Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition of the hand and arm which causes numbness, tingling along with other symptoms. The most common cause it occurs is due to the median nerve being pinched in the wrist. The median nerve runs from the forearm through a passageway in the wrist (carpal tunnel) to the hand. Common alterations in balance of body fluids during pregnancy increase the pressure within the carpal tunnel, and may resolve on its own after pregnancy. The prevalence of carpal tunnel syndrome in pregnancy may be as high as 62% with these most common symptoms:

  • Numbness and tingling of:
    • Thumb
    • Index finger
    • Middle finger
    • Radial half of the ring finger
  • Burning dysesthetic wrist pain
  • Loss of grip strength
  • Loss of dexterity
  • Proximal radiation along:
    • Volar foramen
    • Medial arm
    • Shoulder.

These symptoms may be worsened by:

  • Night time
  • Forceful activity
  • Extreme wrist position.

Diagnosing carpal tunnel syndrome is done so with very close testing and high specificity with an in-depth physical and medical history. It is most common in women in their third trimester, and most all women will show some symptoms. Treatments include:

  • Activity modification
  • Splinting
  • Controlling edema
  • Steroid injections in severe cases.
Figure 2 – Anatomy of carpal tunnel.

Figure 2 – Anatomy of carpal tunnel.

 

 

Figure 3 – Some helpful exercises.

Figure 3 – Some helpful exercises.

Figure 4 – Areas of numbness and pain.

Figure 4 – Areas of numbness and pain.

Figure 5 – Sample protocol of what the doctor will order.

Figure 5 – Sample protocol of what the doctor will order.

 

Women residing in Denver should visit the Denver Holistic Center for more information if they are pregnant and feel any of these symptoms.