Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is the most common entrapment neuropathy of the upper extremity. The median nerve is compressed within its course through the carpal tunnel in the wrist. This usually occurs in middle aged patients. In most cases, no specific cause is identified, although causes can include trauma, obesity, pregnancy, and A-V dialysis shunts. Patients are typically awakened at night by a painful numbness in their hand that feels like a loss of circulating blood. This pain can radiate up their arm.
Treatments include non-surgical management with rest, NSAIDS, neutral position splints and steroid injections. Surgery may be needed in order to maximize recovery of the median nerve.
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