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Understanding Carpal Tunnel Syndrome (CTS): Symptoms, Causes, and Treatment

CTS is a medical condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. The carpal tunnel, a narrow passageway in the wrist, houses both the median nerve and several tendons responsible for flexing your fingers.

The man with Bell's Palsy
Carpal Tunnel Syndrome (CTS). Photo Courtest: Internet

"It was estimated that the annual incidence of CTS ranged from 1 to 5 cases per 1,000 people in the general population. However, these figures can vary widely depending on the study and the specific population examined."


Several factors can contribute to the development of CTS:

Repetitive Hand Use: Frequent and repetitive hand and wrist movements, especially when the wrist is bent, can increase the risk of CTS.

Medical Conditions: Certain medical conditions such as diabetes, rheumatoid arthritis, and thyroid disorders can increase the likelihood of CTS.

Pregnancy: Hormonal changes during pregnancy can lead to fluid retention and swelling, which may increase pressure on the median nerve.

Anatomy: Some individuals may have a narrower carpal tunnel, which makes them more prone to developing CTS.


The compression of the median nerve can lead to a variety of symptoms, including:

Numbness or Tingling: You may experience numbness or tingling in the thumb, index finger, middle finger, and part of the ring finger.

Weakness: Weakness in the hand may make it difficult to grip objects or perform fine motor tasks.

Pain: CTS can cause pain in the wrist and hand, which may radiate up the forearm.

Nighttime Symptoms: Many people with CTS report more severe symptoms at night.


If you suspect you have CTS, it's crucial to seek medical attention. A healthcare provider will perform a physical examination and may conduct nerve tests like electromyography (EMG) or nerve conduction studies (NCV) to confirm the diagnosis.


The treatment for CTS depends on the severity of the condition. Common treatment options include:

Wrist Splints: Wearing a wrist splint at night can help keep your wrist in a neutral position, relieving pressure on the median nerve.

Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to reduce inflammation and alleviate pain.

Physical Therapy: Physical therapy exercises can help improve wrist strength and flexibility.

Ergonomic Changes: Making ergonomic adjustments to your workspace can reduce strain on your wrists and help prevent CTS.

Surgery: In severe cases, when other treatments are ineffective, surgery (carpal tunnel release) may be recommended to relieve pressure on the median nerve.

In conclusion, Carpal Tunnel Syndrome is a common condition that can significantly impact your quality of life. Early diagnosis and appropriate management are key to preventing long-term complications. If you suspect you have CTS, consult a healthcare professional for an accurate diagnosis and personalized treatment plan. Remember, with the right care, you can manage CTS and enjoy a pain-free life.

CTS can cause hand weakness

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