerve is compressed at the wrist causing symptoms like tingling, numbness, night time wakening, pain, coldness, and sometimes weakness in parts of the hand. CTS is much more common in women than it is in men, and has a peak incidence around age 50 (though it can occur in any adult). It likely is present to some extent in up to 10% of the adult population. I would agree with the above post. "How it originates" is a hotly debated subject among legal and medical experts. A Study by Harvard and others have now shown that computer useage is not really a cause of the majority, if any, carpal tunnel syndrome (CTS) cases.Certainly repetitive use can aggravate some CTS cases...but does it or did it ACTUALLY CAUSE CTS is another issue.

There are many causes or risk factors for getting CTS other than repetitive use such as; obesity,diabetes,pregnancy,hypothyroidism,arthritis etc...really anything that can cause swelling and inflammation in the carpal tunnel canal,and therefore exerting pressure over a prolonged time on the median nerve,can cause carpal tunnel symptoms.

Carpal tunnel is the space between the wrist bones and the ligaments of the wrist through which the median nerve passes. Carpal tunnel syndrome (CTS) develops when the median nerve becomes compressed. The symptoms include: pins and needles or tingling of the first three fingers pain or numbness usually worse at night weakness of the handThere are many risk factors that may contribute to a person getting CTS, such as diabetes, repetitive work and pregnancy just to name a few. Most cases should be treated with conservative measures first such as a day wrist support, wrist ice wraps, pain relieving gels and night splints. If symptoms still persist you should see a healthcare professional for further treatment options such as surgery. The carpal tunnel is the anatomical name of the part of your wrist where the carpal tunnel syndrome can occur. It is a tunnel formed by wrist bones on 3 sides and a thick band on the top. Then median nerve and the tendons go through this hour glass shaped area or tunnel. If the median nerve gets inflammed or compressed for long periods of time it can cause carpal tunnel syndrome Carpal tunnel syndrome is happens as the result of compression of the median nerve at the wrist. This may bring about numbness, tingling, weakness, or muscle damage in the hands and fingers. The median nervecontrols the thumb side of the palm, and to the thumb, index finger, middle finger, and the thumb side of the ring finger. It alsocontrols movement and sensation to part of the hand. The area where this nerve runs into the hand is called the carpal tunnel. This passageway rigid, and therefore any swelling in this area can put pressure on the nerve. This may also be called entrapment of the nerve.

Answer2: In addition to the above, my orthopedist and neurologist said that carpal tunnel begins in the neck and not in the wrist or hand. I saw an article online that indicates this as well. It says the following: "Medical experts at Advanced Health and Physical Medicine in Greenville, NC have seen numerous patients who were experiencing carpal tunnel symptoms that originate on a different level. The trajectory of the median nerve starts in the spinal nerve roots that exit the neck vertebrae and travel towards the hand in the vicinity of spinal and neck muscles and through the elbows Any obstruction or misalignment at this level can also cause carpal tunnel symptoms."

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Carpal Tunnel Syndrome

Can you get carpal tunnel in your feet?

Well kind of...it's not called carpal tunnel syndrome (CTS) though.It's called tarsal tunnel syndrome...pronounced Tar-sull.

Like carpal is the name of your wrist bones,tarsal is the name of your foot bones.A nerve in your leg branches out into your foot.It's fairly uncommon,but is seen in foot and ankle injuries/fractures,or if there is some type of lesion/tumor near the nerve.

You get burning pain,numbness and tingling to the bottom of your foot.Sometimes a heel wedge that aligns your foot and ankle solves the problem,but surgery may be needed if symptoms persist. No not carpal tunnel however there may be some other similar interference with nerves that work in that area.

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Carpal Tunnel Syndrome

What is the average Carpal tunnel surgery settlement?

The average carpal tunnel surgery settlement,will depend on a few things.

1) Has your case been proven to be caused by work?

2) Different states will have different work-comp laws, so how much you are entitled to if anything will depend on the laws in your state. Search for your state governments website under work comp section for details...don't rely on lawyer websites.

3) You need to have an impairment rating from a physician who is trained and certified do give such ratings.

4) The average settlement can be anywhere from 15-30k...keep in mind that figure can vary, depending on the above and also whether you opt to have "open medical"..i.e. You usually get less up front money but you can continue to receive medical treatment "free" for this condition,Versus "closed medical" You get a bigger up front amount but you are on your own if further treatment is needed.

5) Finally your lawyer gets his/her cut usually 20-30% off the top.

6) Sometimes it's better to work with your employer and reach some type of agreement/settlement per your states work comp laws.

For more information visit http://www.carpal-tunnel-symptoms.com

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Health
Carpal Tunnel Syndrome

Can carpal tunnel syndrome cause nape pain?

Carpal tunnel can effect from your fingers to your shoulder.

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Conditions and Diseases
Chinese Medicine
Carpal Tunnel Syndrome
Acupuncture

Can acupuncture Cure carpal tunnel syndrome?

This is impossible to answer.

Classical or traditional Cchinese acupuncture treats the dynamic body as a whole and not a symtom (CTS).

But expereince tells us that: Yes, it might well cure your problem. But nothing can be said as to the length of treatment. If it is accompanied by Tui Na (chinese physiotherpay) then acupuncture would stand a very good chance of curing CTS but it will probably not work on its own ------------------------------------------------------------------------------------------------- Most reputable medical experts would say no...acupuncture and massage therapy and yoga etc..have been studied over the years and none of them have proven to "cure" carpal tunnel syndrome. Can they relieve carpal tunnel symptoms? absolutley!..how much depends on the cause of your CTS and how severe of a case you have, your age, how long have you had it before treatment etc...

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Carpal Tunnel Syndrome

Can a 17-year-old have Carpal Tunnel Syndrome?

Answer

Anyone can. It can be brought on by any repetitive action in the wrist. How many hours you spend on the computer should give some guidance as to whether or not you need to talk with your doctor.

=========================================================================================== Yes. I was diagnosed with Carpal Tunnel Syndrome when I was 16 years old. I was given a wrist brace, which helped for a couple of years. My doctor told me that for some people, the brace will cure it. For others it will work for a while, and for some it doesn't work at all. I am 25 and just a month ago had surgery on both hands to correct it. The doctor told me that for 98 percent of people the surgery will cure it for good...for the other two percent there is some chance of reoccurrence.

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It is certainly possible, but uncommon.

It is usually seen in 45-55 yr old females and males, females 2 to 1.

I would look for other possible causes of your symptoms as there are many. Diabetes, hypothyroidism, pregnancy, old wrist injuries/fractures, etc...anything that can cause swelling in the carpal tunnel canal that puts pressure on the median nerve can give you carpal tunnel symptoms.

to learn more about this condition go to the related link below at http:/www.carpal-tunnel-symptoms.com

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I was sixteen years old when i was diagnosed with CTS last year (I know it sucks!). CTS is painful especially at night that's why I have to wear splints on both my hands now. I have gotten the cortisone (I think that's what it's called!) shot and it worked for like a month but then it came back. My doctors can't explain how or why I have CTS.

Carpel tunnel syndrome can also be brought on by the inflammation of rheumatoid arthritis.

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Carpal Tunnel Syndrome
Chiropractic

Does cartilage regrow?

No

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Medication and Drugs
Carpal Tunnel Syndrome

Can a Cut median nerve at wrist grow back?

Depending on your age, there can be up to 50% of sensation returned after surgery if you severed your median nerve. The nerve grows at 1mm per day so it will take months before you realize how much feeling you will have. That will be permanent.

Pharmacist-

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How is atrophy associated with carpal tunnel syndrome?

Any part of the body that movement causes pain will decrease muscle use. When musches are not used, they atrophy. If a brace is used this will cause the muscles to atrophy if used for a long period of time.

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If the median nerve is compressed for a very long time, the nerve impulses will be decreased to certain hand muscles and this can eventually cause atrophy or a shrinkage of the muscle and therefore loss of strength, etc...

In chronic (long-standing) carpal tunnel syndrome, the muscle atrophy that results is almost always permanent and cannot fully recover, even after carpal tunnel release surgery.

Permanent muscle weakness (atrophy) of the thenar muscles (primarily the abductor pollicis brevis) is a complication that hand surgeons are trying to prevent when they recommend surgery for carpal tunnel syndrome.

A brace can be used effectively in early or mild cases of carpal tunnel syndrome. The brace prevents high pressures in the carpal tunnel by limiting motion in the wrist. This is not a long-term solution but may provide some temporary relief and cure a small percentage of patients.

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Carpal Tunnel Syndrome

What can be done for carpal tunnel syndrome?

Answer

Carpal tunnel syndrome is an inflamed tendon that is caused by overuse of the hand/thumb/wrist in a repetitive motion. So, periodically ice the sore wrist (15 minutes on and off), take ibuprofen or aleve, and rest the wrist. Using a splint if you must continue to do the motion is helpful. If this is a repeat issue, try alternative medicine, like acupuncture or low laser therapy. Magnets are not usually effective, so you will spend money without lasting effect. At last resort is surgery, but often the outcome is less than desirable.

Answer

Actually, carpal tunnel syndrome (CTS) is a condition caused by pressure on the median nerve as it passes through a canal in your wrist called the carpal tunnel. Inflamed tendons etc...that also pass through this area too can put pressure on the median nerve and eventually cause CTS.

There are a lot of things that can cause carpal tunnel syndrome....

obesity, diabetes, pregnancy, hypothyroidism, arthritis....and of course over useage, although this is debated by many experts. Therefore you really have to try and find out what the cause is to offer the best treatment. (ex. Ice can make things worse if your CTS is from arthritis. Follow label directions on Motrin and the like especially if you have ulcers or heart disease. Night splints can help relieve symptoms by 75% if used regularly.

I don't agree withe the comment at he top of this page regarding the outcome of carpel tunnel surgery I have had it done in both hands and it turned out to be the bet move I have ever made. My mother who suffers from Rheumatoid arthritis as I do had the same thing done and was satisfied with the results, I also have a brother that does not Have RA who also had to have it done and he also would recomend it to any one.

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Doctors
Surgeons

Can a plastic surgeon perform carpal tunnel surgery?

Yes, but only about 5-10% of CTS surgeries are done by other type of surgeons such as plastic, neurosurgeons.. Orthopedist surgeons do the majority of the cases.

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Carpal Tunnel Syndrome

Can you get carpal tunnel from writing?

Yes you can, any repetitive motion with your hands or fingers can cause it.

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