Carpal Tunnel Syndrome (CTS) is a new problem that is affecting many of people today. Women between the ages of 29 - 62 appear to be the most affected by carpal tunnel syndrome. It is associated with the repetitive motion of fingers and hands. Factors that increase the risk of carpal tunnel syndrome are: menopause, Raynaud's disease, pregnancy, hypothyroidism, and diabetes. Symptoms of carpal tunnel syndrome range from mild numbness and faint tingling to extreme pain and crippling of the thumb, fingers, and hand. Symptoms are often worse at night or in the morning. In many cases a colon and intestinal  cleansing can be beneficial. .

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The main symptom of CTS is intermittent numbness of the thumb, index, long and ring finger. The numbness normally occurs at night, as people often sleep with flexed wrists. So it may be relieved by wearing a wrist splint that prevents flexion while sleeping. Long-standing CTS leads to permanent nerve damage with constant numbness, atrophy of some of the muscles of the thenareminence, and weakness of palmar abduction.

Pain in carpal tunnel syndrome is primarily numbness that is so intense that it wakes one from sleep. Pain in electrophysiologically verified CTS is associated with misinterpretation of nociception and depression.

The palliative treatments for CTS include use of night splints and also corticosteroid injection. The only scientifically established disease modifying treatment is surgery to cut the transverse carpal ligament.

People with carpal tunnel syndrome experience numbness, tingling, or burning sensations in the thumb and fingers, especially the index, middle fingers, and the ring fingers, which are innervated by the median nerve. Other symptoms may include: pain in the wrists or hands, loss of grip strength both of which are more characteristic of painful conditions such as arthritis. Prior to the median nerve entering the carpal tunnel it first passes  through the thoracic outlet and then the two heads of the pronator teres muscle in the forearm. Consequenctly, inflammation, edema, or hypertrophy in the thoracic outlet or the forearm can impinge the median nerve, matching the effects of carpal tunnel syndrome, and persons may report pain in their arm and shoulder.

Both numbness and paresthesias in the median nerve distribution are the prime indicators of neuropathic symptoms (NS) of carpal tunnel entrapment syndrome. Weakness and atrophy of the thenar muscles may occur if the condition remains untreated. People may also experience pain up to their elbow when using their affected hand.

Most persons are relieved of their carpal tunnel symptoms with conservative or surgical management find minimal residual or nerve damage. The long term chronic carpal tunnel syndrome normally seen in older people can result in permanent nerve damage thus irreversible numbness, muscle wasting, and weakness.

While the outcomes in many cases are generally good, specific factors can cause poorer results that have little to do with nerves, anatomy, or surgery type. One research study showed that mental state or alcohol use causes much poorer results from treatment.

The recurrence of carpal tunnel syndrome after successful surgery is minimal, however check into other complications that may occur with surgery. If the person has hand pain after their surgery then it is thought to be most likely not caused by carpal tunnel syndrome. And it may be the case that the illness of a person with hand pain after carpal tunnel release may have been diagnosed incorrectly, so that the carpal tunnel release has had no positive effect upon the person's symptoms.

 

 

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