سندروم تونل کارپال

 

 

In this video, I will explain about carpal tunnel syndrome.
Wrist canal stenosis or carpal tunnel syndrome is a condition in which the median nerve, which is responsible for the tactile sensation of the thumb, index, middle and half of the ring finger, is pressed  in the carpal tunnel, causing tingling and paresthesia in these fingers. 
In general, wrist canal stenosis is several times more common in women than men.
Occupations that require pressure or a blow to the palm are more susceptible to the disease.  The shape and anatomy of the hand are also effective.  Those who have short bones in the palm and the palm area is obese and plump are more prone to this disease.
Underlying diseases such as hypothyroidism, diabetes and rheumatic diseases increase the risk of this syndrome. It is also more common in women who are pregnant due to increased body volume and fat accumulation.
In terms of staging, the disease is divided into three mild, moderate and severe stages.
In the severe stage, the tingling and pain is so severe that it disturbs the patient's sleep and makes it difficult to do delicate tasks.  For example, sewing, washing dishes, and even picking up the phone and talking for a few minutes can cause severe numbness and tingling in the fingers so that the person is no longer able to continue the activity.
In the moderate stage, the symptoms are not so severe, however, doing daily activities such as housework, washing dishes and peeling fruits and chopping vegetables is problematic for the patient.
In the mild stage, it occurs only occasionally and in some cases tingling and is not permanent.
To diagnose the disease and its severity, examination by a doctor is helpful and some tests and examinations are performed in the office.
Electrodiagnostic tests such as nerve and muscle electrodiagnostic studies can also show the severity of the disease.
If the symptoms are very severe and a sign of tightness and high pressure on the nerve, it is better to have surgery faster.  Otherwise, it will lead to permanent atrophy and weakness of the thenar muscles, and these changes may be irreversible despite subsequent surgery.
If the disease is mild to moderate, medical and rehabilitation treatments, the use of  splints, and limiting some strenuous activity may help with treatment and require no further surgery.
In cases where the disease is caused by a number of other diseases, such as hypothyroidism or diabetes, treatment of the underlying disease can also help treat wrist canal stenosis.
If the disease has developed in a pregnant woman, medical treatments and the use of appropriate splints and massage and stretching exercises until the end of the pregnancy are helpful, and in many cases the symptoms will improve after the end of the pregnancy.
Surgery may be needed if the symptoms are severe or do not respond well to medical treatment.
It is better to have the surgery performed by a hand surgeon, because the surgery on the nerves require patience, accuracy and the use of a microscope to perform the surgery as finely as possible.
Surgery can also be performed under local anesthesia and does not necessarily require general anesthesia.
About two weeks after surgery, daily routine work is unobstructed, but if a person has heavy work, it takes about a month to be able to return to that work.