Numbness or Pain in the Hand and Fingers may be Carpal Tunnel Syndrome

Carpal tunnel syndrome is when the median nerve in the wrist becomes compressed. This nerve controls the sensations of the palm, thumb and fingers. It also controls some of the small muscles in the hand which allow the thumb and fingers to move independently. The carpal tunnel is a narrow passageway through the ligaments and bones in the wrist at the base of the hand - the median nerve flow through this passageway. When the tendons become irritated, swelling occurs compressing the nerve. The resulting symptoms include pain, weakness or even numbness in the hand radiating up the arm. While occasionally these painful feelings may indicate some other malady, carpal tunnel syndrome is the most common.

Early diagnosis is important to get appropriate treatment and avoid permanent damage to the nerve. A physical examination of the whole hand/arm region can help determine the problem. The doctor will be looking for symptoms like tenderness, swelling or discoloration of the wrist. Each finger should be tested for sensation. A check of the wrist muscles for strength or atrophy is important – you will perform a series of exercises to check this. X-rays may help eliminate diabetes, arthritis or a fracture. The Tinel test is when the doctor taps on the median nerve. If you have the syndrome there will be a tingling sensation in the fingers. The wrist-flexion test has you hold your forearms upright pointing fingers down with the backs of your hands pressed together. Again, tingling or numbness will result.

Treatment of carpal tunnel syndrome typically involves a brace along the wrist and avoiding repetitive activities (such as typing). Because there is inflammation, anti-inflammatory drugs may be prescribed. If you are looking for natural remedies, fresh pineapple juice helps reduces swelling and inflammation. Garlic and turmeric are both herbs that have anti-inflammatory properties. Acupuncture is recognized by the AMA as providing relief of the pain and helping recover mobility in the hand. Vitamin B6 helps ease the symptoms, so large amounts of bananas can help. Stretching and strengthening exercises can help when the symptoms have stopped. However, these should only be done under the supervision of a physiotherapist to avoid further injury to the median nerve.

If you think you have carpal tunnel syndrome, the first course of action is to avoid further injury. A wrist brace will provide stability and pressure which can ease the pain. Then consult your doctor. This is not an injury you want misdiagnosed or ignored.

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