Carpal tunnel syndrome is initiated or caused by a primary lesion or dysfunction of the nervous system. Carpal tunnel syndrome is often described as a pain, tingling or numbness in the hand and/or arm and affects the nerves to the hand when it is compressed or squeezed within the wrist.
Patients with pain typically describe pain of two types:
(i) Constant burning pain
(ii) intermittent shooting or electric pain.
In addition symptoms of paraesthesia (pins and needles sensation), numbness and dysasthesia such as itching, crawling and tingling are highly suggestive of neuropathic pain.
The pain typically occurs adjacent to a region of sensory disturbance and may begin in weeks, months or years following initial injury to the nervous system.
Previous and current medical history is important as conditions such as diabetes can cause patients to succumb to peripheral neuropathies such as CTS as well as previous trauma such as fractures of the hand / wrist.
In a majority of CTS patients the recommended management options are conservative treatment which include behaviour modifications, medications, including anti-inflammatory drugs and analgesics, immobilisation via splinting or bracing, physical and occupational therapy, oral corticosteroids and ultrasound.
If you suffer from Carpal Tunnel Syndrome, contact Dr George Hardas at Spinal Care in Sydney, and arrange a consultation to assist with pain management and treatment.