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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Advocacy and Support Organizations

 

Condition Specific Organizations

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

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General Support Organizations

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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 520 free, full-text research articles on human participants. First 3 results:

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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Acute carpal tunnel syndrome of the hand following a cat bite.
 

Author(s): Mohamed Ali Sbai, Slim Dabloun, Sofien Benzarti, Myriam Khechimi, Abdesselem Jenzeri, Riadh Maalla

Journal:

 

Cat bites at the hand are common situation in emergency departments. Neglected or poorly supported, these lesions sometimes lead to serious injuries that may compromise the function of the hand. Pasteurellamultocida is the most offending germ in these lesions, despite their sensitivity ...

Last Updated: 30 Sep 2015

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Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.
 

Author(s): Huan-Li Zhao, Gui-Bin Wang, Yue-Qing Jia, Shi-Cai Zhu, Feng-Fang Zhang, Hong-Mei Liu

Journal:

 

BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, ...

Last Updated: 22 Sep 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 44 free, full-text review articles on human participants. First 3 results:

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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Pathophysiology of carpal tunnel syndrome.
 

Author(s): Moutasem S Aboonq

Journal: Neurosciences (Riyadh). 2015 Jan;20(1):4-9.

 

Carpal tunnel syndrome (CTS) is the most common median nerve neuropathy, accounting for 90% of all neuropathies. Carpal tunnel syndrome presents in 3.8% of the general population, with a higher prevalence among women. There are several risk factors associated with CTS, including both ...

Last Updated: 29 Jan 2015

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Complex regional pain syndrome and acute carpal tunnel syndrome following radial artery cannulation: a neurological perspective and review of the literature.
 

Author(s): Reynaldo P Lazaro

Journal: Medicine (Baltimore). 2015 Jan;94(3):e422.

 

Complex regional pain syndrome (CRPS) associated with acute carpal tunnel syndrome (aCTS) developed in a 38-year-old right-handed man following radial artery cannulation (RAC) during the course of lumbar spine surgery. Inciting events and risk factors that might have led to these ...

Last Updated: 27 Jan 2015

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Symptoms, Diagnosis, and Treatment

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Clinical Trial Information This information is provided by ClinicalTrials.gov

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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Static Magnetic Therapy for Carpal Tunnel Syndrome
 

Status: Recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 17 Nov 2015

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