Hand

Carpal tunnel syndrome

Zespół cieśni nadgarstkaCarpal tunnel syndrome is a condition resulting from sustained compression of the median nerve which is anatomically located in the carpal tunnel. There are many causes that can lead to the symptoms of overload or injury to systemic disease . With proper treatment, patients usually return to full health.

Symptoms

  • tingling and numbness of the index and middle fingers and half of the ring finger
  • thenar muscle atrophy;
  • weakness of grip, lack of precision and movement limitations;
  • difficulty in making a fist;
  • dropping hand held items.

Pain symptoms most often occur at night. Upon awakening a tingling feeling is felt in the hand, which is often ignored by blaming the position during sleeping. During the day, the pain is increased when the limb is raised, and decreases after lowering it.

Treatment

Treatment with very early and severe symptoms may involve placing the wrist out of motion and using anti-inflammatory steroids. In the absence of improvement, or when symptoms last longer, surgery is indicated. The treatment of decompression of the median nerve is the most commonly performed type of surgery and is a very effective and minimally invasive. It is performed under local anesthesia and does not require special preparation of the patient.

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