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topicLogo Carpal tunnel syndrome

Carpal Tunnel Syndrome ( CTS ) is an entrapment median neuropathy , causing paresthesia , pain , numbness, and other symptoms in the distribution of the median nerve due to its compression at the wrist in the carpal tunnel . The pathophysiology is not completely understood but can be considered compression of the median nerve traveling through the carpal tunnel . The National Center for Biotechnology Information and highly cited older literature say the most common cause of CTS is typing. More recent research by Lozano-Calderón has cited genetics as a larger factor than use, and has encouraged caution in ascribing causality. The main symptom of CTS is intermittent numbness of the thumb, index, long and radial half of the ring finger. The numbness often occurs at night, with the hypothesis that the wrists are held flexed during sleep. Recent literature suggests that sleep positioning, such as sleeping on one s side, might be an associated factor. It can be relieved by wearing a wrist splint that prevents flexion . Long-standing CTS leads to permanent nerve damage with constant numbness, atrophy of some of the muscles of the thenar eminence , and weakness of palmar abduction. Pain in carpal tunnel syndrome is primarily numbness that is so intense that it wakes one from sleep. Pain in electrophysiologically verified CTS is associated with misinterpretation of nociception and depression . Palliative treatments for CTS include use of night splints and corticosteroid injection. The only scientifically established disease modifying treatment is surgery to cut the transverse carpal ligament.
60 Premium Questions
50 Online Doctor Chat
229 Public Forum Questions

Premium Questions (60)

I have numbness and tingling in my hands that is very positional. It usually starts between my middle and ring fingers, sometimes my thumb depending on position and will worsen until my entire hand is numb if I am unable to change position to...
Had Carpal tunnel release, wrist anthrscopy and TFC debridement 2.5 years ago. Why does my hand ,and fingers and wrist still give me trouble? Everything healed right away and reached maximum medical improvement... 5...
What is Paresthesia? My neurologist has recently diagnosed me with paresthesia. He did this without any test. I do have to go in for a NCV study next week.
Hello Doctor. For some time now I have thought that I might have carpal tunnel syndrome. I had a nerve conduction test last week and the reviewing doctor said that the results were significant and I would need an op on both hands. I have two...
Hi, Dr XXXXXXX Khandeiwal hope you remember me last time i told you i will get back to you after may mri scan is done and it is mri of right shoulder- Shows mild osteoarthritis of the AC joint.There is hetarogeneous...
I have a sharp pain that starts at the of my forearm but below my bicep and it runs straight down to my wrist and intensely consumes my entire hand in an immense and unbearable pain. this has gone on for years now...
Hi dr XXXXXXX , i hope you remember me last time i told you i will get back to you after may mri scan is done and it is mri of right shoulder- Shows mild osteoarthritis of the AC joint.There is hetarogeneous increased...
carpal tunnel syndromethe top of my left wrist ia extreme pain. and a few weeks ago my pinky and ring finger tetracted and locked up for several minutes. do I have carpal tunnel syndrome
My right hand is going to sleep very often and is very painful. The most painful period is at night. it goes to sleep at different times during the day. It causes me to drop things. It appears to affect my middle...
Hi Doctor, My mother is 49 years old. She complained about numbness in the tongue & both her legs which lasted for few minutes. After few hours, she mentioned that she has developed tingling feel & slight numbness...
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Online Doctor Chat (50) - Carpal tunnel syndrome

User : Hi How may I help you today ? User : Hi! I am 31yo female diagnosed w/ fibro .... User : the other night I woke with chills and my body was shaking ... which I sometimes get with menstration but then I had sudden on set of intense...
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Doctor : Hi Doctor : Doctor : Please post your query User : hi I am experienceing a lot of pain starting from the nerver near my neck to shoulder ,hand ,and now the pain has increased to the right side of my lower back and rt leg ,please...
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User : A portion of my skin on my forearm is very tender to the touch. It has been like this for a few years and it seems to be getting worse. There is no discoloration and is not swollen. When it is touched it almost feels like it is...
User : Dear User, You have started the test chat with our doctor. The duration of the test chat is 5 minutes. After the trial period, you will be redirected to the Payment page. Doctor : Hi Doctor : How can I help you? User : hi User : i need...
User : hii Doctor : Hi Doctor : How can I help you? User : i am getting back pain last 3 days User : what have to do ? Doctor : you can apply a rubefacient like MYOLAXIN Doctor : and put hot water fomentation over it Doctor : for 15...
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Public Forum (229) - Carpal tunnel syndrome

1 Answer
I have had mild discomfort in my lower right abdomen and am experiencing a minor pinching sensation in the same area. The discomfort has been along the majority of the lower right quadrant. The pinching sensation occurs below and to the right of the naval. The pinching is very mild. I am curious what might be the cause of this.
4 Answers
I have been getting weird numbness around the top of my head which has moved down to behind my eye , and around my temple all located on the left side, my eye is also drooping slightly, is red and seems blurred and to look at seems slightly different size to my right pupil, top of my head and my left temple are tender to touch and it is really...
1 Answer
Why does a breast vibrate or a tingling sensation? Have microadenoma 7mm Why does a breast vibrate or a tingling sensation? Have microadenoma 7mm
1 Answer
Sir, i want to ask that my mother has a swelling and pain in her hands and wrist from last 15 days. What to do? Please help
1 Answer
Yesterday, my husband had a cortazone shot in his behind. He also took another pill for sleep, I forget the name. Today he slept through his alarm and has been sore all over and has a headache. His doctor thinks he has Lupus but it could be Raynauds with some carpal tunnel mixed in. When he catches a chill his fingers turn blue. He wants to know...
2 Answers
i have hypothyroid and pcod ,which excise do i practice.....
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I am 24yrs Female, married 2yrs back.i have hypothyroid and pcod from past 6years,i have irregular periods and it will continue for 7 to 8 days. Biopsy and tubes test are normal.AT present i am on glyciphage and hyponidd. Do i need to go for laproscopy . what is the better option for me to conceive.
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BIO/HISTORY: 19 female, one child, 5 7, 150 lbs, hypothyroidism , ISSUE: 6 or 7 discoloured (light brown) spots on back of neck, no irritation , just there.. but what are they? Also have recently been wxperiencing dizziness/black vision upon standing, over-average fatigue and headaches. Am I just dying? Wtf is going on? I have a doctors appt,...
1 Answer
does hypothyroidism causes hunger
2 Answers
I feel needle prick type pain on my legs ,thigh ,areas of knee .I am 37 years old my height is 5 feet 2.5 inches weight is 65kg suffering from disease Hypothyroidism .
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