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Carpal tunnel syndrome

Syndroma canalis carpi · Syndrom karpálního tunelu

What it is

The median nerve is squeezed under the wrist ligament.

Symptoms & signs

  • Night numbness in thumb-to-ring fingers
  • shaking the hand for relief
  • weak pinch
  • thenar wasting

🚩 Get help if…

  • see a doctor soon Wasting of the muscle at the base of the thumb
  • see a doctor soon Constant numbness that no longer comes and goes
  • see a doctor soon Weak grip, dropping things
  • see a doctor soon Symptoms after a wrist injury or with a swollen wrist

Where it strikes

Medical treatment

  • Night splint — helps mild cases mixed evidence
  • Steroid injection — months of relief, not years mixed evidence
  • Carpal tunnel release — better than splinting at one year trials support
  • Treating the thyroid disease or diabetes underneath trials support

Natural & lifestyle

  • Ergonomic keyboard and mouse
  • nerve glide exercises
  • weight loss
  • yoga

Emerging & experimental

  • Ultrasound-guided hydrodissection
  • carpal tunnel release with wide-awake local anaesthesia

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Laser and ultrasound therapy — trials disagree mixed evidence
  • Vitamin B6 — old claims; trials disagree mixed evidence
  • Yoga — a small trial improved grip and pain early / small studies

ICD codes