Anti Aging Supplements
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Carpal Tunnel Syndrome: Symptoms, Causes, and Treatments.
Millions of people are estimated to be affected by carpal tunnel syndrome in the United States. This disorder of the hand and arm can result in weakening grip and can be potentially painful. What are those factors that make a person prone to the condition? What can be done to deal with it? These are likely the kind of questions playing on your mind as regard carpal tunnel syndrome. We have got the answers to your questions here.
What is carpal tunnel syndrome?
This is a condition affecting the hand and arm of an individual. It is characterized by tingling sensation, numbness and weakness of the hand. Carpal tunnel syndrome is the result of a compression of the median nerve which occurs at the carpal tunnel.
The carpal tunnel is a small compartment or passageway that can be found in the palm area of the wrist. It is protected by arch-forming carpal bones and ligaments. The median nerve and nine flexor tendons travel from the forearm through this passageway to the hand. The median nerve is responsible for providing sensation to and controlling movement in your thumb. It also controls feeling and movement in the next three fingers, leaving out only the small one. Carpal tunnel syndrome results when this median nerve is pinched resulting in certain symptoms becoming visible. The compression of the median nerve can be caused by anything that forces the carpal tunnel to be narrower.
Around 5 percent of those living in the U.S. are believed to have this condition, which typically begins in adulthood. Women are more likely to be affected by CTS than men.
What are the symptoms of carpal tunnel syndrome?
Tingling and numbness – The most immediate symptoms a carpal tunnel syndrome sufferer is likely going to notice are tingling and numbness. You can easily guess the presence of the disorder if the sensation problem affects all your fingers, except the little finger. This sensation at times extends all the way up your arm. It commonly occurs when holding a newspaper, phone or steering wheel. It is capable of disrupting your sleep.
Hand weakness – As time goes by, a people with carpal tunnel syndrome may experience weakness of the hand. This could be as a result of numbness or weakening of muscles in the thumb. The weakness can lead to constant fall of objects from the hand.
Muscle wasting – The muscles of the thumb may experience atrophy if this condition is left untreated for a long time. In other words, these muscles waste away, making it hard for you to hold objects firmly in your hand. This occurs because the muscles are not getting proper nerve stimulation.
In some cases, some sufferers experience painful sensation. The pain may extend between your hand and elbow. Symptoms of carpal tunnel syndrome may first be noticed at night. Typically, the level of discomfort caused is greater at night and early in the morning. Some individuals with this disorder often try to relieve themselves of these symptoms by shaking their hands, although the relief obtained may only be temporary.
Causes of carpal tunnel syndrome
Onset of CTS is explained by pressure on the median nerve. This is usually the result of a swelling, which is caused by an inflammation. The disorder is often the consequence of inflammation-inducing medical conditions, which can disrupt blood flow and cause nerve damage. These conditions include:
- Thyroid dysfunction or hypothyroidism
- Rheumatoid arthritis (or other autoimmune disorders)
- Diabetes
- Obesity
- High blood pressure
It is not only inflammation and swelling that can cause carpal tunnel syndrome. Reduction in the size of the canal can lead to the problem because this also has the potential to cause the median nerve to be pinched. For instance, a fracture or trauma to the wrist can cause the carpal tunnel to become narrower. The size of the compartment is also reduced just by flexing your wrist to 90 degrees. Prolonged use of vibration-producing tools and repeated wrist movements and overextensions can worsen the disorder.
Still, the causes of CTS are not known in many cases. Its onset may best be explained by a number of risk factors.
Carpal tunnel risk factors
There are some factors that have been identified as being capable of causing carpal tunnel syndrome to develop or worsen. These, by themselves, are not causes, but only raise the risk of having the disorder.
Gender – It is believed that females are more likely than males to develop CTS. The reason for this is that the size of the carpal tunnel is typically smaller in women. This raises the risk of compression of the median nerve.
Age – Carpal tunnel syndrome usually develops in adulthood. Those who are diagnosed with the condition mostly falls within the age bracket 30-60. If your age falls in this range, there is increased likelihood of you having the problem.
Medical conditions – Certain disorders that cause inflammation make those affected prone to having CTS. We have listed some of these earlier. Conditions that cause nerve damage are also among risk factors. In addition, kidney failure raises the possibility of having the disorder.
Fluid retention – Changes in body fluid levels could contribute to carpal tunnel syndrome development, especially in women. Fluid retention in the body, such as experienced during pregnancy or menopause, can cause the pressure inside the carpal tunnel to rise. This raises the risk of the median nerve becoming compressed. Pregnant women who have this condition often experience relief after baby delivery.
Work – The nature of the job you do may also increase the possibility of you having CTS. Occupations that involve repetitive wrist motions come with risk in this regard. These sorts of jobs include those in assembly plants, construction, or involving the use of a keyboard. Individuals who use power tools for work are also at risk. These jobs may cause pressure to build on the median nerve, leading to or worsening existing carpal tunnel syndrome.
Lifestyle – If you smoke, you are at an increased risk of developing CTS. People who maintain a sedentary lifestyle, have an elevated body mass index or consume high amount of salt are also at risk of developing the condition.
Growth hormone – This substance, which is secreted by the anterior pituitary gland, is very vital for overall wellness. But its level in the body starts to tail off as people get older. This often leads to the use of its synthetic variant, somatropin, or HGH supplements to boost levels. However, improper use of HGH injections and/or supplements can lead to levels in the body becoming too high. Excess growth hormone causes the bones and soft tissues surrounding the carpal tunnel to grow too large. This leads to compression of the median nerve. The problem does usually subside when growth hormone use is halted, however. An over-active pituitary gland may also cause this.
Carpal Tunnel Diagnosis
If you have noticed some of the symptoms mentioned earlier and you suspect you might have CTS, you should waste no time in consulting your doctor. The condition is diagnosed considering a combination of factors. Your doctor will usually start by assessing the symptoms you may have been experiencing. The timing or the sort of activities you engage in when these symptoms come up will be reviewed as well. This enables your doctor to eliminate any other problems with somewhat similar symptoms.
A detailed physical examination will also be done. Your doctor will examine your hand, wrist, and shoulder for possible causes of pressure on the median nerve. Your neck may also be checked. Signs of swelling, tenderness or any form of deformities in the wrist area will be investigated. Sensation to your fingers as well as muscle strength will also be checked.
Tests will be performed to be truly certain that there is existence of carpal tunnel syndrome. Electromyogram may be ordered to assess electrical activity in the muscles which can serve as an indicator of possible muscle damage. Nerve conduction studies are used to measure how fast electrical impulses travel through your median nerve and to have an idea as to whether their speed slows in the carpal tunnel. X-rays may be needed to eliminate other problems that could affect the wrist.
In some cases, your doctor may refer you to other specialists, such as a neurosurgeon or neurologist, for better understanding of the nature of problem you may be having.
Treatments for carpal tunnel syndrome
It is highly essential to commence treatment of carpal tunnel syndrome as soon as you become aware of its presence. How CTS is treated depends on how severe it has become. Mild cases of the problem may be remedied through home care, which includes:
• Taking frequent breaks from activities that involve repetitive
use of the hand
• Avoiding certain positions that could cause overextension of your
wrist
• Rotating your wrists
• Stretching your fingers and palm
• Wearing wrist splints, especially at night, to ease pressure on
the median nerve
• Taking non-steroidal anti-inflammatory drugs (NSAIDs), which
includes Ibuprofen, aspirin and naproxen, to relieve pain as well as
reduce inflammation and swelling
If the above remedies do not help, your doctor may recommend the following:
Corticosteroid injections – Corticosteroids may be helpful to a carpal tunnel syndrome patient, even if only on a temporary basis. They are more efficacious for this disorder when injected, rather than taken orally. So your doctor may choose to inject corticosteroids into your carpal tunnel region. This helps to keep inflammation and swelling under control to prevent pressure on your median nerve. The injections typically provide temporary relief while you evaluate an appropriate long-term treatment.
Hand therapy – It is believed that certain techniques used in physical therapy (or physiotherapy) and occupational therapy may help to deal with symptoms of carpal tunnel syndrome. However, experts say these may take several weeks of constant application to deliver desired results.
Ultrasound therapy – CTS may also be treated with high-intensity ultrasound. The use of this causes the temperature around targeted body tissue to rise thereby lessening pain and speeding up healing time.
Surgery – This may be the ultimate option available to you if your CTS has become severe and nonsurgical treatment alternatives have failed. The surgical procedure is known as carpal tunnel release. It is carried out under local, regional, or general anesthesia - with or without sedation. The aim of the surgery is to cut the transverse carpal ligament that presses on the median nerve. It can be done using either endoscopic or open surgical technique. While the outcomes are mostly good, the success of carpal tunnel release surgery depends on a variety of factors, including age, symptom duration, and diabetes mellitus.
Yoga – This is one of the alternative solutions that have been suggested for managing carpal tunnel syndrome. The techniques used in this system of Hindu origin help to strengthen and balance joints in the upper part of the body. It may assist in dealing with pain and enhancing grip strength of individuals with the condition.
How can you prevent CTS?
Carpal tunnel syndrome can be prevented mostly by making some lifestyle changes. You should try to break free from a sedentary lifestyle and become more active. Take frequent breaks to stretch and bend your hands and wrists. These are particularly more important when you work with power, vibrating tools. If you work on a keyboard for several hours in a day, making sure it is placed slightly lower or at elbow level will be a good practice.
Avoid postures that can cause muscles in the neck to become compressed as this can impact on your hands, wrists and fingers. It helps to keep your hands warm with a glove if you work in a cold environment to prevent stiffness and pain. You should also seek treatment for underlying medical conditions that can predispose you to having carpal tunnel syndrome.
As useful as the tips above may be in preventing CTS, it is believed that biological factors, including your genetic predisposition, play greater role in determining whether you will eventually have the condition.
There are certain steps you can take at home to deal with symptoms of CTS. But you should waste no time in consulting your doctor if there is no improvement. Early treatment can promote full recovery from symptoms of the condition and prevent long-term nerve damage. Permanent nerve damage and hand disability may result when the condition is left untreated.
REFERENCES
www.healthline.com/health/carpal-tunnel-syndrome
https://en.wikipedia.org/wiki/Carpal_tunnel_syndrome
www.mayoclinic.org/diseases-conditions/carpal-tunnel-syndrome/basics/definition/con-20030332
www.webmd.com/pain-management/carpal-tunnel/carpal-tunnel-syndrome-topic-overview
https://www.steroidal.com/hgh-peptides/human-growth-hormone/human-growth-hormone-side-effects/
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