Do
I have Carpal Tunnel Syndrome?
There are many conditions that can affect one’s
hand. Among the most common are
tendonitis, trigger fingers, carpal tunnel syndrome and degenerative joint
disease. Each of these conditions has very
different presentation of symptoms and each requires different treatment
options. Today we will discuss carpal
tunnel syndrome.
Patients with carpal tunnel syndrome present with a
variety of symptoms, some may have several of the symptoms while others only a
few. The various symptoms one may have
can include: weakness or clumsiness of the hand, decreased sensation in the
fingers, awakening from sleep with numbness of the fingers, pain in the wrist
and forearm. The most common age for
carpal tunnel syndrome is 40 to 60 years of age and men and women are effected
equally.
There are a number of medical conditions that have
been associated with carpal tunnel syndrome: rheumatoid arthritis, thyroid
imbalance, multiple myeloma, amyloidosis, diabetes mellitus, local trauma to
the wrist, alcoholism, hemophilia, certain tumors that occur in the hand,
pregnancy, gout and hormonal changes associated with menopause.
The diagnosis of carpal tunnel syndrome is made the
complaints a patient has, the finding on examination which include numbness in
the distribution of the nerve, weakness of the hand, decreased strength of the
hand, and a positive respond to nerve compression tests. The EMG is the definitive test for carpal
tunnel as it measures the speed that the nerve conducts an electrical impulse,
it will always be slowed in carpal tunnel.
Treatment options are a trial of conservative
therapy with splints, anti-inflammatory medications, vitamin B6, and possibly
steroids. Failed conservative treatment
requires surgery and there are several options for carpal tunnel release. The exact approach for release depends on the
surgeon and the severity of the condition.
Untreated, carpal tunnel is a progressively debilitating condition that
can adversely affect the function of one’s hand.
If you think you may have carpal tunnel syndrome,
call for a consultation at 845-294-3312.