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Hello Dr.
Jiang: Thank you very much for your response to the inquiry in “#208083” and for your detailed explanation regarding "Carpal Tunnel Syndrome." I have greatly benefited from it! I would like to ask, my mother is currently pressing on the prominent bone area on the back of my right wrist with considerable force.
In your opinion, could this action potentially cause me to develop "Carpal Tunnel Syndrome" in my right wrist? Thank you, Dr.
Jiang.
Kris, 40~49 year old female. Ask Date: 2024/05/03
Dr. Jiang Junyi reply Neurology
Hello Kris,
You mentioned a protrusion of bone on the back of your right wrist.
I'm wondering if you are experiencing any tingling or numbness? The carpal tunnel is located on the inner side of the wrist and is not typically related to pressure on the back of the hand.
Carpal tunnel syndrome usually occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affecting the dominant hand, with symptoms worsening due to work activities.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and happiness.
Dr.
Jiang Junyi, Hualien Hospital/Taoyuan Hospital, cares about you.
Reply Date: 2024/05/03
More Info
Carpal Tunnel Syndrome (CTS) is a condition that arises when the median nerve, which runs through the wrist, becomes compressed or pinched. This nerve is responsible for sensation and movement in the thumb, index finger, middle finger, and part of the ring finger. The carpal tunnel is a narrow passageway in the wrist, surrounded by bones and ligaments, through which the median nerve and tendons pass. When pressure is applied to this area, it can lead to symptoms associated with CTS.
To address your question about whether hand pressure can cause Carpal Tunnel Syndrome, it is important to understand the mechanics of how this condition develops. While a single instance of significant pressure, such as your mother gripping your wrist tightly, is unlikely to cause CTS on its own, repeated or prolonged pressure on the wrist can contribute to the development of the syndrome over time. Factors such as repetitive wrist movements, prolonged flexion or extension of the wrist, and conditions that cause swelling (like arthritis or fluid retention) can all increase the risk of developing CTS.
In your specific case, if the pressure applied to your wrist was brief and did not result in immediate pain or discomfort, it is unlikely that this incident alone would lead to the onset of Carpal Tunnel Syndrome. However, if you have a history of wrist pain, numbness, or tingling, or if you engage in activities that require repetitive wrist motion, it may be worth monitoring your symptoms closely.
Common symptoms of Carpal Tunnel Syndrome include:
1. Numbness or Tingling: Often felt in the thumb, index, middle, and part of the ring finger. This sensation may worsen at night or after prolonged use of the hands.
2. Pain: Discomfort may radiate from the wrist up the arm or down into the fingers.
3. Weakness: Difficulty in gripping objects or performing fine motor tasks, such as buttoning a shirt or typing.
4. Clumsiness: A tendency to drop objects due to loss of coordination in the fingers.
If you experience any of these symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. Diagnosis typically involves a physical examination and may include nerve conduction studies to assess the function of the median nerve.
In terms of prevention and management, ergonomic adjustments can be beneficial. For example, using wrist supports, maintaining a neutral wrist position while typing, and taking regular breaks during repetitive tasks can help reduce the risk of developing CTS. If symptoms do arise, conservative treatments such as splinting, physical therapy, and corticosteroid injections may be recommended before considering surgical options.
In conclusion, while a single instance of hand pressure is unlikely to cause Carpal Tunnel Syndrome, it is essential to be mindful of any recurring symptoms and to take preventive measures if you engage in activities that put strain on your wrists. If you have concerns about your wrist health or experience any symptoms, seeking medical advice is the best course of action.
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