CARPAL TUNNEL SYNDROME
Carpal Tunnel Syndrome is a pathological condition characterized by the onset of pain and numbness in the hands, often causing disruptions in sleep, particularly during nighttime. The fundamental issue at play involves the compression of the median nerve (Nervus Medianus) as it traverses a canal surrounded by the surrounding sheath at the wrist.
Symptoms
- Numbness and tingling in the fingers
- Sudden and sharp pain radiating from the wrist to the arm
- Burning sensation in the fingers
- Swelling and hand cramps, more commonly experienced in the mornings
- Weakness in the thumb
- Waking up due to hand and wrist pain
- Numbness in the hand, Neuropraxia
Diagnosis:
Carpal Tunnel Syndrome can be diagnosed clinically or aided by electromyography (EMG) testing, which measures nerve conduction. It is commonly observed in individuals who extensively use their hands for work-related activities, such as milkers or artisans. Wrist injuries and fractures are frequent precursors to the condition, and it is more prevalent in women, occurring three times more often than in men. Certain medical conditions like Diabetes Mellitus and rheumatism also increase the likelihood of developing Carpal Tunnel Syndrome.
Treatment:
The primary treatment approach focuses on managing pain through the administration of analgesic medications and implementing physical therapy interventions. In cases where the compression is severe and does not respond to conservative treatment, surgical intervention is considered. The surgical procedure involves releasing the constricted sheath and liberating the compressed nerve. Endoscopic carpal tunnel release is the preferred initial option due to its advantages, including minimal tissue damage and reduced scar formation, yielding better cosmetic outcomes.
