

The Carpal Tunnel is a passageway that is located on the palmar side of your hand at the wrist which contains and protects the median nerve, tendons, and blood vessels that lead to the hands and fingers. The median nerve is a major nerve that supplies innervation to the hand from the thumb through the ring finger. The carpal tunnel is made of several ligaments that join to form a very rigid structure called the flexor retinaculum. When this passageway becomes compressed, it can send pain signals and other symptoms such as tingling and weakness distally into your hand and fingers. Early diagnosis and treatment of Carpal Tunnel Syndrome (CTS) is critical as the longer the nerve is compressed, the more damage it can cause, even leading to permanent damage. Women are much more likely to acquire CTS and it is rarely seen in children.
Anything that can cause compression on this area of the wrist can cause Carpal Tunnel Syndrome. This syndrome is not a result of a problem with the median nerve itself, but rather compression of it. Compression of the flexor retinaculum can be from internal or external factors. These factors may be:
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The symptoms often experienced with a diagnosis of Carpal Tunnel Syndrome are:
Treatment for CTS will always be based on how far the condition has progressed. First line treatments will always be conservative measures. These may include:
If conservative measures fail, then surgery may be indicated. The surgery to treat this condition is called a Carpal Tunnel Release. The goal of this surgery is to increase the size of the carpal tunnel and release pressure on the nerve.