![]() ![]() Carpal tunnel symptoms may not completely go away after surgery, especially in severe cases. It may take several months for strength in the hand and wrist to return to normal. The numbness and tingling may disappear quickly or slowly. Following surgery, soreness around the incision may last for several weeks or months. Incisions for this surgery may vary, but the goal is the same: to enlarge the tunnel and decrease pressure on the nerve. Pressure on the nerve is decreased by cutting the ligament that forms the roof (top) of the tunnel on the palm side of the hand. When symptoms are severe or do not improve, surgery may be needed to make more room for the nerve. A steroid injection into the carpal tunnel may help relieve the symptoms by reducing swelling around the nerve. ![]() Wearing wrist splints at night may relieve the symptoms that interfere with sleep. Identifying and treating medical conditions, changing the patterns of hand use, or keeping the wrist splinted in a straight position may help reduce pressure on the nerve. Diagnosis is suggested by symptoms and signs and is confirmed by nerve conduction velocity testing. Symptoms include pain and paresthesias in the median nerve distribution. Symptoms may often be relieved without surgery. Carpal tunnel syndrome is compression of the median nerve as it passes through the carpal tunnel in the wrist. Thyroid conditions, rheumatoid arthritis, and diabetes also can be associated with carpal tunnel syndrome. Fluid retention during pregnancy can cause swelling in the tunnel and symptoms of carpal tunnel syndrome, which often go away after delivery. Pressure on the nerve can happen several ways: swelling of the lining of the flexor tendons, called tenosynovitis joint dislocations, fractures, and arthritis can narrow the tunnel and keeping the wrist bent for long periods of time. (music) Carpal tunnel syndrome is actually a compression of one of the large nerves of your arm at the level of the wrist and this can cause numbness, tingling, a burning pain or weakness of your fingers as this nerve controls some of the motion of your hand. When the pressure from the swelling becomes great enough to disturb the way the nerve works, numbness, tingling, and pain may be felt in the hand and fingers. Carpal tunnel syndrome happens when pressure builds up from swelling in this tunnel and puts pressure on the nerve. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Symptoms may include numbness, tingling, and pain in the arm, hand, and fingers. In effect, it is a pinched nerve at the wrist. Carpal tunnel syndrome (CTS) is a condition brought on by increased pressure on the median nerve at the wrist. ![]()
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