$Unique_ID{BRK00340}
$Pretitle{Musculoskeletal System and Connective Tissue}
$Title{Carpal Tunnel Syndrome}
$Subject{carpal tunnel carpentry wrist pain}
$Volume{M-18}
$Log{
The Wrist*0006502.scf}

Copyright (c) 1991   Tribune Media Services, Inc.


Carpal Tunnel Syndrome


------------------------------------------------------------------------------

QUESTION:  I thought to use some spare time in a useful way, and returned to
my favorite hobby of carpentry, only to develop a painful wrist, and a burning
feeling in my fingers.  My physician has made a diagnosis of  "Tunnel
Syndrome" but I need some explanations.  Will you please discuss this disease?

------------------------------------------------------------------------------

ANSWER:  Both your history and the description of your complaints make the
diagnosis of "Carpal Tunnel Syndrome" a most likely one.  The condition is a
common and painful one that affects people in their 50's and 60's most often,
and usually is seen in women, more often than men.  It is caused by pressure
on the median nerve which passes through a structure, called the "carpal
tunnel" which is formed by the bones of the wrist (carpal bones) and a tough,
fibrous ligament which attaches to these bones.  The median nerve carries
impulses to the muscles that control the action of the thumb and sensations
from the thumb, index and middle finger, and half of the ring finger.  After
unusual or unaccustomed activity of a repetitive nature, like using a hammer,
the symptoms of this condition may develop.  Although your history is typical,
some testing is necessary to assure the diagnosis, and help direct the
therapy.  A test that measures the speed of nerve impulses in the median nerve
(electromyography) can confirm the diagnosis with great accuracy.  You will
have to give up your hobby for a while, and probably wear a splint to provide
support to your wrist for as long as three weeks.  Your physician may choose
to inject a cortisone like steroid into the carpal tunnel, or attempt to
reduce the inflammation with oral medications, such as non steroidal anti
inflammatory drugs (NSAID's). Vitamins (B6) are sometimes of help as well.  If
these treatments do not help after a 6 month period, or if the condition
worsens, a surgical procedure the cuts the tunnel open, may be necessary.  The
treatment offers almost immediate relief of the pain and is a permanent cure.
ÿ
----------------

The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
