Dr. Ebraheim’s educational animated video describes Wrist Pain, Carpal Tunnel, anatomy of the Wrist .
there are eight carpal bones of the wrist that fit into a shallow socket formed by the bones of the forearm.
Carpal tunnel syndrome
Pressure placed on the median nerve due to thickening of the transverse carpal ligament.
Thenar atrophy is commonly associated with severe carpal tunnel syndrome.
Carpal tunnel syndrome can occur during pregnancy since the swelling brought on by pregnancy may compress the median nerve in the hand, causing the fingers to feel numb. These symptoms typically go away after delivery of the baby.
Common causes of CTS include:
•Obesity
•Hypothyroidism
•Arthritis
•Diabetes
•Trauma
•Repetitive work (typing, lifting)
•Vibration
Carpal tunnel syndrome can lead to numbness, tingling or weakness in the hand and fingers. The numbness usually occurs at night because we tend to sleep with our wrists flexed.
The Tinel’s test is used to determine symptoms of carpal tunnel syndrome. The test is considered positive if symptoms of tingling worsen while tapping on the median nerve at the wrist.
The Phalen's maneuver is a diagnostic test performed to determine if the patient has carpal tunnel syndrome. The back of the hands are pressed together, compressing the nerve, which may cause symptoms of carpal tunnel syndrome.
Treatment includes
•Anti-inflammatory medication
•Splint
•Injections
•Carpal tunnel release:
performed by cutting through the transverse carpal ligament.
Carpal tunnel release allows the median nerve to pass freely through the tunnel to receive sensations from the thumb, index, and middle fingers of the hand. This is similar to a tunnel being opened or widened so a large truck can pass through.
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