Mom's Hand Syndrome: Common Hand and Wrist Issues - Orthopedics

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Understanding the symptoms your mother is experiencing is crucial in determining the right course of action. Based on the description provided, it seems she may be suffering from a condition commonly known as carpal tunnel syndrome (CTS). This condition occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Symptoms typically include numbness, tingling, and pain in the fingers and hand, particularly affecting the thumb, index, middle, and part of the ring finger. The symptoms can worsen at night and may lead to difficulties in performing daily tasks.

Given your mother's age and her occupation, which likely involves repetitive hand movements and gripping, she is at an increased risk for developing CTS. The fact that she has been experiencing these symptoms for over three months and that they have affected her sleep indicates that this is a persistent issue that should not be overlooked.

In terms of treatment, there are several non-surgical options that can be considered before resorting to surgery. Here are some recommendations:
1. Wrist Splinting: Wearing a wrist splint, especially at night, can help keep the wrist in a neutral position, reducing pressure on the median nerve. This is often one of the first lines of treatment for CTS.

2. Activity Modification: It may be beneficial for your mother to modify her activities to reduce strain on her hands and wrists. This could include taking frequent breaks during tasks that require repetitive hand movements and ensuring proper ergonomics while working.

3. Physical Therapy: A physical therapist can provide exercises to strengthen the muscles of the hand and wrist, improve flexibility, and reduce symptoms. They may also use modalities such as ultrasound or electrical stimulation to alleviate pain.

4. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and relieve pain. If her symptoms are severe, a doctor may consider corticosteroid injections to reduce swelling and pressure on the nerve.

5. Alternative Therapies: Some patients find relief through acupuncture or chiropractic care, although these should be approached with caution and discussed with a healthcare provider.

6. Education and Awareness: Educating your mother about her condition and encouraging her to communicate openly about her symptoms can help her feel more empowered in managing her health.

If these conservative treatments do not provide relief after a few months, it may be necessary to consult with a hand surgeon to discuss surgical options. Surgery, typically performed as an outpatient procedure, involves cutting the ligament that is pressing on the median nerve, which can provide significant relief for many patients.

In addition to carpal tunnel syndrome, it is also important to consider other potential conditions that could be contributing to her symptoms, such as tendinitis or arthritis. A thorough evaluation by a healthcare professional, including a physical examination and possibly nerve conduction studies, can help clarify the diagnosis.

In conclusion, while your mother’s symptoms are concerning, there are multiple avenues for treatment that do not involve surgery initially. Encouraging her to seek medical advice and explore these options can lead to improved quality of life and symptom management. It is essential to address these issues sooner rather than later, especially since they are affecting her sleep and daily activities.