Carpal Tunnel Syndrome Diagnosis & Treatment Options

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Carpal Tunnel Syndrome

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Diagnosis

Accurate diagnosis of Carpal Tunnel Syndrome (CTS) is essential for effective treatment and relief. Here’s how a medical professional will typically diagnose this condition:

1. Medical History and Symptom Review: Your journey starts with a detailed discussion about your symptoms, daily activities, and any recent changes in your lifestyle or work environment. Your doctor will ask about the nature of your hand pain, tingling, and any instances of weakness to get a clear picture of your condition.

2. Physical Examination: A hands-on approach is used to assess your wrist and hand. Your doctor may perform specific tests, like the Phalen’s manoeuvre or Tinel’s sign, to check for symptoms of nerve compression. These tests involve bending the wrist or tapping the nerve to see if they trigger tingling or pain.

3. Electrodiagnostic Tests: To confirm the diagnosis, your doctor might recommend nerve conduction studies or electromyography (EMG). These tests measure the electrical activity of your nerves and muscles, helping to determine if the median nerve is being compressed or damaged.

4. Imaging Studies: In some cases, your doctor may order imaging tests such as an ultrasound or MRI to visualise the structures within your wrist. These images can help identify any abnormalities, such as swelling or structural changes in the carpal tunnel.

5. Blood Tests: Although not always necessary, blood tests might be conducted to rule out underlying conditions like diabetes or thyroid disorders that could contribute to CTS symptoms.

A thorough diagnostic process ensures that your Carpal Tunnel Syndrome is accurately identified, allowing for a targeted treatment plan to alleviate your symptoms and restore hand function.

Treatment

Treating Carpal Tunnel Syndrome (CTS) involves a range of strategies aimed at relieving symptoms, reducing nerve compression, and restoring hand function. Here’s how medical professionals typically approach treatment:

1. Conservative Management: Initially, your doctor may recommend non-surgical treatments to manage symptoms. This can include wearing a wrist splint to keep your wrist in a neutral position, reducing pressure on the median nerve. Additionally, anti-inflammatory medications or corticosteroid injections can help alleviate pain and swelling.

2. Physical Therapy: A tailored physical therapy program can be highly effective. Therapists will guide you through exercises designed to strengthen and stretch the muscles around your wrist and hand, improving flexibility and reducing pressure on the median nerve.

3. Lifestyle Adjustments: Your doctor may suggest ergonomic changes to your workspace, such as adjusting your keyboard and chair to maintain proper wrist alignment. They might also advise on modifying repetitive tasks or incorporating breaks into your routine to reduce strain on your hands.

4. Carpal Tunnel Surgery: For persistent or severe cases that do not respond to conservative treatments, surgical intervention might be necessary. Carpal Tunnel Release Surgery involves making a small incision in the wrist to cut the ligament pressing on the median nerve. This procedure, often performed as an outpatient surgery, can provide significant relief and is usually followed by a period of rehabilitation to restore full function.

5. Alternative Therapies: Some patients benefit from alternative treatments such as acupuncture or chiropractic care, which can complement conventional methods and help in managing symptoms.

By exploring these treatment options with a healthcare professional, you can find the approach that best addresses your symptoms and restores your hand function.

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