Carpal Tunnel Syndrome
Do you experience hand pain and/or tingling which keeps prompting you to “shake it out?”
It’s very possible you may be suffering from a pinched nerve—in your wrist.
With over 30 years under my belt, so to speak, in the field of orthopedic physical therapy, I’ve treated my fair share of patients suffering from carpal tunnel syndrome—a problem where the median nerve becomes squeezed as it passes through the wrist’s bony “tunnel.”
The symptoms of a narrowed carpal tunnel: numbness, tingling, or pain in the wrist, palm, thumb, and middle three fingers are often first noticed while performing a repetitive hand/wrist movement or upon waking in the morning. The sensation may even be strong enough to awaken you out of a deep sleep!
There are several reasons why the bony tunnel in your wrist may become narrowed enough to cause symptom-producing pressure on your median nerve: pregnancy, obesity, direct trauma, or the most common cause, physical activities which require a sustained grip or a repetitive grasp.
In addition to the discomfort, carpal tunnel syndrome (CTS) can render you quite clumsy—dropping things and fumbling for accuracy when fine motor skills are required. If left untreated, CTS can result in permanent loss of strength in your affected hand. So, this is not something you should ignore for long.
Clinically, I often find that one or more of the eight wrist bones—which together make up the “tunnel”—have mechanically “lost their way”, placing undue pressure on the median nerve. Another factor which can fan the flame of CTS (or even mimic it) is when the median nerve is compressed at another location somewhere between your neck and your fingertips. This more complex situation is known as double-crush syndrome.
Treatment of either CTS or double-crush syndrome should be sought from a skilled, hands-on practitioner who will evaluate and treat the bones, muscles, and nerves which play a role in the production of your symptoms. These practitioners can also advise you regarding the modification of aggravating activities which you may be participating in.
If you place your hand in a good pair hands, 9 out of 10 times, surgery can be avoided…and that is a very, very good thing!