{"id":66,"date":"2021-05-28T19:01:33","date_gmt":"2021-05-28T19:01:33","guid":{"rendered":"https:\/\/msapc.managed3.brouser.net\/hand-center\/?page_id=66"},"modified":"2021-12-30T18:12:35","modified_gmt":"2021-12-30T18:12:35","slug":"carpal-tunnel-syndrome","status":"publish","type":"page","link":"https:\/\/msapc.com\/hand-center\/hand-conditions\/carpal-tunnel-syndrome\/","title":{"rendered":"Carpal Tunnel Syndrome"},"content":{"rendered":"<h3>Definition<\/h3>\n<p>Compressive neuropathy (damage\/dysfunction) of the median nerve within the carpal tunnel.<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/ztS6WXZRntA\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/YsC5cRkUmVI\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Symptoms<\/h3>\n<ul>\n<li>Numbness, tingling, pruritus (itching) and paresthesia (pins-and-needles) mostly at night but can progress to daytime symptoms.<\/li>\n<li>Typically gradual in onset and includes the thumb, index, long and thumb side of ring finger.<\/li>\n<li>Severe and untreated can result in loss of temperature sensation and thumb weakness.<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/GcuomDqjsyg\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Pathology<\/h3>\n<ul>\n<li>Many factors can be implicated in compression of the median nerve.\u00a0 It can be acute or chronic (high-energy trauma or low-energy repetitive trauma).<\/li>\n<li>Genetics may predispose a person to have a smaller, narrow carpal tunnel.<\/li>\n<li>Other predisposing factors may include hypothyroidism, obesity, rheumatoid arthritis, diabetes, and pregnancy.<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/UeLucs15sF0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Treatment<\/h3>\n<p><strong>Non-surgical<\/strong><\/p>\n<ul>\n<li>Rest, activity modifications, night splint, ice and NSAIDs (ibuprofen)<\/li>\n<li>Occupational\/Physical Therapy<\/li>\n<li>Corticosteroid injection<\/li>\n<\/ul>\n<p><strong>Surgical<\/strong><\/p>\n<ul>\n<li>Indicated when non-operative treatment fails.<\/li>\n<li>The transverse carpal ligament (a.k.a. flexor retinaculum), which makes up the \u201croof\u201d of the tunnel, is arthroscopically incised (released).<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/FSlg93R4Bxs\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/yb_jyjELFXU\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Definition Compressive neuropathy (damage\/dysfunction) of the median nerve within the carpal tunnel. Symptoms Numbness, tingling, pruritus (itching) and paresthesia (pins-and-needles) mostly at night but can progress to daytime symptoms. Typically gradual in onset and includes the thumb, index, long and thumb side of ring finger. Severe and untreated can result in loss of temperature sensation&#8230;<\/p>\n","protected":false},"author":1,"featured_media":1111,"parent":64,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"templates\/conditions.php","meta":{"footnotes":""},"class_list":["post-66","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Carpal Tunnel Syndrome - MSA Hand Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/msapc.com\/hand-center\/hand-conditions\/carpal-tunnel-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Carpal Tunnel Syndrome - MSA Hand Center\" \/>\n<meta property=\"og:description\" content=\"Definition Compressive neuropathy (damage\/dysfunction) of the median nerve within the carpal tunnel. Symptoms Numbness, tingling, pruritus (itching) and paresthesia (pins-and-needles) mostly at night but can progress to daytime symptoms. Typically gradual in onset and includes the thumb, index, long and thumb side of ring finger. 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