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Carpal tunnel syndrome

What is carpal tunnel syndrome?

Carpal tunnel syndrome is formally known in medicine as median nerve compression syndrome of the carpal tunnel. The carpal tunnel is a small passage beneath the skin on the palm side of the wrist, formed by the wrist bones and ligaments; nine tendons and one nerve pass through it into the hand. When the carpal tunnel narrows because of aging, frequent use or other causes and produces numbness and pain, the condition is called carpal tunnel syndrome.

Symptoms
  • 1
  • The wrist tingles and sensory changes appear.
  • 2
  • The above symptoms appear, and as they worsen, the muscles of the palm begin to atrophy.
  • 3
  • Tingling, burning pain, numbness and abnormal sensation appear in the thumb, index finger, middle finger and palm.
  • 4
  • In severe cases, a burning pain in the hand wakes the patient during sleep.
  • 5
  • Tapping the wrist causes tingling.
  • 6
  • Numbness appears when the wrist is held bent at 90 degrees for 1~2 minutes.
Treatment
Non-surgical

In relatively mild, early cases where the cause is unclear, symptoms are intermittent and there is no atrophy of the finger muscles, wrist pain can be relieved by avoiding overuse of the wrist, splinting the wrist, drug therapy with anti-inflammatories, and steroid injections into the carpal tunnel.

* The December issue of the Cochrane Database of Systematic Reviews, recognized worldwide as an authority in evidence-based medicine, published a paper reporting that acupuncture is not effective for carpal tunnel syndrome.
Surgical Operations

In relatively mild, early cases where the cause is unclear, symptoms are intermittent and there is no atrophy of the finger muscles, wrist pain can be relieved by avoiding overuse of the wrist, splinting the wrist, drug therapy with anti-inflammatories, and steroid injections into the carpal tunnel.



This is a definitive treatment that widens the compressed carpal tunnel. It is performed under local anesthesia and takes less than 30 minutes. To reduce the burden of scarring, our hospital uses a minimal incision of about 1-2 cm along the crease of the palm. Because the procedure is relatively simple and the results are good, a growing number of patients now prefer early surgical treatment to prolonged non-surgical treatment.
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