Carpal tunnel syndrome is a common problem
affecting the hand.
The sensation (feeling) and muscle
function of the hand is controlled by three important nerves. The Median
Nerve is one of these nerves and is responsible for the feeling over
part of the palm and fingers (the thumb, index finger, long finger, and half of
the ring finger). The nerve also supplies a branch to the muscles of the thumb,
the thenar muscles.
Carpal tunnel syndrome occurs when the median nerve
does not work properly because there is pressure on the nerve as it runs
into the wrist through a tunnel called the carpal tunnel.
Diagnosis is based on history and physical
examination. Your description of the symptoms and the physical examination
are the most important parts in the diagnosis. Commonly, patients will complain of waking in the middle of the night with
pain and a feeling that the hand is "dead", "tingly" or "asleep".
It is important to know exactly which fingers or part of the hand is affected.
Other complaints include weakness of grip, fumbling and handling of fine
objects.
If there is doubt about the diagnosis,
electrical studies of the nerves in the wrist may be requested. These are called
Nerve Conduction Studies. This test measures how fast nerve impulses are
conducted through the nerve
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The information on these pages is presented as a rough guide to
help you understand your condition better. The information is in no way intended
to be a comprehensive coverage of the subject. As all patients and their
conditions are different, the treatment may vary from time to time. All patients
are encouraged to take steps to ensure that they are as well educated about
their conditions as possible. Other sources of information inc
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