Carpal Tunnel Syndrome:
The carpel tunnel may be congenitally and anatomically smaller in some patients who develop compression under the transverse retinaculum. It is usually seen in females between the ages of 40 to 70 years.
Patients usually complain of aching pain the median nerve distribution in the hand (lateral 3½ fingers). Subsequently, many people complain pain in all fingers of the hand, especially in the night. When hand is kept hanging over the side of the bed, patient feels pain relief. Pain may radiate to forearm & upper arm but not above shoulder. No neck pain. Senses may get lost on the volar tip of the index and middle finger rather than thumb.
There are certain simple clinical tests to confirm nerve entrapment and can be carried out by pain specialist.
- Median nerve decompression by injecting local anesthetic with steroid around it, just before the nerve enters carpal tunnel.
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