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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

502 Questions

Is the Carpal tunnel nerve conduction velocity test painful?

It can be, about 10-20% of patients will describe it as a discomfort, or electrical stinging sensation. There are two types of test you should be getting; one is a nerve conduction study and the second is an EMG. An EMG is where the provider uses very small needles that are inserted into the muscles of the arms and sends small electrical impulses to test certain nerves in the upper extremities.

No there is just about nothing too it. Had the test done on both hands and hardly remember having it done other then paying the doctor.

Why is a complete account of symptoms important for the diagnosis of carpal tunnel syndrome?

A complete account of symptoms, including which fingers are involved, is important because the median nerve, the nerve involved in carpal tunnel syndrome, does not innervate the little finger.

What is the total number of carpals in the wrist?

There are eight carpal bones in total, arranged in two rows. Naming the bones form the most lateral to medial, in order, they go Scaphoid, Lunate, Triquetral, Pisiform, Trapezium, Trapezoid, Capitate, and Hamate. The first row of bones, except for the Pisiform bone articulate with the radius at the wrist joint :)

Is carpal tunnel syndrome permanent?

to the best of my Knowledge it is. I had it as a result of Rheumatoid arthritis and ended up getting surgery for it. first in one hand and shortly afterwards in the other. The best move I could have made.

Long term recovery source wikipedia

Most people who find relief of their carpal tunnel symptoms with conservative or surgical management find minimal residual or "nerve damage".[43] Long-term chronic carpal tunnel syndrome (typically seen in the elderly) can result in permanent "nerve damage", i.e. symptoms of numbness, muscle wasting and weakness.

While outcomes are generally good, certain factors can contribute to poorer results that have little to do with nerves, anatomy, or surgery type. One study showed that mental status parameters, alcohol use, yield much poorer overall results of treatment.[44]

Many mild carpal tunnel syndrome sufferers either change their hand use, pattern, or posture at work or find a conservative, non-surgical treatment that allows them to return to full activity without hand numbness or pain, and without sleep disruption. Some find relief by adjusting their repetitive movements, the frequency with which they do the movements, and the amount of time they rest between periods of performing the movements. Other people end up prioritizing their activities and possibly avoiding certain hand activities so that they can minimize pain and perform the essential tasks. Keyboard re-mapping software can help people whose condition is aggravated by one-handed key strokes involving a combination of the Control, Shift, or Alt keys and an alpha-numeric key. Programs such as Autohotkey allow a person to disable key combinations while they train themselves to use two hands to perform the offending key strokes.

While recurrence after surgery is a possibility, true recurrences are uncommon to rare.[45] Such recurrence can also be non-CTS hand pain. Such hand pain may have existed prior to the surgery, which is one reason it is very important to get a proper diagnosis.

What is carpal tunnel injury?

I assume you mean Carpal Tunnel Syndrome?

This is a swelling (for whatever reason) of the soft tissue around one of the nerves in your wrist (the nervus medianus to be exact). The problem is, that this nerve doesn't have much room, so it gets compressed. Nerves don't take compression very well, so you start to get a tingly sensation that you can "shake away". If it gets worse, the tingling turns to pain, and later on in reduction of muscle amount in your ulnar (the pinky side) of your palm, and even to paralysis.

Treatment usually starts with drugs (such as ibuprofen), can include local injections with corticoid, and when all fails, surgery. During this procedure, more room is created for the nerve, solving the problem. This can easely be done under regional anesthetics, and is considered minor surgery. Revalidation is short (2 weeks average).

Carpal tunnel syndrome (CTS) is a collection of characteristic symptoms and signs that occurs following entrapment of the median nerve within the carpal tunnel. Usual symptoms include numbness, paresthesias, and pain in the median nerve distribution. These symptoms may or may not be accompanied by objective changes in sensation and strength of median-innervated structures in the hand. Given that carpal tunnel syndrome (CTS) is associated with low aerobic fitness (and increased BMI), it makes inherent sense to provide the patient with an aerobic fitness program.

In Tennessee what is a carpal tunnel impairment of five percent for each hand equal to in dollar range?

Too many variables to give amount..see excerpt from Tenn work comp site How is a settlement determined?

A settlement is appropriate when, after an injured employee reached maximum medical improvement, the employee retains a disability resulting from the work-related injury. The employee's treating physician will determine in writing a percentage of Impairment and state the part of the body affected. This is called an "impairment rating." There are many variables in the computation of a rating but the percentage will be based on standard criteria used by all physicians to determine the percentage of impairment retained. A Workers' Compensation Specialist can assist in figuring an appropriate range of settlement for vocational disability, however, the Specialist will need to know the exact wording the doctor used when giving the rating, percentage of Impairment the treating physician assigned, which body part was injured, and Employee's weekly compensation rate.

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-

Why is it important to seek medical advice for carpal tunnel syndrome symptoms?

This is because the symptoms, even if they are not terribly disabling, can become permanent, as the damage to the tissues themselves becomes permanent.

What is the average settlement for cubital tunnel syndrome?

I just had surgery, so I have no clue yet. One of the guys I work with had his surgery done 8 months ago. He said he settled for 26k, but I dont really know if that is true or not.

How soon should you return to work after stitches come out after carpal tunnel operation?

It depends on what you do for work. If you do desk work, then you could return that day or the next. If you do a lot of manual labor, gripping, power tools etc.. you may want to wait a couple of days.

You have been experiencing twitching in your forefinger and thumb on your left hand for several weeks It is not painful but is very irritating What could be causing this to happen?

The twitching or tingling could be caused by carpal tunnel ,which is a ligament that runs from your arm down to the wrist and fingers . The tingling happens when the carpal tunnel causes pressure to the nerve which is also situated in the wrist called the median nerve. Usually carpal tunnel syndrome causes tingling and or numbness in the thumb , fore finger and middle finger. Also a burning sensation with the feeling that the fingers are swollen may occur . These symptoms usually get worse during the night and are caused by a number of reasons but mainly strain on the wrist such as in typing, cleaning , or any work which involves repetitive strain. The best thing i have found is wrist splints , these reduce the irritation and help keep the wrist from bending. You can obtain these from your doctor. Also your doctor will advise other ways to help such as hot wax treatments or physiotherapy .

How many days do stitches stay in after carpal tunnel release?

7 to 10 days

i had mine done on the 21 of this month and thats what the doc said i will get my out on the tenth day to make sure it has healed right. i think seven days is to soon for me im still in pain with mine.

I am 29 and have been grooming dogs for about 6 months but already have some discomfort in my wrists. I hold my utensils correctly is there anything I can do to prevent Carpal Tunnel Syndrome?

Classically, carpal tunnel syndrome presents with numbness and tingling in the first 2 or 3 fingers and it usually is worse at night or in the morning. Wrist pain in and of itself may just be overuse or wrist strain/tendonitis. I would recommend good wrist supports, you do not need wrist splints (with metal /rigid stays) though, these can make it harder to grip things. You may also get relief with using biofreeze and ice wrist wraps after work along with advil per label. Tendon and nerve glides exercises can also be helpful. If after about 4 weeks you don't get any improvements you should see your doctor.

Is carpal tunnel hereditary?

Note: There is some research out there to show that Carpal Tunnel may be more based on genetics and thus has a hereditary component.

What is the difference between Thoracic outlet syndrome and Carpal tunnel syndrome?

Thoracic outlet syndrome is due to a compression of nerves or arteries at the brachial plexus, and carpal tunnel syndrome is due to nerve compression at the wrist.

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.

What do you need to rule out if you think you have cubital tunnel syndrome?

You would need to rule out carpal tunnel syndrome, a pinched nerve in the neck giving you radiculopathy symptoms and possibly medial epicondylitis (golfer's elbow)

You have kochs in ankle what does it mean is it serious?

Question does not make since to me..check again and re-ask question

What are the chances of carpal tunnel surgery working on the 3rd operation?

I would make sure and get a 2nd opinion from a hand ortho..to make sure your symptoms are caused by carpal tunnel syndrome and not something else! Also each time you have surgery you increase the chances of complications and scar tissue formation (adhesions) which can also cause compression around the carpal tunnel area.

Can Carpal Tunnel syndrome cause a small at this minute in time type of bruise on back of hand near index finger and thumb?

Carpal Tunnel Syndrome is not known to cause bruising. Possibly you had a small injury and didn't notice it at the time.