Though the cause of this syndrome is usually unknown, many factors may affect the pressure on the median nerve in the carpal tunnel. These may include: fractures, dislocations, swelling in the lining of the tendons passing through the tunnel, and the actual size of the individual’s carpal tunnel. Certain conditions such as rheumatoid arthritis, thyroid problems, diabetes mellitus, pregnancy and even extreme positions of the wrist may affect the function of the median nerve.

CARPAL TUNNEL SYNDROME

SYMPTOMS of carpal tunnel syndrome commonly include tingling or numbness in the thumb, index and middle fingers. Initially, symptoms are often noted from the wrist being held in certain positions during the night. A burning sensation may radiate from the wrist up the arm. Pain as well as numbness, and tingling can be exacerbated with repetitive motions of the hand and wrist. A decrease in sensation, strength, and ability to manipulate objects with one’s hands may also occur. EVALUATION includes a subjective history, followed by an assessment of pain, sensation, range of motion, swelling of the hand, and, upper extremity strength. A review of the individual’s daily, vocational and recreational activities is routinely performed. A plan of care is subsequently developed based upon these findings.

TREATMENT for non-surgical patients most often includes the use of splints at night to maximize the space in the carpal tunnel, and, hopefully alleviate symptoms. Nerve gliding and other therapeutic exercises, as well as manual techniques and modalities to decrease hand swelling are often utilized. Patients are educated in methods to modify their performance of activities in the attempt to alleviate and prevent further symptoms. For post-surgical patients, treatment often focuses on edema reduction, scar management, and hand strengthening. The GOAL of Occupational Therapy is to reduce and prevent debilitating symptoms of the individuals upper extremity, in order to improve the quality of one’s daily activities and lifestyle.

M E T R O S P O RT S M E D ’ S Carpal Tunnel Syndrome Program is staffed exclusively with licensed Occupational Therapists.