Carpal Tunnel Syndrome

Alternate Names : Median Nerve Compression OR Entrapment

What are the treatments for the condition?

Underlying diseases, such as diabetes, underactive thyroid, and rheumatoid arthritis should be treated. Weight loss or reduced salt intake may be helpful.

Repetitive use of the hand with the wrist bent must be avoided. Frequent changes of activity, with breaks for 5 minutes every hour, can help prevent overuse. Certain exercises can be done to increase flexibility in the wrist and fingers. People with CTS should not sleep on their hands or with wrists bent down. It is very important to sit properly at the computer, with good support for the wrists. Yoga-based exercises may be effective.

For mild cases, the first treatment is to splint the wrist at night and during the day if possible. A splint keeps the wrist from moving but allows for mostly normal hand activity. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, can be used for a short time. If these do not help, a corticosteroid can be injected into the carpal tunnel. This may help permanently or only temporarily.

Surgery, called carpal tunnel repair, is reserved for people with muscle wasting and decreased sensation. This surgery is considered only when the symptoms are no better after several months of treatment.

What are the side effects of the treatments?

NSAIDs can cause stomach upset or allergic reactions. Injecting corticosteroids rarely can accidentally injure the nerve. Surgery can cause bleeding, infection, nerve damage, or allergic reaction to anesthesia.

What happens after treatment for the condition?

After the surgery, the wrist is immobilized for a short time. Exercises help to regain mobility of the wrist and fingers. It is important to practice proper use of the wrist.

How is the condition monitored?

Any new or worsening symptoms should be reported to the healthcare provider.