Carpal tunnel syndrome

Common Name(s)

Carpal tunnel syndrome

Carpal tunnel syndrome (CTS) is a condition that causes pain, numbness and tingling in the hand, which may sometimes extend to the wrist and arm as well. The carpal tunnel is a structure that is found at the connection of the wrist and hand. It is formed by a layer of connective tissue that runs over the wrist bones, tendons and nerves going to the hand. CTS occurs when this area becomes tightened and inflamed, causing compression of the nerve.

Roughly 3-6% of adults are affected by CTS, and prevalence increases with age. Individuals with smaller wrists are more likely to be affected by CTS, putting women at greater risk than men. Injury or repetitive motions of the wrist may also cause CTS, such as in individuals who perform repetitive motion such as typing or handling vibrating tools. Other risk factors include conditions of the nervous system, obesity, kidney failure, and thyroid disorders. There are also familial cases of CTS.

Individuals affected by CTS will usually first experience occasional numbness or tingling in the thumb and fingers. Other early symptoms include weakness in the hand and wrist and difficulty grasping items. CTS progresses into more painful and enduring symptoms throughout the wrist region. If left untreated, the nerve and muscle may be permanently damaged. After symptoms are reported, CTS is diagnosed by physical exam, medical imaging, electrical impulse measurements, and other nerve studies.

Treatment for CTS may help prevent symptoms from progressing. Resting and applying ice to the hands may help reduce swelling. Wearing a splint, especially at night, may also help reduce symptoms. Medications, such as anti-inflammatory drugs, may be given as pills or as injections. In severe, long-term cases, surgery may be necessary. If you are experiencing CTS, talk to your doctor about the most current treatment options.

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Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Carpal tunnel syndrome" for support, advocacy or research.

There are currently no organizations listed in Disease InfoSearch that support this condition. Create a listing.

 

 

General Support Organizations

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Carpal tunnel syndrome" returned 592 free, full-text research articles on human participants. First 3 results:

The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial.
 

Author(s): Linda S Chesterton, Milica Blagojevic-Bucknall, Claire Burton, Krysia S Dziedzic, Graham Davenport, Sue M Jowett, Helen L Myers, Raymond Oppong, Trishna Rathod-Mistry, Danielle A van der Windt, Elaine M Hay, Edward Roddy

Journal: Lancet. 2018 10;392(10156):1423-1433.

 

To our knowledge, the comparative effectiveness of commonly used conservative treatments for carpal tunnel syndrome has not been evaluated previously in primary care. We aimed to compare the clinical and cost-effectiveness of night splints with a corticosteroid injection with regards ...

Last Updated: 31 Dec 1969

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Steroid injection or wrist splint for first-time carpal tunnel syndrome?
 

Author(s): Isam Atroshi

Journal: Lancet. 2018 10;392(10156):1383-1384.

 

Last Updated: 31 Dec 1969

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Rates of Carpal Tunnel Syndrome in a State Workers' Compensation Information System, by Industry and Occupation - California, 2007-2014.
 

Author(s): Rebecca Jackson, John Beckman, Matt Frederick, Kristin Musolin, Robert Harrison

Journal:

 

Carpal tunnel syndrome (CTS) occurs when the median nerve becomes compressed as it passes through the wrist within the carpal tunnel, resulting in pain, tingling, weakness, or numbness in the hand or the wrist. Occupational risk factors for CTS include engaging in work activities ...

Last Updated: 31 Dec 1969

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Carpal tunnel syndrome" returned 55 free, full-text review articles on human participants. First 3 results:

Conservative therapeutic management of carpal tunnel syndrome.
 

Author(s): Roberto Sérgio Martins, Mário Gilberto Siqueira

Journal: Arq Neuropsiquiatr. 2017 Nov;75(11):819-824.

 

Carpal tunnel syndrome is the most prevalent nerve compression and can be clinically or surgically treated. In most cases, the first therapeutic alternative is conservative treatment but there is still much controversy regarding the most effective modality of this treatment. In this ...

Last Updated: 31 Dec 1969

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Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review.
 

Author(s): Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino

Journal: Neurol. Med. Chir. (Tokyo). 2017 Apr;57(4):172-183.

 

Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, ...

Last Updated: 31 Dec 1969

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Carpal Tunnel Syndrome: Diagnosis and Management.
 

Author(s): Jennifer Wipperman, Kyle Goerl

Journal: Am Fam Physician. 2016 Dec;94(12):993-999.

 

Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, ...

Last Updated: 31 Dec 1969

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Symptoms, Diagnosis, and Treatment

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Clinical Trial Information This information is provided by ClinicalTrials.gov

Sonographic Evaluation of Patients With Carpal Tunnel Syndrome Following Steroid Injection
 

Status: Recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 24 Apr 2017

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Comparison of Focused and Radial Extracorporeal Shock Wave for Carpal Tunnel Syndrome
 

Status: Not yet recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 13 Sep 2018

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Effects of Platelet-rich Plasma in the Surgery of Carpal Tunnel Syndrome: A Randomized Controlled Trial
 

Status: Recruiting

Condition Summary: Carpal Tunnel Syndrome

 

Last Updated: 5 Jun 2018

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