Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition where the median nerve becomes compressed as it passes through the carpal tunnel, a structure at the wrist level that houses the nerve and finger tendon sheaths. Symptoms include pain and numbness in the thumb, index, and middle fingers, as well as the part of the ring finger facing the thumb. In advanced stages, numbness and sensory impairments can extend to the entire palm and forearm. Patients often feel the need to shake their hands to relieve the sensation of nerve compression. Symptoms can worsen periodically and may even wake patients from sleep at night.

While clinical examination is important, the definitive diagnosis of carpal tunnel syndrome is made through an electrophysiological study, known as EMG. For mild to moderate cases, anti-inflammatory medications and wrist splints are effective treatments. However, for advanced stages, surgical treatment is required. A vertical incision is made at the wrist level to release the median nerve from its compression within the carpal tunnel. Following surgery, patients may need to use a wrist splint for one week. Most patients can return to work 10 days after surgery. In cases where both hands are affected, surgical treatment can be performed on each hand with a two-month interval.

For individuals who frequently use a mouse for long periods due to their work, it is recommended to use a supportive pad under the wrist to prevent carpal tunnel syndrome.