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International Journal of Orthopedic Nursing and Practices Review Article

Managing Carpal Tunnel Syndrome: Insights into Symptoms and Relief

  1. Zaina Jose Elizabeth Department of Community Health Nursing, Nehru College of Nursing
  2. Regina P.F. Department of Obstetrical and Gynecological Nursing, Nehru College of Nursing
  3. Rose Jose Department of Community Health Nursing, Nehru College of Nursing

Abstract

Carpal tunnel syndrome (CTS) is a prevalent and concerning issue affecting the wrist and hand, arising from the compression of the median nerve within the carpal tunnel. This compression results in a spectrum of distressing symptoms, including numbness, tingling, weakness, and discomfort, particularly in the thumb, index, and middle fingers. Despite its frequent association with repetitive hand movements and prolonged use of computers or handheld devices, CTS can stem from various factors, encompassing genetic predisposition, underlying health conditions, and occupational risks. The abstract aims to delve into the management of CTS, offering insights into its symptoms and potential relief strategies. Prompt recognition and comprehension of symptoms are crucial for effectively managing this syndrome. Diagnostic measures, including clinical assessments and nerve conduction studies, aid in confirming the diagnosis and initiating appropriate interventions. Therapeutic approaches for managing CTS span a spectrum from conservative to surgical measures, depending on the severity of symptoms and the patient’s condition. Non-invasive methods such as wrist splinting, ergonomic adjustments, and lifestyle modifications often provide initial relief. Additionally, physical therapy and targeted exercises aim to alleviate discomfort and enhance wrist flexibility and strength. In cases refractory to conservative treatments, surgical interventions like carpal tunnel release may be considered to alleviate pressure on the median nerve, thereby mitigating symptoms and restoring hand function. This abstract strives to provide a comprehensive understanding of CTS management, emphasizing the importance of early recognition, lifestyle modifications, and a multi-disciplinary approach involving healthcare professionals. Educating individuals about preventive measures and ergonomic practices is paramount in minimizing the impact of CTS on daily activities and improving the overall quality of life.

Keywords

References (10)

  1. American Academy of Orthopaedic Surgeons (AAOS). (2023). Carpal Tunnel Syndrome - Clinical Practice Guideline (CPG). [online] American Academy of Orthopaedic Surgeons. Available from: https://www.aaos.org/quality/quality-programs/upper-extremity-programs/carpal-tunnel-syndrome/
  2. Mayo Clinic. (2022). Carpal tunnel syndrome - Diagnosis and treatment. [online] Mayo Clinic. Available from: https://www.mayoclinic.org/diseases-conditions/carpal-tunnel-syndrome/ diagnosis-treatment/drc-20355608
  3. National Institute of Neurological Disorders and Stroke (NINDS). (2023). Carpal Tunnel Syndrome. [online]. U.S. Department of Health and Human Services. National Institutes of Health. Available from: https://www.ninds.nih.gov/sites/default/files/migrate-documents/carpal_tunnel_ pdf.
  4. Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH. Rheumatology. 7th edition. Philadelphia, PA: Elsevier; 2019.
  5. Atroshi I. Prevalence of Carpal Tunnel Syndrome in a General Population. JAMA. 1999;282(2):153. doi:10.1001/jama.282.2.153
  6. Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. The Lancet Neurology. 2016;15(12):1273-1284. doi:10.1016/s1474-4422(16)30231-9
  7. Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J. 2008 Jan;77(1):6–17.
  8. Atroshi I, Gummesson C, Ornstein E, Johnsson R, Ranstam J. Carpal tunnel syndrome and keyboard use at work: A population‐based study. Arthritis & Rheumatism. 2007;56(11):3620-3625. doi:10.1002/art.22956
  9. Hou WH, Hsu JH, Lin CH, Liang HW. Carpal tunnel syndrome in male visual display terminal (VDT) workers. American Journal of Industrial Medicine. 2006;50(1):1-7. doi:10.1002/ajim.20396
  10. Atroshi I, Gummesson C, Johnsson R, Ornstein E. Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome. BMC Musculoskeletal Disorders. 2003;4(1). doi:10.1186/1471-2474-4-9