Saanichton, BC

Dr. Miguel A. Lipka

Carpal Tunnel Syndrome

This is categorized under:

Carpal tunnel syndrome is pain, tingling, and other problems in your hand because of pressure on the median nerve in your wrist.

The median nerve and several tendons run from your forearm to your hand through a small space in your wrist called the carpal tunnel. The median nerve controls movement and feeling in your thumb and first three fingers (not your little finger).

Pressure on the median nerve causes carpal tunnel syndrome. This pressure can come from swelling or anything that makes the carpal tunnel smaller. Things that can lead to carpal tunnel syndrome include:

  • Hypothyroidism
  • Rheumatoid arthritis
  • Diabetes
  • Pregnancy
  • Obesity
  • Making the same hand movements over and over, especially if the wrist is bent down (your hands lower than your wrists), or making the same wrist movements over and over
  • Wrist injuries
  • Bone spurs
  • Smoking, because it can reduce blood flow to the median nerve

Carpal tunnel syndrome symptoms include:

  • Tingling
  • Numbness
  • Weakness
  • Pain in the fingers or hand
  • Pain in the arm between the hand and the elbow

Symptoms most often occur in the thumb, index finger, middle finger, and half of the ring finger. If you have problems with your other fingers but your little finger is fine, this may be a sign that you have carpal tunnel syndrome. You may first notice symptoms at night.

Mild symptoms usually can be treated with home care. The sooner you start treatment, the better your chances of stopping symptoms and preventing long-term damage to the nerve.

You can do a few things at home to help your hand and wrist feel better:

  • Stop activities that cause numbness and pain
  • Rest your wrist longer between activities
  • Ice your wrist for 10 to 15 minutes 1 or 2 times an hour
  • Taking non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce swelling
  • Wear a wrist splint at night to keep your wrist in a neutral position. This takes pressure off your median nerve. Your wrist is in a neutral position when it is straight or only slightly bent. Holding a glass of water is an example of your wrist in a neutral position.
  • Shaking your hand may give you relief

See your doctor if your symptoms do not get better after 1 to 2 weeks of home care, or if you have had bad symptoms from the start. You may need medicine for carpal tunnel syndrome or for a health problem that made you likely to get carpal tunnel syndrome.

Surgery is an option. But it's usually used only when symptoms are so bad that you can't work or do other things even after 3 to 12 months of other treatment. During surgery, the doctor cuts the ligament at the top of the carpal tunnel. This makes more room in the tunnel and relieves pressure on the nerve. Surgery usually works to ease symptoms. But in some cases it does not completely get rid of numbness or pain.

To keep carpal tunnel syndrome from coming back, take care of your basic health. Stay at a healthy weight. Don't smoke. Exercise to stay strong and flexible. If you have a long-term health problem, such as arthritis or diabetes, follow your doctor’s advice for keeping your condition under control.

You can also try to take good care of your wrists and hands:

  • Try to keep your wrist in a neutral position
  • Use your whole hand—not just your fingers—to hold objects
  • When you type, keep your wrists straight, with your hands a little higher than your wrists
  • Relax your shoulders when your arms are at your sides
  • If you can, switch hands often when you repeat movements