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Carpal tunnel syndrome (CTS) is a nerve compression syndrome associated with the collected signs and symptoms of compression of the median nerve at the carpal tunnel in the wrist. Carpal tunnel syndrome usually has no known cause, but there are environmental and medical risk factors associated with the condition. [1] [6] CTS can affect both wrists.
Splinting is also suggested in reversible cases of CTS such as pregnancy along with other conservative treatment options. [ 24 ] Based on scientific literature for the treatment of CTS, there is a recent review that concludes that surgical management is a better option along with therapy compared to splinting for CTS treatment.
The development of carpal tunnel syndrome was of particular interest for other idiopathic tardy nerve palsies. Carpal tunnel served as a model for how nerves could be squeezed by narrow anatomic compartments and soon other tunnel syndromes were conceptualized, such as cubital tunnel syndrome, and tarsal tunnel syndrome. [87] [88] [83]
Carpal tunnel surgery is usually considered after other treatment options have failed, Melamed says. Other, less invasive treatments, like splinting and steroid injections, are typically tried first.
Cubital tunnel syndrome is a condition that induces pains when ulnar nerves are stretched, pressed, and irritated. This syndrome is also known as "ulnar nerve entrapment". Similar to carpal tunnel syndrome, cubital tunnel syndrome evokes symptoms, including pain, numbness, tingling, and weakness in the hand. [10]
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In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor (palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the tendons of the extrinsic flexor muscles of the hand from the forearm to the hand . [ 1 ]
Carpal tunnel syndrome cannot be cured, but surgery to alleviate symptoms can be successful. Success is greatest in patients with the most typical symptoms. The most common cause of failure is incorrect diagnosis, and this surgery will only mitigate carpal tunnel syndrome, and will not relieve symptoms with alternative causes.
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