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Carpal Tunnel Syndrome

What Is It?
What Are the Symptoms?
What Causes It?
How Is It Diagnosed?
Treatment Options
Resources and Suggestions
More Information About Carpal Tunnel Syndrome

Información en Español

What Is It?

Carpal Tunnel Syndrome (CAR-pull TUN-nel SIN-drome) is a condition that can cause pain, tingling, numbness, and weakness in your fingers and thumbs. CTS results from pressure on the median nerve in your wrist.

What Are the Symptoms?

May include any of the following:

  • Tingling, numbness, weakness, pain in your hand, except for the little finger.
  • Shooting pain from your hand up your arm to shoulder.
  • A swollen feeling in your fingers.

You may also notice:

  • Symptoms are worse at night and early in the morning.
  • Hands feel stiff in the morning.
  • You have trouble grasping objects.

What Causes It?

  • In many people the cause is unknown.
  • Injuries, such as a wrist or forearm fracture.
  • Arthritis-related diseases such as rheumatoid arthritis.
  • Work activities that require repetitive wrist or finger motion.

How Is It Diagnosed?

Detailed medical history, and one or all of the following tests:

  • Tinel's sign: tap the front of your wrist to check for tingling/pain.
  • Phalen's sign: bend wrist down and hold then release to check for tingling/pain.
  • Nerve conduction velocity study: measures nerve's ability to send electrical impulses.
  • Blood test and X-rays: to check for other medical conditions.

Treatment Options

  • Splints
  • Medications: Injections of corticosteroids, NSAIDs
  • Work changes: an occupational therapist may help find ways of modifying work activities.
  • Surgery: Carpal tunnel release to relieve the pressure on the median nerve.

More Information About Carpal Tunnel Syndrome

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