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This article was co-written by Joshua Grahlman, PT, DPT, FAFS. Joshua Grahlman, PT, DPT, FAFS, is the founder and principal physician of Clutch PT + Performance, a private physical therapy clinic specializing in the treatment of sports and orthopedic injuries in New York City. With over ten years of experience, Grahlman specializes in the treatment of injuries, acute and chronic pain, athletic performance optimization, and post-surgery recovery. Grahlman earned a doctorate in physical therapy from the University of Cpumbia. He is one of several New York-based physiotherapists recognized as a Fellow in Applied Functional Science by the Gray Institute for Functional Transformation (GIFT). He is certified in active release and vertebral manipulation and is a TRX resistance trainer. Dr. Grahlman has spent his career treating athletes of all levels, from Olympic champions to amateur athletes. He advises on Triathlete, Men’s Health, My Fitness Pal and CBS News.
There are 9 references cited in this article that you can view at the bottom of the page.
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Carpal tunnel syndrome occurs when the median nerve, located between the palm and forearm, becomes tight or compressed. This syndrome can cause inflammation, pain, numbness, tingling, and a pinching sensation in the fingers, wrists, and arms. There are many causes of carpal tunnel syndrome such as an underlying medical condition, constant use of the wrist, trauma or wrist surgery. Diagnosis and treatment can help relieve symptoms of carpal tunnel syndrome. [1] X Trusted Source Mayo Clinic Go to Source
Steps
Diagnosing carpal tunnel syndrome at home
- Gender and age: Women are more prone to carpal tunnel syndrome than men, and the disease usually appears between the ages of 30 and 60.
- Occupation: Some jobs require constant wrist use, such as working in factories or assembly lines. These jobs often increase the risk of carpal tunnel syndrome.
- Underlying medical conditions: People with metabolic disorders, rheumatoid arthritis, menopause, obesity, thyroid disorders, kidney failure, or diabetes are at increased risk for carpal tunnel syndrome.
- Lifestyle: smoking, consuming a lot of salt, and being sedentary are also causes of carpal tunnel syndrome.
- Tingling in the hands, fingers, or wrists.
- Numbness in hands, fingers, or wrists.
- Wrist swelling.
- Pain in the hand, finger or wrist.
- Weak hands.
- Symptoms usually come on gradually.
- Initially, symptoms usually appear at night. But when the disease is more severe, symptoms will appear during the day.
- Symptoms will not improve over time (unlike with a temporary injury) and become progressively more severe.
- Sit at the table and place your elbows on the table.
- Bend your wrist as much as you can to increase carpal tunnel pressure.
- Hold this position for at least a minute.
- Another test is to put the backs of the hands together, fingers pointing downwards (like a reverse bow).
- You are likely to test positive for carpal tunnel syndrome if you have pain and itching in your hand, finger or wrist or numbness in your fingers, especially in the thumb, index finger and part of the middle finger.
- The Tinel Sign test is done by tapping the wrist and carpal tunnel with a finger or reflex hammer. Tingling sensation in fingers after tapping is considered positive for carpal tunnel syndrome.
- The Garo test is a procedure that temporarily increases pressure in the carpal tunnel by wrapping a blood pressure cuff on the upper arm or forearm. The sphygmomanometer that inflates between the systolic and diastolic blood pressure will prevent the vein from returning from the arm and increase the amount of blood in the arm. If symptoms appear later, you may be positive for carpal tunnel syndrome. However, this method should not be used if you are not comfortable using a blood pressure cuff.
- The arm elevation test is performed by raising the arms above the head for 2 minutes. If symptoms appear, you likely have carpal tunnel syndrome.
- The Durkan wrist compression test is to directly press on the carpal tunnel to increase pressure. Ask someone else or press the wrist yourself with your thumb. You may be positive for carpal tunnel syndrome if symptoms are present.
Diagnosis of carpal tunnel in hospital
- Remember that your doctor can make a better diagnosis if you describe it in detail and don’t miss any symptoms.
- Your doctor may refer you to a neurologist, surgeon, orthopedist, or rheumatologist if needed for diagnosis or treatment.
- Preliminary and visual assessment of the area to be diagnosed is required to guide further testing.
- At the hospital, your doctor may also help you perform the Phalen maneuver or other tests that help diagnose carpal tunnel syndrome.
- After ruling out the disease with a blood test, you may be asked to have imaging tests.
- X-rays are only used to aid in the diagnosis or to rule out other causes of pain (such as fractures and arthritis).
- Your doctor may do an ultrasound to show the structure of the median nerve in your hand.
- You may be given a mild pain reliever before your electromyography.
- In this test, two electrodes are placed in the hands and wrists. A slight jerk is sent along the median nerve to see if the electrical impulses in the carpal tunnel have slowed down.
- The test results will show the extent of nerve damage.
This article was co-written by Joshua Grahlman, PT, DPT, FAFS. Joshua Grahlman, PT, DPT, FAFS, is the founder and principal physician of Clutch PT + Performance, a private physical therapy clinic specializing in the treatment of sports and orthopedic injuries in New York City. With over ten years of experience, Grahlman specializes in the treatment of injuries, acute and chronic pain, athletic performance optimization, and post-surgery recovery. Grahlman earned a doctorate in physical therapy from the University of Cpumbia. He is one of several New York-based physiotherapists recognized as a Fellow in Applied Functional Science by the Gray Institute for Functional Transformation (GIFT). He is certified in active release and vertebral manipulation and is a TRX resistance trainer. Dr. Grahlman has spent his career treating athletes of all levels, from Olympic champions to amateur athletes. He advises on Triathlete, Men’s Health, My Fitness Pal and CBS News.
There are 9 references cited in this article that you can view at the bottom of the page.
This article has been viewed 3,971 times.
Carpal tunnel syndrome occurs when the median nerve, located between the palm and forearm, becomes tight or compressed. This syndrome can cause inflammation, pain, numbness, tingling, and a pinching sensation in the fingers, wrists, and arms. There are many causes of carpal tunnel syndrome such as an underlying medical condition, constant use of the wrist, trauma or wrist surgery. Diagnosis and treatment can help relieve symptoms of carpal tunnel syndrome. [1] X Trusted Source Mayo Clinic Go to Source
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