Tuesday, December 9, 2008

Carpal Tunnel Syndrome, A Common Overuse Condition

Carpal Tunnel Syndrome - Part I

Carpal Tunnel Syndrome (CTS) is one of the most common hand conditions seen in orthopedic medicine today. Traditionally related to occupational activities, it is today becoming increasingly more prevalent as a result of everyday activities – as computers serve as the primary tool of written communication, blackberries and cell phones grow in sophistication and functionality, and game controls keep the youth just steps away from the ultimate challenge.

Known as an “overstress” condition, Carpal Tunnel Syndrome is the inflammation of the median nerve. This median nerve travels down the arm and through a narrow passage way in the wrist, called the carpal tunnel.

Irritation resultant of a repetitive activity will cause irritation and contraction within the tunnel, applying pressure to the median never passing through it. This constriction further inflames the area and causes pain and discomfort. The nerve is surrounded by nine tendons and covered with a tight ligament called the transverse ligament. When the membranes responsible for lubricating the tendons as they glide in the tunnel swell, the condition is identified as CTS.

Since the median nerve provides feeling to the thumb, index and middle fingers, as well as a portion of the ring finger and some hand muscles, the impact of the constriction can be prominent and cause a great deal of pain.

The first course of action is to refrain from the activity suspected of prompting the condition. Creating different environments can also be productive, as a number of ergonomic computer keyboards and gaming devices have been developed over the years to help prevent the strain on many of the hand positions linked to CTS.

Depending on the severity of the condition and other related diseases or genetic factors prompting the condition in patients, other treatment options may be indicated.