Carpal Tunnel Syndrome Part 1

Causes of Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is caused by pressure on the median nerve, which runs from the forearm through a passageway in the wrist (carpal tunnel) to the hand. The condition is often the result of a combination of factors including genetics, repetitive hand movements, improper wrist posture, and health conditions like diabetes, rheumatoid arthritis, and thyroid dysfunction .

Symptoms of Carpal Tunnel Syndrome

The symptoms of CTS typically start gradually and include burning, tingling, or itching numbness in the palm and the fingers, particularly the thumb, index, and middle fingers. Swelling in the fingers might occur, making it difficult to form a fist or grasp small objects. Symptoms often first appear during the night, as many people sleep with flexed wrists. Over time, individuals might experience tingling during the day, decreased grip strength, and an inability to perform manual tasks.

Non-Surgical Treatment Approaches

1. Wrist Splinting : Wearing a splint during sleep can keep the wrist in a neutral position, helping to relieve nighttime symptoms of tingling and numbness.

2. Nerve Gliding Exercises : Exercises that facilitate the median nerve's movement within the carpal tunnel can help alleviate symptoms if performed consistently.

3. Lifestyle and Ergonomic Adjustments : Avoiding extreme wrist positions, adjusting workspaces to maintain wrist posture, and taking frequent breaks can help manage symptoms and prevent further damage.

4. Physical Therapy : This can help strengthen wrist and hand muscles, increase flexibility, and reduce pressure on the median nerve.

5. Alternative Therapies : Techniques such as acupuncture and yoga can improve the flexibility and strength of the wrists and hands, helping to relieve symptoms.

6. Leech Therapy: T he application of medicinal leeches around the affected area reduce inflammation and swelling due to their secretion of natural anticoagulants and pain-relieving substances.

7. Platelet-Rich Plasma (PRP) Therapy : This involves injecting PRP, a concentration of a patient's own platelets, into the wrist to promote healing of the nerve and surrounding tissues by stimulating the body's natural healing processes.

To be continued…