Corporate Health & Wellness Specialist – PrognoHealth

Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist. It is caused by the compression of the median nerve, which runs through a narrow passage in the wrist called the carpal tunnel. This compression can lead to symptoms such as pain, numbness, tingling, and weakness in the hand and fingers.

Symptoms of CTS may start off mild and gradually worsen over time. Common signs include pain or tingling in the thumb, index, middle and ring fingers, and weakness in the hand. Symptoms may be worse at night or when gripping or grasping objects. Some people may also experience a loss of fine motor skills, such as difficulty with buttoning clothes or picking up small objects.

Diagnosis of CTS typically begins with a physical examination and a review of the patient’s medical history. A physician may also perform a test called the Tinel’s test, which involves tapping the median nerve at the wrist to see if it causes tingling or pain in the fingers. Additionally, a nerve conduction study or electromyography (EMG) may be used to measure the electrical activity of the median nerve and the muscles in the hand and fingers.

Treatment for CTS typically begins with conservative measures such as rest, ice, and over-the-counter pain medication. A splint or brace may also be used to keep the wrist in a neutral position and help relieve pressure on the median nerve. Physical therapy may be prescribed to help improve strength and flexibility in the hand and wrist. If these measures do not provide relief, a corticosteroid injection may be given to reduce inflammation and swelling around the median nerve.

In more severe cases of CTS, surgery may be recommended. The most common surgical procedure for CTS is called a carpal tunnel release, which involves cutting the transverse carpal ligament to create more space for the median nerve. This procedure can be done through a small incision or through endoscopy.

One of the best ways to prevent CTS is to maintain good posture and ergonomics while working or engaging in other activities that involve repetitive hand and wrist movements. This can be achieved by making sure your workstation is set up properly, taking frequent breaks to stretch and move around, and using appropriate equipment such as a wrist rest.

In addition to proper ergonomics, regular exercise and a healthy diet are also important for preventing CTS. Exercise can help to improve flexibility and strength in the hand and wrist, while a diet rich in fruits, vegetables, and healthy fats can help to reduce inflammation throughout the body.

Annual health check-ups can also play an important role in preventing CTS by allowing a healthcare professional to identify risk factors and take appropriate action to prevent the development of the condition. Corporate health and wellness programs can also be beneficial by providing employees with access to resources and support to maintain healthy lifestyle habits.

In conclusion, Carpal Tunnel Syndrome is a common condition that affects the hand and wrist caused by compression of the median nerve. Symptoms include pain, numbness, tingling, and weakness in the hand and fingers. Diagnosis is made through physical examination and nerve conduction study or electromyography. Treatment options include rest, ice, over-the-counter pain medication, corticosteroid injection, and surgery. To prevent CTS, it’s important to maintain good posture and ergonomics, regular exercise, a healthy diet, annual health check-ups and corporate health & wellness programs.



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