Today Thursday Nov 26, 2020

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CTS(carpal tunnel syndrome)


What is carpal tunnel syndrome?

The carpal tunnel is a strong fibrous bony structure made of wrist bones and transverse ligaments. This structure, as its name implies, is like a tunnel through which components pass and enter the hand through the forearm.

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Carpal tunnel syndrome, or CTS for short, is the most common neuropathy of the nerve entrapment. It is caused by entrapment and compression of the median or median nerve inside the carpal tunnel. This syndrome is also known as typist syndrome. The median nerve (median nerve) in the wrist area passes under the connective tissue of the wrist transverse ligament of the wrist or retinaculum flexor and through the wrist bones. If for any reason this space is narrowed, this nerve is pressed and sensory disorders And there is movement in the fingers, which is called carpal tunnel syndrome.

Prevalence of carpal tunnel syndrome cts:

The disease is more prevalent in middle-aged housewives, computer users, carpenters, illustrators, workers, butchers and car mechanics, and truck drivers. Riders who put a lot of pressure on their wrists and fingers are more prone to this complication.

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This nerve provides the sensation of the thumb, index finger, middle, and part of the ring finger, as well as the movement of the muscles that go to the thumb. Swelling or inflammation at the wrist causes the nerve to constrict, causing carpal tunnel syndrome. This compression can lead to tingling, weakness, and numbness in the fingers. This syndrome is a relatively common syndrome and affects women 3 times more often than men and affects about 0.5% of the population. And is generally diagnosed in the third and fourth decades of life.

 

Some common factors associated with carpal tunnel syndrome include:

*Fractures or blows to the wrist, dislocations and osteophytes of the wrist bones

*Tumors, cysts and osteoarthritis

*Repetitive movements of the wrist and fingers (long-term work with a mouse or keyboard)

*Prolonged exposure to high-vibration devices (such as juicers or drills)

*Diabetes

*Thyroid dysfunction

*Autoimmune diseases such as rheumatoid arthritis (or rheumatoid arthritis)

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Motor symptoms in carpal tunnel syndrome cts:

A person may have pain in normal daily activities such as driving, holding cups and typing, and the fingers may become less able to do certain tasks, such as holding objects. In more severe cases, atrophy (muscle wasting) may be seen in the palms of the hands and the pelvic floor muscles.


Treatment of carpal tunnel syndrome cts:

Non-surgical methods:

Splinting in the position without wrist angle or partial extension

Cortisone injection

Assessment of workplace status and changes in the workplace

Vitamin B6 may also be helpful

Use of heat and electrotherapy

Sound waves or ultrasound

Use of shortwave diathermy waves longitudinally to reduce inflammation of nerve roots

Strengthen muscles through medical exercises

Use of massage and relaxation and myofascial release

Use of low power and high power lasers

Benefit from the positive properties of magnetic fields or magnets

Manual treatments include nerve release

Creating verbal and visual feedback in corrective exercises

Needling

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surgical method:

When non-surgical measures are not helpful in reducing symptoms, less than half of patients are prescribed surgery to relieve pressure on the nerve. Surgery is up to 90% successful, but complete recovery takes several months.

After surgery:

After surgery, physiotherapy is needed to achieve complete recovery. Postoperative rehabilitation includes tips on proper wound care and, if necessary, scar tissue massage. Therefore, the pain gradually decreases and the hand movements return. It reduces the sensitivity of the surgical wound and makes the surgical site softer. Then gradually work on the strength of the muscles of the hand. So that little by little one can do his own work by hand.

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