Carpal tunnel syndrome

Common Name(s)

Carpal tunnel syndrome

Carpal tunnel syndrome (CTS) is a condition that causes pain, numbness and tingling in the hand, which may sometimes extend to the wrist and arm as well. The carpal tunnel is a structure that is found at the connection of the wrist and hand. It is formed by a layer of connective tissue that runs over the wrist bones, tendons and nerves going to the hand. CTS occurs when this area becomes tightened and inflamed, causing compression of the nerve.

Roughly 3-6% of adults are affected by CTS, and prevalence increases with age. Individuals with smaller wrists are more likely to be affected by CTS, putting women at greater risk than men. Injury or repetitive motions of the wrist may also cause CTS, such as in individuals who perform repetitive motion such as typing or handling vibrating tools. Other risk factors include conditions of the nervous system, obesity, kidney failure, and thyroid disorders. There are also familial cases of CTS.

Individuals affected by CTS will usually first experience occasional numbness or tingling in the thumb and fingers. Other early symptoms include weakness in the hand and wrist and difficulty grasping items. CTS progresses into more painful and enduring symptoms throughout the wrist region. If left untreated, the nerve and muscle may be permanently damaged. After symptoms are reported, CTS is diagnosed by physical exam, medical imaging, electrical impulse measurements, and other nerve studies.

Treatment for CTS may help prevent symptoms from progressing. Resting and applying ice to the hands may help reduce swelling. Wearing a splint, especially at night, may also help reduce symptoms. Medications, such as anti-inflammatory drugs, may be given as pills or as injections. In severe, long-term cases, surgery may be necessary. If you are experiencing CTS, talk to your doctor about the most current treatment options.

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Condition Specific Organizations

Following organizations serve the condition "Carpal tunnel syndrome" for support, advocacy or research.

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Carpal tunnel syndrome" returned 524 free, full-text research articles on human participants. First 3 results:

Carpal tunnel syndrome caused by lipoma: a case report.
 

Author(s): Mohamed Ali Sbai, Sofien Benzarti, Hichem Msek, Monia Boussen, Adel Khorbi

Journal:

 

Lipoma is a relatively frequent, benign soft-tissue tumor rarely located in the hand. A lipoma of the hand causing a carpal tunnel syndrome by compression of the median nerve is exceptional. We report the case of a 70-year-old female presenting with a carpal tunnel syndrome. A compression ...

Last Updated: 15 Dec 2015

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The Role of Wrist Magnetic Resonance Imaging in the Differential Diagnosis of the Carpal Tunnel Syndrome.
 

Author(s): Mehmet Resid Onen, Ali Erhan Kayalar, Elif Nurbegum Ilbas, Recai Gokcan, Ilker Gulec, Sait Naderi

Journal: Turk Neurosurg. 2015 ;25(5):701-6.

 

The carpal tunnel syndrome (CTS) is the commonest compressive neuropathy. Electromyography (EMG) is accepted as gold standard in diagnosis of CTS. However, pathologies and variations that are associated with a various findings may lead to failure.

Last Updated: 7 Oct 2015

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Efficacies of Acupuncture and Anti-inflammatory Treatment for Carpal Tunnel Syndrome.
 

Author(s): Mohammadjavad Hadianfard, Esmaeel Bazrafshan, Hadi Momeninejad, Navid Jahani

Journal: J Acupunct Meridian Stud. 2015 Oct;8(5):229-35.

 

This study compared the efficacies of acupuncture and anti-inflammatory treatment in patients with carpal tunnel syndrome (CTS). Fifty patients with mild to moderate CTS were randomly divided into two groups. Both groups received night wrist splints as the standard conservative treatment ...

Last Updated: 5 Oct 2015

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Carpal tunnel syndrome" returned 47 free, full-text review articles on human participants. First 3 results:

Endoscopic and Open Release Similarly Safe for the Treatment of Carpal Tunnel Syndrome. A Systematic Review and Meta-Analysis.
 

Author(s): Haris S Vasiliadis, Adriani Nikolakopoulou, Ian Shrier, Michael P Lunn, Ruth Brassington, Rob J P Scholten, Georgia Salanti

Journal:

 

The Endoscopic Release of Carpal Tunnel Syndrome (ECTR) is a minimal invasive approach for the treatment of Carpal Tunnel Syndrome. There is scepticism regarding the safety of this technique, based on the assumption that this is a rather "blind" procedure and on the high number of ...

Last Updated: 17 Dec 2015

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Carpal tunnel syndrome and work.
 

Author(s): Lisa Newington, E Clare Harris, Karen Walker-Bone

Journal: Best Pract Res Clin Rheumatol. 2015 Jun;29(3):440-53.

 

Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome, and it frequently presents in working-aged adults. Its mild form causes 'nuisance' symptoms including dysaesthesia and nocturnal waking. At its most severe, CTS can significantly impair motor function ...

Last Updated: 27 Nov 2015

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Association between work-related biomechanical risk factors and the occurrence of carpal tunnel syndrome: an overview of systematic reviews and a meta-analysis of current research.
 

Author(s): Agnessa Kozak, Grita Schedlbauer, Tanja Wirth, Ulrike Euler, Claudia Westermann, Albert Nienhaus

Journal:

 

Occupational risks for carpal tunnel syndrome (CTS) have been examined in various occupations, and several systematic reviews (SRs) have been published on this topic. There has been no critical appraisal or synthesis of the evidence in the SRs. The aims of this study are (1) to synthesise ...

Last Updated: 1 Sep 2015

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Symptoms, Diagnosis, and Treatment

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Clinical Trial Information This information is provided by ClinicalTrials.gov

Carpal Tunnel Syndrome and Amyloid Cardiomyopathy
 

Status: Recruiting

Condition Summary: Amyloidosis; Cardiomyopathy; Transthyretin Amyloidosis; Senile Systemic Amyloidosis; Carpal Tunnel Syndrome

 

Last Updated: 21 Jun 2016

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Treatment of Carpal Tunnel Syndrome With Dynamic Splinting
 

Status: Recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 10 May 2008

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Diacutaneous Fibrolysis on Carpal Tunnel Syndrome
 

Status: Recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 4 May 2016

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