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Carpal Tunnel Syndrome

WHAT YOU SHOULD KNOW

Carpal tunnel syndrome occurs when the median nerve leading from the arm to the hand gets pinched as it passes through the carpal tunnel, a narrow, hollow area in the wrist. One or both hands can be affected.

Causes

Pressure on the median nerve is often the result of the swelling caused by a wrist injury, arthritis, diabetes, or water retention during pregnancy and menopause. Repetitive action such as using power tools may make the problem worse.

Signs/Symptoms

You'll experience loss of feeling in part of the hand, usually in the thumb, index, and middle fingers. Pain in the wrist and palm is sometimes accompanied by a sharp pain that shoots from the wrist up the arm, especially at night. Other symptoms include stiffness of the wrist in the morning, cramping of the hands, inability to make a fist, weakness in the thumb, a feeling of burning in the fingers, and a tendency to drop things.

Care

The problem may clear up on its own. Wearing a splint on the wrist will help; and your doctor can prescribe medications to reduce the pressure on the nerve. Sometimes, however, surgery is needed to free the pinched nerve.

WHAT YOU SHOULD DO

  • If your doctor prescribes medication to help reduce swelling, take it exactly as directed.
  • If your doctor recommends a splint to keep your wrist from bending, it is especially important to leave it on at night. Wear it as long as you have pain and numbness in your hand--from 1 to 2 months.
  • If you have pain at night, it may help to rub or shake your hand, or to hang your hand over the side of the bed.
  • To speed healing, you must give your wrist a rest and stop the activity that caused the problem. If your symptoms are work-related, you may need to talk with your employer about changing to a job that doesn't require as much wrist action.

Call Your Doctor If...

  • There is no improvement after 2 weeks of care.
  • You develop new, unexplained symptoms.

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