Carpal Tunnel Treatment Options

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The carpal tunnel is a rigid, narrow passage in the wrist through which several important tendons travel into the hand. Alongside these tendons, the median nerve also runs through this passageway. The median nerve extends from the arm into the palm and is crucial for controlling sensation and movement in much of the hand.

Carpal Tunnel Syndrome occurs when the median nerve is compressed or squeezed within the carpal tunnel. This condition typically affects adults.

Symptoms of Carpal Tunnel Syndrome

Carpal tunnel syndrome symptoms often begin as minor annoyances and gradually become more noticeable over time. Early symptoms may include:

  • Frequent tingling, burning, or itching sensations in the palm and fingers.
  • Numbness in the palm and fingers, often described as a pins-and-needles sensation.
  • A feeling of swollen fingers without visible swelling.

These symptoms are typically most noticeable in the palm, thumb, index, middle, and ring fingers. Initially, individuals may observe these symptoms at night or upon waking up. As the condition progresses, additional symptoms may develop, including:

  • Pain when holding small objects or driving.
  • Weak grip strength, especially in the thumb, index, and middle fingers.
  • Difficulty grasping objects or forming a fist.
  • Challenges with manual tasks.
  • Occasionally, difficulty distinguishing between hot and cold temperatures.

If left untreated, carpal tunnel syndrome may lead to muscle deterioration at the base of the thumb. It is also common for the condition to affect both wrists, though symptoms usually appear first in the dominant hand.

Causes of Carpal Tunnel Syndrome

Carpal tunnel syndrome often arises from a combination of factors that compress the median nerve. The carpal tunnel, formed by ligament and bone, is narrow and rigid, so any swelling in this area can press on the median nerve. Some people are also naturally predisposed to median nerve compression due to a smaller carpal tunnel. Contributing factors and conditions include:

  • Sprains, fractures, or other wrist injuries.
  • Frequent use of vibrating hand tools.
  • Overactivity of the pituitary gland.
  • Hyperthyroidism.
  • Rheumatoid arthritis.
  • Gout.
  • Diabetes.
  • Fluid retention from pregnancy or menopause.
  • Formation of a cyst within the carpal tunnel.

While repetitive manual activities, such as typing, are often cited as common causes of carpal tunnel syndrome, clinical data is inconclusive. However, studies have shown that women are more likely to develop this condition than men.

Top Carpal Tunnel Specialists in Los Angeles

If you are suffering from carpal tunnel syndrome or suspect you might be experiencing early symptoms, you are in the right place. Our expert hand doctors and top carpal tunnel surgeons at the Hand & Wrist Center Los Angeles are leaders in carpal tunnel surgery in Los Angeles and Beverly Hills.

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