Carpal tunnel syndrome (otherwise it is calledtunneling carpal syndrome) is a fairly common problem of modern mankind. The thing is that this pathology has a direct effect on the work of the wrist and the wrist itself. In this article, we will take a closer look at this ailment, its primary symptoms and the main methods of treatment.
The wrist, as is known, is surrounded by numerousbundles of fibrous tissue. It plays the role of a supporting function for the joint itself. The space formed between the fibrous areas of the tissue and directly the bone parts is called the carpal tunnel.
The median nerve, namely, it passes through allwrist, provides sensitivity of the large, middle and index fingers on the arm. Swelling or changing the position of the tissues in this area can lead to squeezing, as well as irritation of this nerve. That is why neurologic symptoms are the most common.
Thus, carpal tunnel syndrome isOne of the types of so-called tunnel neuropathies, characterized by the defeat of peripheral nerves as a result of their constant squeezing and traumatization.
Initially, carpal tunnel syndromemanifested in the form of a sensation of constant tingling and burning in the area of the large, medium and even ring fingers. Some patients complain of pain. Most often it is aching, it can spread to the forearm. Immediately after awakening, some feel the numbness of the hand, which is accompanied by a loss of pain sensitivity.
If the hand is lowered down and slightly movedfingers, then the discomfort very quickly passes. However, he should be on his guard. Experts recommend in such a situation without delay to seek advice to exclude the syndrome of the carpal tunnel.
Симптомы при отсутствии квалифицированного treatment soon again make itself felt. As the pathology progresses, various motor disturbances appear. It becomes difficult for the patient to hold in his hand any small objects, the force of capture decreases, an inaccuracy appears in the movements involving the brush.
Very often there are clinical manifestationsdisturbance of microcirculation of the affected area in the form of blanching of the skin, increase / decrease in sweating in this area. As a consequence, there is a deterioration in nourishment of the skin and nails, which is accompanied by a change in their appearance.
Thus, it becomes clear that it should not beto disregard the syndrome of the carpal canal. Symptoms described above, act in this case in the role of anxiety bells. If the patient does not seek help from a doctor, the likelihood of complications increases.
The reason that provoked this state, asthe rule is established during the examination of the patient and studying the characteristics of his lifestyle (anamnesis). Very often the diagnosis of the syndrome is just this and is limited.
In some cases, experts additionallyprescribe a flexion and extension test, Tinel test, X-ray, MRI, ultrasound and electromyography. The last test allows you to assess the ability of muscles to constantly reduce under the influence of electrical impulses. Thanks to him, the doctor can confirm the tunnel syndrome of the carpal canal or reveal another cause of the defeat of the median nerve.
With this pathology, only two treatment options are possible: medication or surgical intervention.
How to treat carpal tunnel syndrome?Conservative therapy implies a complete cessation of the activity that triggered the emergence of the problem. In addition, experts recommend avoiding strong grasping movements, performing work with bending or tilting the wrist.
An excellent solution is to wear a special bandage. In the early stages, it reduces the manifestation of symptoms, keeps the wrist at rest. The bandage helps to neutralize pain and numbness.
Что касается лекарственной терапии, то в этом In the case of anti-inflammatory drugs ("Aspirin", "Ibuprofen"). Their main goal is to reduce edema. Vitamin B6 helps to neutralize pain.
If such simple means do not help to overcome the syndrome of the carpal canal, treatment is supplemented by injections of the drug "Cortisone". They are used to reduce edema directly in the canal itself.
An excellent solution is physiotherapy (acupuncture, constant magnetic field). It is prescribed to improve metabolic processes in previously damaged tissues.
Данная патология требует оперативного Surgical intervention in the event that conservative therapy is ineffective. The operation is performed using local anesthesia. During the procedure, the surgeon dissects the transverse ligament of the wrist, which allows reducing pressure on the median nerve and tendons, restore normal blood supply.
After the operation, the patient is impregnated with gypsumLanget for approximately 12 days. Rehabilitation measures include special massage, physical therapy, thermal procedures. The patient's disability returns in full about five weeks after the operation was performed.
It should be noted that this pathology does notrefers to those violations that may pose a danger to life. However, for a long time a sick person may lose the opportunity to carry out normal actions with the hand over time. Exceptionally competent therapy can prevent such an unpleasant complication and help to fully restore the work of the hand.
