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Carpal Tunnel Syndrom

Carpal tunnel syndrome (CTS) is a median entrapment neuropathy that causes paresthesia, pain, numbness, and other symptoms in the distribution of the median nerve due to its compression at the wrist in the carpal tunnel. The main symptom of CTS is intermittent numbness of the thumb, index, long and radial half of the ring finger. The numbness often occurs at night, with the hypothesis that the wrists are held flexed during sleep .

* Main casue is the thickens of carpal tunnel ligament.

* swelling of the tissue and bone surrounding carpal tunnel as in rheumatoid arthritis.


* work-related cumulative trauma of the wrist.

* Diseases or conditions that predispose to the development of carpal tunnel syndrome include pregnancy, diabetes, and obesity.


* a burning, tinglingnumbness of possibly pain in the first to three finger of the hand.it is difficult to gripe or make a fist, to drop things.

* Some numbness and pain may been seen in front arm, but not higher than that.

* The syndrom is worse in night, they may wake the patient up.

*Patients tend to drop objects because of wekness, numbness and clumsiness.

Treatment & Prevation

* by immobilizing the wrist in a splint to minimize or prevent pressure on the nerves.

*Avoid the repetive motion.

*anti-inflammatory drugs or injections of cortisone in the wrist to reduce the swelling.

* a surgical procedure in which doctors can open the wrist and cut the ligament at the bottom of the wrist to relieve the pressure. (only a small percentage of patients require surgery)

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