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Taming the Tingles: Understanding Carpal Tunnel Syndrome

Have you ever woken up with a numb hand, or felt a tingling sensation in your fingers after a long day typing? These could be signs of carpal tunnel syndrome (CTS), a common condition affecting people who use their hands extensively. As an orthopaedic surgeon, let me explain what CTS is and how to keep your hands happy and healthy.

Carpal Tunnel For The Lay Person:

Imagine a tunnel in your wrist called the carpal tunnel. This narrow passage houses your tendons and the median nerve, which provides sensation and movement to your thumb, index, middle, and half of your ring finger. Repetitive motions can cause swelling in the tendons, squeezing the median nerve and causing pain, numbness, and tingling.

What causes It?

 Any activity that involves repetitive gripping or wrist movements can put you at risk, such as playing certain instruments, assembly line work, or even some sports. Certain medical conditions like diabetes or pregnancy can also increase your chances of developing CTS. Increasingly excessive computer has been found to contribute to CTS.

What to Do?

Early diagnosis and treatment are key. If you experience persistent numbness, tingling, or weakness in your hand, especially at night, consult your orthopaedic surgeon. They can perform a physical exam and nerve tests to confirm CTS.

Treatment Options:

The good news is, CTS is treatable! Depending on the severity, your doctor might recommend:

  • Wrist splinting: Wearing a splint at night keeps your wrist in a neutral position, reducing pressure on the nerve.
  • Activity modification: Taking breaks, changing hand positions, and avoiding aggravating activities can make a big difference.
  • Anti-inflammatory medication: Medications like ibuprofen can help reduce inflammation and pain.
  • Corticosteroid injections: Injections can provide targeted relief for inflammation.
  • Surgery: In severe cases, a minimally invasive surgical procedure can create more space in the carpal tunnel, relieving pressure on the median nerve.

Preventing the Pain Before it Starts:

Prevention is always better than cure! Here are some tips to keep CTS at bay:

  • Ergonomics are your friend: Set up your workstation with an adjustable chair, keyboard, and mouse to maintain good posture and minimize wrist strain. Take frequent breaks to stretch and move your hands.
  • Strengthen those wrists: Exercises that target your forearm muscles can help improve support for your wrists.
  • Listen to your body: Pain is a warning sign. Take breaks, adjust your hand position, and avoid activities that cause discomfort.

By understanding CTS and taking preventive measures, you can keep your hands happy and productive for years to come. If you have any concerns, don't hesitate to reach out to an orthopaedic surgeon.

Dr. Naveen Chowdary Tummala

SCOT: Dr. Naveen's bone & Joint Clinic, Sholinganallur.

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