Your wrist is a small part of your body, but it can be a big pain if you have carpal tunnel syndrome. Carpal tunnel is a condition that leads to pain, numbness and tingling in the hand and forearm, and can even result in weakness in the hand.
What is carpal tunnel syndrome?
The carpal tunnel is a passage for nerves and tendons that runs through the wrist. When it narrows, it puts pressure on the median nerve. One of the main nerves in your hand, the median nerve starts in the neck and travels through your arms and down to your fingers.
Usually, carpal tunnel is the result of a combination of risk factors, which include:
• Heredity.
• Injury to the wrist.
• Repetitive hand motion.
• Pregnancy and/or breastfeeding
• Diabetes
• Rheumatologic conditions
Signs of carpal tunnel can be tricky to pick up on because they come on gradually. They might include:
• Pain or tingling that moves up your forearm.
• Pain, burning or numbness in the fingers.
• Dropping objects due to hand weakness or numbness.
Carpal tunnel treatment
If you notice any symptoms, it's time to schedule an appointment with a specialist. During an evaluation, your hands and wrists will be examined and tested. Many times, this physical examination is all that's needed for a diagnosis.
Sometimes lab tests such as an x-ray, ultrasound, or nerve studies may be needed. Your provider might refer you to an orthopedic doctor who specializes in bones, joints, muscles and nerves.
Nonsurgical treatments
Here are some treatments your provider may suggest you do at home:
• Wear a brace. Keeping the wrist still, especially at night, reduces pressure on the nerve.
• Take anti-inflammatories. Over-the-counter pain medicines, like ibuprofen and naproxen, or a cortisone injection can ease inflammation and pain.
• Change your movement. If the way you move—or don't move—your wrist is causing the problem, then you can make adjustments to help soothe it.
• Exercise. A health care provider or physical therapist can teach you simple movements that can help.
Surgical treatments
Sometimes nonsurgical treatments don't provide lasting relief. In that case, surgery can be performed to release the pressure on the median nerve.
Make an appointment
Sources: American Academy of Orthopaedic Surgeons; National Institute of Arthritis and Musculoskeletal and Skin Diseases