The pain in your carpal tunnel is primarily caused by excess pressure on the wrist and the median nerve, often accompanied by inflammation and swelling. This pressure can be exacerbated by various factors and underlying medical conditions, including:

• Diabetes
• Thyroid dysfunction
• Fluid retention from pregnancy or menopause
• High blood pressure
• Autoimmune disorders like rheumatoid arthritis
• Fractures or wrist trauma

Additionally, carpal tunnel syndrome can worsen with repeated overextension of the wrist, which can result from:

• Poor wrist positioning while using a keyboard or mouse
• Prolonged exposure to vibrations from hand or power tools
• Repetitive activities like playing the piano or typing

These factors collectively contribute to the development and aggravation of carpal tunnel syndrome.

Delaying or improperly performing carpal tunnel surgery can lead to complications, including:

1.  Nerve damage: Prolonged compression of the median nerve can cause permanent nerve damage, resulting in weakness, numbness, or loss of sensation in the hand and fingers.

2. Reduced function: Untreated carpal tunnel syndrome may impair hand and wrist function, making it difficult to perform daily tasks.

3.  Chronic pain: Persistent pain and discomfort in the wrist and hand can affect quality of life.

4.  Decreased grip strength: Delayed surgery may lead to weakened grip strength, impacting one’s ability to hold objects securely.

5.  Worsening symptoms: Without timely intervention, symptoms can worsen, making surgery more complex and recovery longer.

Carpal tunnel syndrome (CTS) progresses through three stages:

Stage 1 – Mild or Early CTS:

• Occasional numbness and tingling in the hand.
• Typically occurs during the night or with repetitive wrist movements.
• Symptoms may improve with hand and finger movement.
• Mild discomfort and weakness may be present.

Stage 2 – Moderate or Intermediate CTS:

• More frequent numbness and tingling.
• Pain in the wrist, hand, and forearm.
• Developing weakness, particularly in gripping objects.
• Interference with daily activities and sleep.
• Nerve damage may be occurring, requiring medical attention.

Stage 3 – Severe or Advanced CTS:

• Constant and pronounced numbness and tingling.
• Severe pain extending into the shoulder.
• Muscle atrophy at the base of the thumb.
• Significant weakness, hindering basic tasks.
• Risk of irreversible nerve damage if left untreated.

Early intervention is crucial, and treatment options vary, including wrist splints, medication, physical therapy, or surgery to relieve nerve pressure.

Carpal tunnel surgery options are:

• Open Carpal Tunnel Release (OCTR): Involves a palm incision to cut the transverse carpal ligament.
• Endoscopic Carpal Tunnel Release (ECTR): Minimally invasive approach with small incisions and a camera.

• Maintain Proper Wrist Posture: Keep your wrists straight while typing or performing repetitive tasks.
• Ergonomic Workspace Setup: Adjust chair and desk heights for comfortable wrist positioning. Use ergonomic keyboards, mice, and wrist supports.
• Take Regular Breaks: Incorporate frequent short breaks to rest and stretch your wrists.
• Stretching and Exercises: Perform wrist and hand stretches and exercises to enhance flexibility and strength.
• Proper Typing Technique: Use a light touch and learn touch typing techniques. Do not place your wrists on the keyboard to rest.
• Use Ergonomic Tools: Employ wrist rests, ergonomic mouse pads, and keyboard trays.
• Healthy Lifestyle: Manage weight and maintain a balanced diet.
• Manage Underlying Health Conditions: Control conditions like diabetes and arthritis.
• Avoid Repetitive Motions: Alternate tasks that require repetitive hand movements.
• Early Symptom Recognition: Seek medical advice promptly if you experience numbness, tingling, or pain in your hands or wrists.

By following these guidelines, you can significantly reduce the risk of developing CTS and promote better hand and wrist health.