![]() ![]() Some people experience symptoms that progress. The basic principle of surgery is to increase the volume of the carpal tunnel by dividing transverse carpal ligament to release the pressure on the median nerve. This can feel like: sharp, shooting pains pins and needles an electric shock a burning sensation Symptoms vary greatly depending on each individual. However, in moderate to severe cases, surgery is the only treatment that provides cure. The patient with mild symptoms of CTS can be managed with conservative treatment, particularly local injection of steroids. The diagnosis of CTS should be based on history, physical examination and results of electrophysiological studies. However, they are also associated with false positive and false negative results. The gold standard test is nerve conduction studies. Over time, the numb feeling may become constant. This sensation may travel from your wrist up your arm. Sensations of tingling or numbness may be felt in your fingers or hand, usually the thumb and index, middle or ring fingers. There are several physical examination tests that will help in the diagnosis of CTS but none of these tests are diagnostic on their own. Symptoms of carpal tunnel syndrome usually start gradually and can occur at any time. ![]() The classic symptoms of CTS include nocturnal pain associated with tingling and numbness in the distribution of median nerve in the hand. Symptoms include numbness, pins and needles, and pain (particularly at night). Carpal tunnel syndrome (CTS) is an entrapment neuropathy caused by compression of the median nerve as it travels through the wrists carpal tunnel. The risk of CTS is high in occupations involving exposure to high pressure, high force, repetitive work, and vibrating tools. Occupational CTS is uncommon and it is essential to exclude all other causes particularly the intrinsic factors such as obesity before attributing it to occupation. Although several occupations have been linked to increased incidence and prevalence of CTS the evidence is not clear. In the majority of patients the exact cause and pathogenesis of CTS is unclear. Carpal tunnel syndrome (CTS) is a condition where pressure on the median nerve as it passes through a narrow tunnel, into the hand, results in pain, tingling. Carpal tunnel syndrome is one of the most common peripheral neuropathies. ![]()
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