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Running head: CARPAL TUNNEL

Carpal Tunnel Syndrome
Taylor DeLong
Alvernia University

CARPAL TUNNEL

2
Abstract

Carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the peripheral
nerves in the hands and fingers
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Some signs
and symptoms of CTS include numbness, weakness, or pain, in the wrists, hands, or fingers
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CTS is treated with pain medicines, cortisone injections, and splinting
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Etiology
What actually causes carpal tunnel syndrome is highly debated even in modern medical
science
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In an
experiment conducted on 166 workers over 17 years old, it was found that the two primary
causes of CTS were female gender and obesity (Bickel, 2010)
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Surprisingly keyboarding, and other occupational
activities, does not have any significant amount of scientific evidence to support it as a legitimate
cause despite the fact that it is commonly referred to as a major cause of CTS (Bickel, 2010)
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Neurological Signs and Symptoms

CARPAL TUNNEL
•

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Numbness and/or tingling in the palm, thumb, index finger, middle finger, and thumb
side of the ring finger (Zieve, 2012)
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Problems with coordination, weakness, or clumsiness in one or both hands when gripping
objects (Zieve, 2012)
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Neurological Damage
Carpal tunnel syndrome causes neurological damage to key nerves in the peripheral

nervous system, within the carpal tunnel (Biundo & Rush, 2011)
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The carpal tunnel is an anatomic compartment at the base of the wrist composed of eight small
bones (Bytyqi, Morina, Morina & Mustafa, 2012)
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“Because the median nerve provides muscle function and feeling in the hand,

damaging the nerve results in symptoms ranging from mild occasional numbness to hand
weakness, loss of feeling and loss of hand function” (Biundo & Rush, 2011)
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Main Goals of Treatment/Intervention
Treatment for CTS can be done by oneself, or by a practitioner
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For self-care, “the client
should be advised to avoid offending postures and activities as much as possible” (Muscolino,
2011)
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Splints also help decrease pressure on the median nerve which decreases pain as well
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If all other
treatments for CTS fail, and symptoms are still visible, surgery is used to open the carpal tunnel
and relieve the pressure on the median nerve (Biundo & Rush, 2011)
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If conservative manual therapy care is not successful, a person suffering from CTS
should be referred to a physician (Muscolino, 2011)
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Damaged neurons can regenerate, but
neurons that die cannot be replaced (Muscolino, 2011)
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Current studies include evaluations of the effectiveness of education interventions in

reducing or preventing CTS (“National Institute”, 2011)
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Another study is currently being done to evaluate long-term effects of conservative
treatment involving ultrasound therapy, kinesiotherapy and massage therapy (Kwolek & Zwolińska,
2011)
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Tests are also being conducted before and during

CARPAL TUNNEL
completion of rehabilitation for CTS to test whether new therapies have a strong effect or not
(Kwolek & Zwolinska, 2011)
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D
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Carpal tunnel syndrome
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Retrieved from http://www
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com/science/article/pii/S0363502309009496
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, & Rush, P
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American college of rheumatology
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rheumatology
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asp
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, Morina, F
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, & Mustafa, A
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Carpal Tunnel Syndrome: Diagnosis
and Surgical Treatment
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Retrieved from
http://go
...
com
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library
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edu/ps/i
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1&u=drexel_main&it=r&p=AONE&sw=w
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, Zwolińska, J
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U
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National Library of Medicine
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ncbi
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nih
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Muscolino, J
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Carpal tunnel syndrome
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Retrieved from http://go
...
com
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library
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edu/ps/i
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1&u=drexel_main&it=r&p=AONE&sw=w
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(2011, September 16)
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ninds
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gov/disorders/carpal_tunnel/carpal_tunnel
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Zieve, D
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U
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National Library of Medicine
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ncbi
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nih
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