Thursday, July 9, 2020

CARPAL TUNNEL SYNDROME (CTS)

 

  • Do you experience pain/numbness in your hands or fingers especially during night?

If the answer of above question is yes, you might be suffering from a condition known as Carpal tunnel syndrome.

  • What is it?

Carpal tunnel syndrome is condition caused by compression of one of the major nerves of forearm (Median nerve) at wrist inside a tight space called as carpal tunnel. This nerve supplies the sensations to outer three and half fingers (thumb, index, middle and outer half of ring finger) and some muscles of thumb.

 

Carpal tunnel syndrome is a puzzling and disabling condition that affects all age groups and sexes but more common in middle aged females. It affects about 3-5% of population. There are certain conditions like hypothyroidism, diabetes, alcoholism, kidney failure, obesity, pregnancy which increases the chances of this problem. Certain professions which involves regular use of vibrating tools and repetitive movements of forearm muscles also increases the possibility of CTS.

  • How to identify it?

CTS is a combination of pain, numbness and disturbing tingling in the hand, mainly involving thumb, index, middle and half of ring finger. Symptoms are usually worse at night and wakes up the patient from sleep. Massage, exercise and flicking of the hands may relieve the symptoms. In severe/advance stages individual may have weakness of grip/pinch or difficulty in holding the objects/objects falling from the hands.

  • How to confirm/diagnose it

Doctors usually diagnose CTS based on your history of hand symptoms and the physical examination. Doctor may advise certain tests, especially Nerve conduction studies (NCS) to check the flow of conduction in nerve. This test confirm the condition in about 80% cases and also tells about the severity of condition. In some cases Ultrasound of wrist may be required and rarely an MRI.

  • How to treat it?

Treatment usually depends on severity and duration of symptoms. In mild to moderate cases, treatment is started with wrist support/splints especially during night, anti inflammatory medication and avoidance of any repetitive activity of wrist/hands.

If the condition does not improve or pain and numbness is very disabling, doctor may give injection into the wrist to reduce the internal swelling and will relieve the symptoms. The patients who does not improve with above treatment or those who have severe involvement at presentation will require surgery. Surgery will relieve the pressure on nerve by cutting a ligament at the wrist and ultimately creates more space in the tunnel. Surgery can be done with open or endoscopic (keyhole) techniques.

Most patients (85%) recover completely or significantly after surgery.

 

Dr. Sanjay Kumar
Orthopedic Surgery Specialist
Bahrain Specialist Hospital
Email: [email protected]

MOST READ

Gulf Air Appoints Bahraini Senior Manager Cabin Crew

Gulf Air, the national carrier of the Kingdom of Bahrain, has appointed Mr. Abdulrauf Meer Abdulrahim as Senior Manager Cabin Crew to manage one...

Gulf Air Operates to 25% of its Network by Resuming Direct Flights to and from Abu Dhabi and Dubai

Gulf Air, the national carrier of the Kingdom of Bahrain, is proudly announcing that it will resume its direct Abu Dhabi and Dubai flights...

Batelco to Launch “Global Zone Kuwait” in Partnership with Ooredoo Kuwait

Batelco, the leading digital solutions provider in Bahrain has announced the establishment of “Global Zone Kuwait”, which will offer an ecosystem platform to further...

RHF receives donation from BASREC

Royal Humanitarian Foundation (RHF) received a donation from Bahrain Ship Repairing and Engineering Company (BASREC) in support of needy families registered with the foundation. BASREC...

Innovative Virtual Fashion Show to be organized by Medpoint

Medpoint Design and Events Management is hosting the first of its kind Global Women’s Virtual Fashion Forum & Show which will highlight topics that...

National Taskforce for Combating Coronavirus highlights measures taken to mitigate the spread of COVID-19

The National Taskforce for Combating Coronavirus (COVID-19) held a press conference at the Crown Prince Centre for Training and Medical Research at the Bahrain...

Google now lets you see dinosaurs in the real world through augmented reality

It’s one thing to read about the massive dinosaurs that used to roam the Earth; it’s quite another to imagine how they’d look stomping...

Swift Data Sharing to Combat Disease Outbreak! by Dr. Jassim Haji

In the course of disease outbreaks, swift data sharing is critical as it allows for a better understanding of the origins and spread of...

Northern Governorate launches disinfection campaign

Northern Governor, Ali bin Al-Shaikh Abdulhussain Al-Asfoor, has asserted that the disinfection campaigns carried out by the Northern Governorate are part of the national...

The Rotary Clubs of Bahrain Joint Handover 2020-2021

All the Rotary Clubs of Bahrain organised a joint handover event on 29th June 2020 on Zoom. A handover is when the current President...

Zain Group joins ‘The Valuable 500’ to unlock opportunities for people with disabilities

Zain Group, a leading mobile telecom innovator in eight markets across the Middle East and Africa, proudly announces its inclusion in The Valuable 500,...

Customs Affairs is now on ‘Tawasul’!

The right channels of communication between authorities and the public can greatly improve speed and excellence in delivery of services. A new channel of...

Ibn Khuldoon National School (IKNS) Holds the Graduation Ceremony for its 29th Batch

Under the patronage of His Royal Highness Prince Khalifa bin Salman Al Khalifa, the Prime Minister, Ibn Khuldoon National School (IKNS) held the graduation...

stc Bahrain pioneers ahead in 5G technology

stc Bahrain, a world class digital enabler, announced the launch of the Kingdom’s first integrated large-scale indoor 5G commercial deployment, setting a new benchmark...

iGA Chief Executive Highlights Bahrain’s COVID-19 Response at Global Ministerial Conference

The Information & eGovernment Authority (iGA) Chief Executive, Mohammed Ali Al Qaed represented the kingdom of Bahrain at the Ministerial Conference on the Digital...