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Carpal
Tunnel Syndrome
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This
syndrome is caused by pressure placed on the median nerve that
passes through the small bones of the wrist as it enters the hand.
The reason for the pressure on the nerve can vary, but it is commonly
due to repetitive strain. Repetitive strain disorders, or RSD,
have become an increasing problem in today's society. With more
people spending increasing hours at computer keyboards and "mousing,"
we have seen an increase in carpal tunnel syndrome and similar
conditions. People suffering from carpal tunnel and related syndromes
describe their symptoms as: pain, numbness, tingling, and sometimes
loss of grip strength.
A
thorough examination will help to determine your exact diagnosis
and individualized treatment plan. The key to successful treatment
is removing the inflammation surrounding the median nerve and
correcting the underlying biomechanical causes including poor
posture, poor ergonomic environment at work, and improper technique
while exercising. Joint and soft tissue manipulation, physiotherapy,
therapeutic exercise, and modifications of the home, work, and
health club routines are very effective in resolving the condition
and its related symptoms. Massage therapy may also be used in
conjunction with these other therapies in order to get the best
results.
Surgery
is rarely needed and should only be considered if conservative
therapy fails. Repetitive cortisone injection should be avoided
as it has been well documented to cause tendon disruption, and
places you at risk of further injury for 2 to 6 weeks following
injection. However, if after examination we conclude that your
case cannot be helped with conservative care, a prompt referral
will be made.