Carpal Tunnel Syndrome
This is caused by pressure on a nerve at the wrist joint level producing pain around the wrist and/or hand, and a variety of other symptoms including:
- -Pins and needles – particularly in the thumb, index and mid finger
- -Numbness – in the same region
- -Dryness of the skin
- -Weakness of the hand
One or both hands can be affected and typically worst at night. It is caused by a restriction, or pressure on the median nerve as it passes through the wrist. Why some people are more susceptible is unknown.
A thorough physiotherapy assessment can confirm a diagnosis, or highlight problems arising from your neck which may be contributing to the pain and hence commence treatment.
A splint may be required to be worn particularly at night and local taping can help over the small wrist bones to help maintain a good position. In more severe cases, a referral to a hand surgeon may be advised with a view to a steroid injections, never conduction tests or operation to released the pressure on the nerve.