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Carpal tunnel syndrome (CTS) is a nerve compression syndrome associated with the collected signs and symptoms of compression of the median nerve at the carpal tunnel in the wrist. Carpal tunnel syndrome usually has no known cause, but there are environmental and medical risk factors associated with the condition.
Carpal tunnel syndrome is caused by compression of the median nerve at the carpal tunnel. The carpal tunnel is formed by the bones of the wrist and the transverse carpal ligament. Pressure can interrupt or arrest the microcirculatory environment of the nerve starting a pathophysiological cascade.
The development of carpal tunnel syndrome was of particular interest for other idiopathic tardy nerve palsies. Carpal tunnel served as a model for how nerves could be squeezed by narrow anatomic compartments and soon other tunnel syndromes were conceptualized, such as cubital tunnel syndrome, and tarsal tunnel syndrome. [87] [88] [83]
In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor (palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the tendons of the extrinsic flexor muscles of the hand from the forearm to the hand . [ 1 ]
This article is about physical therapy in carpal tunnel syndrome. Physical therapists and occupational therapists are involved in the assessment and intervention process with clients with carpal tunnel syndrome (CTS). Physical and occupational therapy professionals provide education, symptom management (such as splinting, physical agent ...
The procedure is used as a treatment for carpal tunnel syndrome and according to the American Academy of Orthopaedic Surgeons (AAOS) treatment guidelines, early surgery is an option when there is clinical evidence of median nerve denervation or the patient elects to proceed directly to surgical treatment. [5]
Another study compared carpal tunnel syndrome patients who elected surgery with those who chose not to. 77% of the surgery group said they were cured compared to 16% who did not elect surgery. [28] While some of the success of surgery may just be due to the natural history of the disease, the surgery groups still have an improvement in outcomes ...
This results in the symptoms of carpal tunnel syndrome. [3] Symptoms of carpal tunnel syndrome include tingling sensations and muscle weakness in the palm and lateral side of the hand and palm. It is possible that the syndrome may extend and radiate up the nerve causing pain to the arm and shoulder. [4] Carpal tunnel syndrome may be treated ...