Carpal tunnel syndrome (CTS) is a condition that, although common, can become a burden for those who have it. This disease occurs when the median nerve, located in the wrist, becomes trapped under pressure. What begins as a simple discomfort can transform into a series of symptoms that make daily life difficult, compromising the functionality of the hand.
From the Hospital Clínic Barcelona they warn that one of the first signs of CTS is a tingling in the hand that usually appears at night and is often intense enough to interrupt sleep. It is common for patients to wake up with their hand completely asleep and have to move it to relieve that sensation. This is just the beginning of a problem that, if not treated in a timely manner, can worsen. Over time, prolonged compression of the median nerve can cause loss of sensation in the fingers, muscle atrophy, and a noticeable decrease in hand strength. Patients often drop objects involuntarily, which is a clear symptom that the nerve is being affected by constant pressure within the carpal canal.
CTS is the most common nerve compression, affecting between 1% and 7% of the population. Although it can occur in anyone, it is more common in women, especially between 40 and 60 years old. In addition, it can affect the dominant hand more, except in some cases in which the syndrome manifests itself in both hands.
This condition is closely related to activities that require repetitive movements of the hand or wrist, such as factory work or prolonged use of computers. Diseases such as rheumatoid arthritis, diabetes or previous injuries to the wrist can also increase the risk of developing it. Fortunately, the diagnosis of CTS is usually relatively simple due to its characteristic symptoms. However, a thorough physical evaluation is essential to confirm the condition.
The sooner you allow yourself to be operated on, the better, because success is assured and you will be very grateful. All those discomforts you have will disappear.
Treatment for CTS depends on the severity of the symptoms. In the initial stages, a night splint may be enough to reduce numbness and tingling. However, in more advanced cases, surgery may be necessary to release pressure on the median nerve. This intervention, generally outpatient, involves a small incision in the palm of the hand to cut the ligament that is compressing the nerve. During the postoperative period, it is recommended to move the fingers as soon as possible to promote a quick recovery. The bandage is removed within seven to ten days, at which time the wound is evaluated and the stitches are removed.
Josep, a patient at the Hospital Clínic Barcelona who underwent surgery, shares his experience and highlights the safety of the intervention: “The sooner you allow yourself to be operated on, the better, because success is assured and you will be very grateful. All those discomforts you have will disappear,” he advises.
Although there are no guaranteed methods to prevent carpal tunnel syndrome, several recommendations can be followed to avoid narrowing the space in the carpal canal and protect the nerve from possible injury. The professionals at the Rehabilitation Service at the Hospital Clínic Barcelona recommend keeping the wrist in a neutral position, avoiding both excessive flexion and extension. The use of ergonomic cushions or keyboards can be of great help, especially during long work days, experts explain.
Additionally, incorporating regular stretching and massage to the affected area can help relieve muscle tension and prevent the onset of symptoms. For those who play racquet sports, it is essential to use handles that are wide enough to avoid unnecessary pressure on the wrist.
Carpal tunnel syndrome does not have to be a sentence of pain and limitation. With early diagnosis and proper treatment, it can be managed effectively, while taking daily preventive measures can make the difference between a limited life and a full life. Maintaining the health of our hands is key to continuing with our daily activities without interruptions.
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