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musculoskeletal

Carpal Tunnel Syndrome

Compression of the median nerve in the wrist, causing hand numbness, tingling, and weakness.

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Overview

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist. It is one of the most common nerve compression disorders, affecting up to 5% of adults. Risk factors include repetitive hand use, pregnancy, diabetes, thyroid conditions, and arthritis. Without treatment, it can cause permanent nerve damage and loss of hand function.

Symptoms

Common Symptoms

  • Numbness or tingling in the thumb, index, and middle fingers
  • Hand weakness or clumsiness
  • Dropping objects
  • Pain or discomfort extending up the arm
  • Symptoms worse at night
  • Shaking the hand provides temporary relief
  • Reduced grip strength

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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