Carpal Tunnel Syndrome (CTS); Carpal Tunnel; It is a narrow channel formed by the bones and the transverse carpal ligament on the palm-facing part of the wrist. The median nerve and tendons of the finger muscles pass through it. This nerve; It is responsible for the sensation of the thumb, index, middle finger and half of the ring finger. The thumb also works the base muscles and makes the thumb strong. If the median nerve is compressed in this canal, Carpal Tunnel Disease occurs.
What are the complaints?
* Numbness, tingling, numbness in hands and fingers
Weakness of the thumb and falling off the objects handled
* The pain can sometimes spread to the elbow, arm, shoulder or even the neck.
*The fact that nighttime complaints are at the forefront is an important finding. It can wake you from sleep.
What are the reasons?
It seems that the cause of carpal tunnel syndrome is often the work done. Dealing with a job where hands and fingers are used constantly can cause nerve compression in the future.
*Inflammation and swelling around tendons due to overuse
*Edema (It is common in pregnant women and causes swelling of the carpal tunnel tissues.)
*After wrist fractures and dislocations
* In rheumatic diseases such as rheumatoid arthritis
*In other cases with Snovit
How is it diagnosed?
The diagnosis is made clinically. Diagnosis can be made with complaints and clinical examination findings. EMG supports the diagnosis and shows how serious the problem is . Blood tests and radiological examinations; It may be requested if there is a suspicion of the disease thought to be the cause.
How is it treated?
Treatment usually begins with the use of splints. The edema around the median nerve is tried to be reduced with the added anti-inflammatory drug. Physical therapy methods or injections around the tendon can be added to the treatment.
Purpose of surgery: To relieve the tunnel by opening and if there is swelling and thickening in the tendon sheaths, to remove the pressure on the median nerve by cleaning them. Surgery usually does not require hospitalization. Relief occurs 24-72 hours after the operation. At the end of this period, they gradually begin to use their hands. Stitches are removed after 12-14 days. Differences in recovery vary according to patient conditions. It is not appropriate to return to work that requires strength before 4-6 weeks. Full recovery, full recovery of strength, nerve regeneration process may take 3-4 months. Post-operative physical therapy may be necessary.
Matters needing attention:
*Use a splint to reduce carpal tunnel pressure.
*Use a resting splint if you have extreme night pain.
*Avoid repetitive grasping and pinching movements.
*- Avoid working with your wrist constantly bent.
In the initial period of the disease, the treatment is rest and avoid repetitive wrist activities.
Do not apply heat during the acute period of the disease (2-3 weeks).