Carpal Tunnel Syndrome: Treatment and Daily Care Tips - Neurology

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Carpal Tunnel Syndrome


Hello Doctor: I would like to ask you about my mother (57 years old).
She recently underwent a nerve conduction study at Cheng Kung University Hospital and was diagnosed with carpal tunnel syndrome.
What further treatment options are available? What actions or dietary considerations should she be aware of in her daily life? Thank you!

Liu Bei, 20~29 year old female. Ask Date: 2009/03/25

Dr. Gao Chunde reply Neurology


If the condition is not severe, you can first look for the causes of median nerve compression in the wrist and correct them, such as overuse, improper use, localized swelling and inflammation, or injuries near the wrist.
You can perform wrist stretching exercises (which involve pulling the palm side open) to avoid flexing downwards.
Additionally, you may visit a rehabilitation specialist for splinting and physical therapy.
Medications that reduce swelling, inflammation, and diuretics can be taken, but their effectiveness may be limited.
Some physicians may administer corticosteroid injections.
If the condition is severe, the doctor may directly recommend surgical treatment.

Reply Date: 2009/03/25

More Info


Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve, which runs through the wrist, becomes compressed. This can lead to symptoms such as numbness, tingling, and weakness in the hand and fingers. Given your mother's recent diagnosis, it's essential to understand both treatment options and daily care tips to manage her condition effectively.


Treatment Options for Carpal Tunnel Syndrome
1. Conservative Management:
- 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 the first line of treatment.

- Activity Modification: Identifying and modifying activities that exacerbate symptoms is crucial. This may include adjusting the ergonomics of her workspace, taking frequent breaks, and avoiding repetitive wrist movements.

2. Physical Therapy: A physical therapist can provide exercises to strengthen the wrist and hand muscles, improve flexibility, and reduce symptoms. They may also use modalities like ultrasound or electrical stimulation.

3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and relieve pain. In some cases, corticosteroid injections may be recommended to decrease swelling and alleviate symptoms.

4. Surgery: If conservative treatments fail to provide relief after several months, surgical intervention may be necessary. The procedure, known as carpal tunnel release, involves cutting the ligament that is pressing on the median nerve, thereby relieving the pressure.


Daily Care Tips
1. Ergonomics: Ensure that her workstation is ergonomically designed. This includes keeping her wrists straight while typing, using a chair that supports her back, and positioning her computer screen at eye level.

2. Frequent Breaks: Encourage her to take regular breaks during repetitive tasks. Simple hand and wrist stretches can help alleviate tension.

3. Warm Compresses: Applying warm compresses to the wrist can help improve blood flow and reduce stiffness.

4. Dietary Considerations: While there is no specific diet for CTS, maintaining a healthy diet rich in anti-inflammatory foods (like fruits, vegetables, whole grains, and omega-3 fatty acids) can be beneficial. Staying hydrated and avoiding excessive caffeine and alcohol may also help.

5. Weight Management: If applicable, maintaining a healthy weight can reduce pressure on the wrist and improve overall health.

6. Sleep Position: Encourage her to avoid sleeping on her wrists or in positions that may exacerbate symptoms. A wrist brace during sleep can help maintain a neutral position.

7. Monitor Symptoms: Keeping a symptom diary can help identify triggers and track the effectiveness of treatments. If symptoms worsen or new symptoms arise, she should consult her healthcare provider.


Conclusion
Carpal Tunnel Syndrome can significantly impact daily life, but with appropriate treatment and lifestyle modifications, many individuals find relief from their symptoms. It's essential for your mother to work closely with her healthcare provider to determine the best course of action tailored to her specific needs. Regular follow-ups and adjustments to her treatment plan may be necessary as her condition evolves. Encourage her to stay proactive about her health and to communicate openly with her medical team about any concerns or changes in her symptoms.

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