CARPEL TUNNEL SYNDROME
What is Carpel Tunnel Syndrome?
Carpel tunnel is a narrow passage present in the wrist which protects the median nerve that supplies the hand. Carpel tunnel syndrome is the condition affecting the hand and arm of an individual. It occurs due to compression of the median nerve that is present in the wrist.
This compression of the nerve leads to the symptoms like numbness, tingling, and finally, leads to weakness of the affected hand.
Symptoms of Carpel Tunnel Syndrome
Carpel tunnel syndrome starts with very common symptoms like tingling and numbness in the thumb, index finger and middle finger. These symptoms come up while holding something in the affected hand like a newspaper, phone etc. The patient tends to get up from his sleep at night due to these symptoms.
These symptoms may then extend upwards spreading to the whole hand except to the little finger and even to the arm.
The symptoms of tingling and numbness in the hand may be associated with slight discomfort in the wrist joint.
These symptoms may come suddenly and go off on their own. But as the disease progresses, it remains constant.
As the disease grows older, the patient may experience weakness in the affected hand and arm making it difficult for him to do his daily activities.
Causes of Carpel Tunnel Syndrome
Carpel tunnel syndrome occurs due to the compression of the median nerve that lies in the carpel tunnel (a narrow space in the wrist).
Median nerve travels from the forearm to the hand and provides sensation to the palm side of the thumb and all the fingers except the little finger. It also provides signals to the muscles at the base of the thumb to move.
The main cause of carpel tunnel syndrome is the compression of this median nerve which can be because of clouding of the carpel tunnel in the wrist.
The clouding of the tunnel can be because of various reasons like swelling due to rheumatoid arthritis or may be due to a wrist fracture.
Diagnosis of Carpel Tunnel Syndrome
Asking for a proper history of the symptom pattern can lead to a correct diagnosis of carpel tunnel syndrome.
The pattern of symptoms like whether the little finger is affected or not or the timing of experiencing the symptoms can give a clue to the diagnosis. If the little finger is affected, then it is clear that the diagnosis is something else as it is not supplied by the median nerve.
Similarly, the timing of symptoms is also very important to be noted as the symptoms of carpel tunnel syndrome are experienced mostly while holding some light object in hand like a newspaper or a mobile phone.
Other tests that can be done to confirm the diagnosis of carpel tunnel syndrome is:
- Physical examination: To check for the strength of the muscles in the hand and the sensations of the fingers which are being supplied by the median nerve. Putting slight pressure on the nerve by pressing the wrist can bring on the symptoms. This can confirm the diagnosis.
- X-ray of the wrist joint: This is to rule out other causes of wrist pain like fracture of the wrist or diseases like rheumatoid arthritis.
- Electromyogram: This test helps to measure the electrical activity of the muscles of the hands. It helps to measure the muscle strength and the damage caused to the muscles due to compression of the nerve.
- Nerve conduction study: Small electrical impulses are passed through the median nerve to check if the impulses slow down in the carpel tunnel. If there is any blockage in the tunnel and the impulses slow down, the diagnosis of carpel tunnel syndrome is confirmed.
- Light exercises of the hand and wrist by twisting the wrist slowly and stretching the palms and hands.
- Avoid sleeping on the affected hand to make the pain and numbness less.
- Do not work continuously using the affected hand. Take short breaks in between the work involving the affected hand.
Homoeopathic Management of Carpel Tunnel Syndrome
Homoeopathic medicines will help to reduce the pain and stiffness in the joints and regular use of medicine will help to prevent surgery
- Symptoms triggered by Injury.
- Feels as if the part is bruised or beaten, searches for soft and comfortable surfaces
- Oversensitivity of Part < touch
- Long lasting and recurring conditions
- Drawing burning pain with bruised sensation
- Stiffness and weakness
- Getting cold
- The bones and joints are stiff, sore and weak
- Delicate and brittle bones
- Bony deposits may be present
- Dissatisfied feel and desire to travel
- Decreased appetite, Offensive green stool with undigested food
- For faster Healing of fracture
- Change of weather
- Climbing upstairs
- Stiffness in Left wrist with burning pain
- Ice cold water
- Stretching the wrist in spite of pain
- pain and stiffness in joints < morning < initial motion < rest
- Continuous motion
- Warm application
- Dampness, cold in general
- Neuralgic pain
- Pain worse from pressure or cold application
- Tingling burning pain with numbness
- Jerking and Twitching of muscles.
- Deep aching pain in tendon
- Injuries to ligaments and tendons
- Overuse and overexertion leading to pain and stiffness
- Worse in cold weather and rest
- Better by warm application and motion