Carpel Tunnel Syndrome
defined as tenosynovitis of tendons of flexor digitorum superficialis and profundus in a common sheath ,tendons of flexor pollicis longus in other sheath and the median nerve.Carpel Tunnel Syndrome
Causes of Carpel Tunnel Syndrome :
- Inflammatory : eg.Rheumatic arthritis.
- Endocrine: hyroidism,diabetes,menopause,preganancy, etc.
- Metabolic: gout.
- Local: by crowding of space e.g. malunited Colles fracture, ganglion in carpal region osteoarthritis of carpal bones, wrist contusion, hematoma
Carpel Tunnel Syndrome Clinical Features
Stage 1 – Pain usually complaint characterize discomfort in hand history of morning stiffness in hand.
Stage 2 – Symptoms of tingling and numbness, pain, paraesthesia etc. are localized to areas supplied by median nerve.
Stage 3 – Patient complains of clumsiness in hand and impairment of digital function.etc.
Stage 4 –There is sensory loss in median nerve distribution area and obvious wasting of thenar muscles.
Carpel Tunnel Syndrome Physiotherapy Measures
- Thermotherapy : using ultrasound, SWD to relive pain.
- Exercises : Gentle relaxed passive movements, active assisted and active movements of wrist and fingers area indicated
- Splints : Carpal tunnel splint helps.