Carpal Tunnel Syndrome

• Carpal Tunnel Syndrome (CTS) occurs when the median nerve at the wrist is compressed by thickened flexor sheath, skeletal encroachment, edema or soft tissue mass
• Carpal Tunnel Syndrome (CTS) it is commonly due to repetitive hand activities
• Carpal Tunnel Syndrome Clinical Manifestion

  • (+) Tinels sign - tingling sensation on percussion of inner wrist
  • (+) Phalew's sign - tingling sensation on holding the wrist in flexion for few minutes
  • Pain from the wrist to the shoulder
  • Fingers affected: Thumb, index, and middle
  • Numbness, paresthesia, weak grip of hands
• Carpal Tunnel Syndrome Management

  • Rest and splint the affected wrist
  • AVOID repetitive flexion of the wrist
  • NSAIDs as prescribed - for pain
  • Injections: Carpal canal cortisone
  • Surgical release of transverse carpal ligament