In the human wrist there is a sheath of tough
connective tissue which surrounds and protects the median nerve and tendons
that attach muscles to the wrist and hand bones. The Carpal Tunnel is the space
above ane below this sheath and the bones making up the carpal bones in the
wrist and hand.
The term 'Carpal Tunnel' is also used quite commonly
to refer to 'Carpal Tunnel Syndrome' which is a condition where the median
nerve is pinched within the tunnel and causes pain and/or numbness of the
wrist/hand, once thought to be a result of repetitive motion such as painting
or typing.
Carpal Tunnel Syndrome is a medical condition more
common in women than it is in men, and has a peak incidence around age 50
though it can occur in any adult.
What are the Symptoms of Carpal Tunnel?
The first symptoms of Carpal Tunnel usually appear
when trying to sleep. Symptoms range from a burning, tingling numbness in the
fingers, especially of the thumb and index and middle fingers to difficulty
gripping and making a fist. Inability to firmly grasp and dropping things can
become an issue. If left untreated the symptoms can progress, and increasing
pain intensity can further restrict hand functionality.
In the early stages of Carpal Tunnel, individuals
often mistakenly blame the tingling numbness on their sleeping position,
thinking their hands have had restricted circulation and are simply falling
asleep.
It is important to note that unless numbness is one
of the predominant symptoms, it is unlikely the symptoms are primarily caused
by Carpal Tunnel Syndrome. In effect, pain of any type, location, or severity
with the absence of significant numbness, is not likely to fall under this
diagnosis.
Carpal Tunnel Syndrome is known as a "hidden
disability" because people can do some things with their hands and appear
to have normal hand function. However, despite these appearances, those
afflicted often live with severely restricted hand activity due to the pain.
What Causes Carpal Tunnel? The jury is still out on
this one. Most cases of Carpal Tunnel are idiopathic. Many people with Carpal
Tunnel Syndrome have gradual increasing symptoms over time. A common factor in
developing Carpal Tunnel symptoms is increased hand use or activity.
In summary, Carpal Tunnel Syndrome can easily be
aggravated by activity. People that develop symptoms will frequently blame this
on their work exposure, even though this exposure may indeed have little to do
with the root cause of their Carpal Tunnel Syndrome.
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