Carpal tunnel syndrome

Symptoms

Carpal tunnel syndrome usually causes a numb and tingling sensation in your hand. This is sometimes accompanied by pain symptoms as well. The symptoms are often located on the wrist side of the thumb, index finger, middle finger and ring finger or part of them. Over time, fine motor skills and strength may also be affected. Usually the symptoms are mainly present at night and lead to poor sleep. Certain daytime activities such as cycling or reading can also lead to these symptoms.

The condition is common but is more seen in people with diabetes, thyroid disease or rheumatoid arthritis. It can also occur frequently in pregnant women. Often, however, there are no underlying problems or conditions.

Diagnosis

Usually the diagnosis can be made as early as the consultation based on the patient's symptoms and the clinical examination by the doctor. If necessary, a nerve examination (EMG) may be requested to confirm the diagnosis and estimate the severity of the condition.

‍Treatment

Pain medication (anti-inflammatories), modification of activities or posture and/or a night splint can sometimes lead to improvement of symptoms. In the early stages of the condition, symptoms may be relieved by an injection of cortisone.

Eventually, surgery will often be necessary to get rid of the symptoms permanently. During this procedure, we give the nerve in the wrist canal more space. The procedure is done via hyperambulatory day surgery. After surgery, the goal is to return to normal hand movement as soon as possible. However, it is important that you take as much rest as possible for six weeks to recover optimally.