What is carpal tunnel syndrome?

It is a neuropathic disease that occurs as a result of compression of the median nerve in the wrist. Carpal tunnel syndrome, which occurs when the median nerve is damaged as a result of a trauma to the wrist, is usually noticed with severe pain in the wrist. It is likely to be seen in all age groups. However, it is more common between the ages of 45-65. The incidence is high in women over 40 years of age. Although it is characterized by age, excessive sitting in front of the computer, stress at work, and long-term driving are also among the risk factors for carpal tunnel syndrome.

If the disease progresses and is not treated, loss of sensation, weakness and weakness may occur in the fingers.

What are the risk factors for carpal tunnel syndrome?

Pregnancy, individuals using the wrist actively, genetic predisposition, overweight, rheumatic diseases, edema are risk factors that increase compression in the median nerves. At the same time, rheumatoid arthritis, thyroid diseases, diabetes, etc. Diseases are also among the risk factors for carpal tunnel syndrome.

What are the symptoms of carpal tunnel syndrome?

It is most often noticed by pain with exercise and use of the hand or wrist. Symptoms such as pain, numbness and tingling in the hands and wrists, tingling and numbness in the fingertips are seen. In the first stages, night pains continue with daytime pains in the later stages. The diagnosis of the disease is made by physical examination (Phalen and Tinel test, carpal compression test, etc.), MRI, EMG, ultrasonography, computed tomography and blood tests. The patient has difficulty in clenching his fist and holding his hand above his head for a long time during physical examination. For some patients, it manifests as arm and neck pain. It may vary according to the course of the disease, its severity and the patient's past history.

What are the treatment methods in carpal tunnel syndrome?

The disease is carried out with drug therapy and physical therapy in the initial stages. Treatment methods such as conservative treatment, rest, use of analgesic and nonsteroidal anti-inflammatory drugs, steroid injections are applied. In physical therapy applications, the disease is followed up with treatment methods such as electrotherapy, electrical stimulation, and cold compresses. In advanced cases, surgery may be required.