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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