Do your hands go to sleep? What is carpal tunnel and what is the treatment

Oct 19 , 2021


Reinaldo Garcia

Do your hands go to sleep? What is carpal tunnel and what is the treatment

If you are one of those who work long hours with the computer, you may have noticed an annoying tingling in your hands or even that you feel numb. These are symptoms that are also repeated in those who perform repetitive movements with hands and / or wrists every day many times, when performing mechanical work. Be careful, because these sensations can be the beginning of a syndrome known as carpal tunnel that, in addition to pain, can limit the use of the hands.

Carpal tunnel syndrome is a frequent pathology, due to the proliferation of jobs that require the use of computers, which is produced by compression of the median nerve as it passes through a canal formed by the carpal bones and the carpal annular ligament. The median nerve is the nerve located in the wrist, which allows sensitivity and movement to different parts of the hand and the carpal tunnel is a very narrow passage through which we find ligaments, nerves, tendons and bones.
the symptoms of this syndrome appear when "the median nerve is compressed, with the consequent lack of vascularization, in an inflexible anatomical structure, delimited by the annular carpal ligament." And it is that, after the tingling and discomfort in some areas of the hand, pain in the wrist and palm of the hand, lack of sensitivity in some fingers of the hand, and even cause the weakening of some muscles.

How is carpal tunnel syndrome diagnosed?
The diagnosis of carpal tunnel syndrome is made through a physical examination and can be complemented with radiological tests and an electromyogram, which allows studying the nerve activity of the muscles, in this case of the arm. The diagnosis is undoubtedly clinical and the determining test is electromyography, which will also inform us of the level of involvement.

How is carpal tunnel syndrome treated?
Regarding treatment, start with a conservative treatment before reaching surgery, which is the most interventional approach. You can start by correcting and changing postures, while undergoing a treatment with anti-inflammatories. The use of vitamin B complexes seems to improve symptoms. The next step is infiltration with corticosteroids, also as a treatment prior to decompression surgery, because it allows the nerve to be partially released and, on occasions, this together with a change in habits and / or postural correction is sufficient. If motor symptoms appear, surgery to free the median nerve should be considered

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