Carpal Tunnel

Carpal Tunnel Syndrome (CTS) is a peripheral nerve entrapment which involves the Median nerve.  

Presentation

Typically individuals with Carpal Tunnel Syndrome experience pain, numbness and/or tingling in the palmar aspect of their thumb, first and second digits (pointer finger and middle finger), and half of the fourth digit (ring finger).  A feeling of clumsiness of the hand, especially when gripping, is also a common symptom.  These symptoms are worse at night and may be relieved by the individual shaking and moving their hand around.  

Cause

The most common cause of Carpal Tunnel Syndrome involves direct external pressure from prolonged wrist flexion or extension and/or repetitive wrist use.  This causes pressure on the tunnel in the wrist which the Median nerve travels through.  This tunnel is composed of the Transverse Carpal Ligament and the Carpal (wrist) bones.  Activities that may cause this external pressure include work which involves intense manual exertion such as hammering, meatpacking, automobile assembly as well as work involving hand and wrist vibration.  Other causes of Carpal Tunnel Syndrome involve direct pressure from ganglions, fractures, and dislocations.  Pregnancy, rheumatoid arthritis, diabetes, connective tissue disorders, and vitamin B deficiency can also include one’s likelihood of developing Carpal Tunnel Syndrome.  

How We Can Help

If you are ever concerned you may have CTS it is advisable to consult with a healthcare professional for evaluation and management.  For CTS specifically, effective care includes rehabilitative exercises focused on mobilizing and strengthening the region, manual therapy focusing on myofascial tissues and the surrounding musculature, joint mobilization, and potentially the recommendation of wearing wrist supports/splints.  

References: SOUZA, T. A. (2018). Differential diagnosis and management for the chiropractor. Place of publication not identified, MA: JONES & BARTLETT LEARNING.

The views expressed in this article intend to induce conversation. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.