Often neglected cause of numbness of hands -Carpal tunnel syndrome

Carpal tunnel syndrome is a very common,easily treatable condition affecting middle aged people commonly.The condition is characterized by feeling of tingling and numbness in the hand.Sometimes there will be pain instead of the typical numbness.
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THE PROBLEM

Compression of MEDIAN NERVE in the carpal tunnel
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carpal tunnel syndrome more commonly affects FEMALES in the age group 30 to 60 years .
men involved in HEAVY DRILLING ACTIVITIES and using VIBRATING MACHINERY are also susceptible.
obesity,smoking,alchoholism,rhuematoid arthritis and other inflammatory arthritis,hypothyroidism,diabetes mellitus
amyloidosis rarely affects children

CLINICAL SYMPTOMS
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NUMBNESS in the outer three and a half fingers
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weakness of the thumb
decreased grip strength
wasting of thenar muscles
phalens test positive
durcums test positive
tinels sign

INVESTIGATIONS
Nerve conduction study
MRI
CT

TREATMENT
STEROID INJECTION AND NIGHT SPLINT – very early cases

CARPAL TUNNEL RELEASE SURGERY – later stages

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