neurosurgery
"What you should know"

Carpal Tunnel Syndrome
William A. Brennen, M.D., Neurosurgeon
Neurology and Neurosurgery Associates, P.A.
  • What is Carpal Tunnel Syndrome
  • Who gets Carpal Tunnel Syndrome
  • What causes Carpal Tunnel Syndrome
  • How is Carpal Tunnel Syndrome diagnosed
  • How is the Syndrome treated
  • Results of Surgical Treatment
carpal hand
What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome is a common, and progressively incapacitating, condition affecting the thumb and first three fingers of one or both hands.
Its symptoms first appear as episodes of tingling or numbness with strenuous movement of the wrist, such as driving a car, knitting or typing.
If left untreated, the syndrome can progress until it is experienced as a constant numbness and generalized weakening of the hand which makes even simple tasks such as, buttoning a shirt or removing a lid from a jar ­ increasingly difficult. Carpal tunnel syndrome often wakens a sufferer during the night with a burning sensation in one or both hands.
 
Who gets Carpal Tunnel Syndrome?
Anyone whose job or hobby requires repeated wrist movement can be a victim of the syndrome. This commonly includes carpenters, mechanics, painters, artists, golfers, tennis players, knitters, dishwashers, and car drivers, among others.

Conditions associated with carpal tunnel syndrome can also contribute to its development. These include: pregnancy, rheumatoid arthritis, diabetes, vascular malformation, tendonitis, obesity, nerve tumors or cysts, and aging.

What causes Carpal Tunnel Syndrome?
The syndrome is a result of repetitive ­ though often minor ­ injury to the watchband-like carpal ligament which stretches across the wrist. The injury leads to scar tissue, making the ligament thicker. When this occurs, the carpal ligament takes up more room and presses down upon the Median Nerve beneath it. Nerve entrapment causes the tingling and numbness which can lead to the eventual death of the nerve itself. Nerve death, in turn, creates atrophy of those muscles that the nerve controls. (Hence, the function of the hand or hands weakens.)
When ignored over a period of months, the nerve injury can become permanent and irreversible: surgical intervention will prove futile.
 
How is Carpal Tunnel Syndrome diagnosed?

A diagnostic procedure known as "Electromyography" is recommended when the syndrome is suspected. This test will show the degree of nerve damage and eliminate the possibility of other causes for symptoms experienced by patients.

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