HAND THERAPY & OCCUPATIONAL REHAB. SERVICES - (Specializing In Hand and Upper Extremity Rehab.)
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Carpal Tunnel Syndrome

Carpal tunnel syndrome is caused by pressure on the median nerve, it is the nerve in the wrist that supplies feeling and movement to parts of the hand especially thumb, index , middle and partial ring finger. 
It usually characterized by numbness, tingling, weakness, or muscle damage (long term) in the hand and fingers.
Common Causes:
1. Associated with repetitive work causing compression on the wrist i.e sewing, assembly line, vibratory tools, certain medical instruments etc.
2. certain metabolic disorders or conditions;
 Diabetes, pregnancy, Acromegaly, rheumatoid arthritis, menopause etc.
3. Direct trauma:
fractures of wrist and hand. 
Symptoms:
  • Numbness or Tingling in the thumb and next two or three fingers of one or both hands
  • Numbness or tingling of the palm of the hand
  • Pain extending to the elbow
  • Pain in wrist or hand in one or both hands
  • Problems with fine finger movements (coordination) in one or both hands
  • Wasting away of the muscle under the thumb (in advanced or long-term cases)
  • Weak grip or difficulty carrying bags (a common complaint)
Tests/ diagnostics: 
Certain manual tests are performed by the doctor/ hand therapist to reproduce the symptoms confirming the diagnosis. EMG could be ordered by the physician in order to confirm the diagnoses and extent of nerve damage. 
Treatment:
In early onset cases changing the work environment , using adaptive devices and equipment , use of brace at night to support wrist could help resolve the symptoms.
Medication: Steroid injection, oral steroids, NSAID's to reduce pain and swelling could be tried and helpful in conjunction with hand therapy by a Certified hand therapist, who would perform detailed evaluation of symptoms and design the best treatment plan. 
In long term cases, surgery would be the best option and nerve structure starts to change with long term compression and may result in permanent damage. 
If left untreated, the nerve can be damaged, causing permanent weakness, numbness, and tingling. 
Surgery could be performed by a Plastic surgeon, Hand surgeon, Orthopedic surgeon or Neuro-surgeon.  
Call us at 708-687-8768 or fill out form here to get free evaluation or consultation.