10/08/2021
CARPAL TUNNEL SYNDROME
Charles Andrew Reyes, MD, MBA
October 18, 2019
Carpal Tunnel Syndrome (CTS) is a condition where the patient may feel pain, numbness and weakness of the thumb and fingers. This is due to the compression of the median nerve, which is in charge of the strength and sensation of the thumb, index, middle and ring fingers. This nerve passes through the the so called “carpal tunnel” through the wrist. CTS symptoms may be noticed in the morning upon waking up but tends to be worse in the evening and can even disrupt your sleep. Often times, resting and shaking of hands temporarily reduce symptoms.
Risk factors for developing CTS include arthritis of the wrist, hormonal changes (i.e., pregnancy), previous wrist injury, diabetes, obesity and heavy exertion or usage of the wrist joint. Women are more likely to develop this syndrome than men, but this condition affects people of all ages. Incidence has increased especially in today’s world where electronic gadgets demand the over usage of our hands. In the Philippines, more and more individuals are affected by CTS due to the nature of most jobs in the country, as well as the amount of daily work they need to accomplish.
As the illness persists without treatment, the severity of symptoms also progresses. You may notice numbness of the fingers and also muscle deterioration at the base of the thumb. You may also feel that putting pressure on the wrist (Durkan test) or continuous tapping of the wrist (Tinel Sign) may produce the symptoms of pain, numbness and weakness of the fingers and the thumb, which are indicative of CTS. At this point, it will be advisable to have a consult with your local Hand Surgeon. Your doctor may initially request for certain blood tests, x-rays and even nerve conduction studies (electromyography).
After confirmation of CTS, a variety of treatment options are available, depending on the collection of symptoms and their severity. These may include the application of resting wrist splints to even wrist steroid injections. For more severe cases, surgery may be indicated as this is the definitive management for CTS.
However, prevention is still the best cure for CTS. We can avoid the development of its symptoms by maintaining a healthy lifestyle, take quick breaks in between repetitive hand activities to let them rest and do hand, finger and wrist exercises. For any concerns or inquiries regarding CTS, please visit the Association of Hand Surgeons of the Philippines page on Facebook or schedule a check up with one of our accredited Hand Surgeons near your area to get early and proper treatment for your CTS.