Spine surgery, neurosurgery

Carpal tunnel syndrome most commonly occurs in middle-aged women and is caused by pressure on the median nerve due to narrowing of the carpal tunnel in the wrist.

The median nerve runs from the inside of the wrist to the palm through the carpal tunnel, which is formed by wrist bones and a strong ligament between them. When the carpal tunnel narrows, such as due to thickening of the ligament from trauma, overuse, or inflammation, constant pressure is exerted on the nerve. This chronic pressure on the nerve that travels to the fingers and muscles of the palm leads to sensitivity and functional impairments, known as carpal tunnel syndrome.

Symptoms include wrist and hand pain along with a sensation of tingling and numbness, typically occurring in the thumb-side fingers (thumb, index finger, middle finger, and half of the ring finger) on the palm side.

Pain usually worsens at night; individuals wake up due to hand pain (pain may also occur in the forearm or upper arm) and shake their hand, which reduces discomfort. Weakness or clumsiness in the hand and atrophy of thumb muscles may also develop. Symptoms are more often present in one hand, but can occur in both hands simultaneously.

Surgical intervention may be necessary to treat carpal tunnel syndrome. During the operation, the nerve is released from the tissues causing pressure, allowing the nerve to regain its function. As a result of this procedure, 80-85% of patients experience relief from pain, sensitivity is restored, and in the long term, muscle strength improves.

The diagnosis and treatment of carpal tunnel syndrome should be determined by your doctor.
Start your journey with a consultation with a neurosurgeon!