Carpal tunnel syndrome (CTS) is a common but potentially debilitating condition of the wrist and hand. It can detrimentally impact the use of the entire arm, as well as the shoulder.
Excessive demands on the hands and wrists makes this is a very common issue. In fact, 1 out of every 20 people in the United States have Carpal Tunnel.
While surgery is often performed to correct the issue, it is not necessary.
Physical therapy and similar treatments have been found to be effective in alleviating the symptoms associated with the condition.
In this comprehensive guide, you will learn about carpal tunnel syndrome. If you have shoulder pain, limited use of your arm, or complications with your wrists and/or hands, continue to learn more.
“The pain you feel today will be the strength that you feel tomorrow…” – Unknown
Carpal Tunnel Syndrome Explained
Carpal tunnel syndrome is a direct result of pressure on the nerve that is located at the base of the palm of the hand. This is medically termed as the “median” nerve.
The carpal tunnel is a narrow region located in the wrist, on the side of the palm. It is an area that aids in the protection of the tendons that are responsible for bending the fingers, as well as the median nerve.
If pressure builds in this area, it can result in the development of weakness and pain in the wrist and the hand. It may also result in a numb or a tingling sensation in one or more fingers.
The overall functionality of the arm may be detrimentally impacted. Additionally, many individuals experience extreme bouts of shoulder pain with carpal tunnel syndrome.
Health Issues That May Cause Carpal Tunnel Problems
There are several unique health conditions that may lead to the onset of problems with the carpal tunnel region. These are as follows:
- Those that experience issues with the tendons in the wrist, such as swelling, inflammation, and other types of irritation are at a high risk for developing carpal tunnel problems.
- Changes with the hormones or the unique metabolic balance of the body – such as pregnancy and/or issues with the thyroid – could result in CTS.
- Injuries that directly impact the wrist like sprains, dislocations, and even fractures may place immense pressure on the carpal tunnel and cause hand, arm, and shoulder problems.
- Retaining fluid in the body due to other conditions, such as pregnancy, diabetes, and issues with the endocrine system may increase the pressure in the carpal tunnel.
- Arthritis and/or degenerative disorders in the body are known to cause carpal tunnel problems.
- In addition to the health issues that may lead to CTS, certain types of medications – such as steroids – may also result in severe pressure in the carpal tunnel in the wrist.
Carpal Tunnel Syndrome and Professions
There are several professions that could leave you prone to carpal tunnel and the hand, wrist, arm, and shoulder problems that stem from it. These include, but, are not limited to:
- Assembly-Line Responsibilities
- Packing Jobs
- Heavy Machinery Operation
- Landscaping Jobs
- Data Entry Work
- Dental Positions
- Professional Sports
- Music Industry Jobs That Require the Playing of an Instrument
- Construction Jobs
Carpal Tunnel Anatomy
In order to truly understand the effects of carpal tunnel syndrome, it is important to have a solid understanding of carpal tunnel anatomy.
The “tunnel” identified in this syndrome consists of various tendons, an assortment of tissues, and various bones that make up the wrists and hands.
Visualize the bones from the hand through the arm as a roadway. The overpass of this roadway consists of the flexor retinaculum and the palmar carpal ligament. The flexor tendons and the median nerve flow underneath this figurative overpass.
The Median Nerve.
This nerve holds the highest level of importance. It is part of a network of nerves called the “brachial plexus”. This network is located in the shoulder and upper region of the arm. It is directly responsible for providing touch and feeling sensations to the palm, the side of the thumb, the middle, index, and the ring finger.
It provides sensations to the flexor tendons that are part of the carpal tunnel anatomy. Furthermore, it provides functionality to the muscles that are located at the base area of the thumb.
In reviewing carpal tunnel test results and confirmed cases of the condition, that there are several risk factors associated with the condition. These include the following:
- The health issues previously mentioned may place a person at risk for developing CTS.
- Working in the professions previously outlined or in a professional that involves the use of tools that vibrate or place large amounts of weight on the hands or wrists.
- Individuals that have the genetic predisposition for a small carpal tunnel may experience higher levels of pressure than those that have normal sizing in this area.
- Females are known to have a threefold risk of developing problems with carpal tunnel.
- Individuals that are between the ages of 40 and 70 are at higher risk for a diagnosis of this condition.
- Excessive exposure to cold temperatures and vibration are more likely to experience issues with this syndrome.
- Repetitive motions will enhance the probability of developing carpal tunnel health complications.
Carpal Tunnel Symptoms
Carpal tunnel syndrome causes many uncomfortable symptoms. While many are directly related to the hands and/or the wrists, there are other symptoms that impact the arms and shoulders.
Examples of symptoms that may be experienced based on carpal tunnel test patients that have been diagnosed with the condition include – but, are not at all limited to – the following:
- In the initial stages of the condition, one may experience tingling sensations that are often described as “pins and needles”.
- Numbness may develop in the palm area of the hand and in the fingers. The fingers that are most commonly impacted include the index finger, middle finger, and the ring finger. Additionally, the thumb may also suffer.
- It is common for individuals to suffer from sensations that resemble that which would occur with a mild electrical shock.
- Pain is likely to occur in the arm and the shoulder. Many people do not relate shoulder pain and arm pain with carpal tunnel, but doctors have established that carpal tunnel syndrome is one of the most common culprits of pain and discomfort in these areas of the body.
- Weakness is likely to develop in CTS. This often results in a sense of clumsiness that may make it difficult to perform tasks such as buttoning and zipping clothes, holding eating utensils, carrying cups or plates, and activities that are similar in nature.
- Many people with CTS develop a condition called “proprioception”. This is where an awareness of where the hand is located is simply lost. When this happens, it is not at all unusual for a patient to drop items or to bump their hand into objects in their environment and sustain injuries.
- It is common for people to find that they experience issues in sleeping. This is mostly due to the natural tendency to bend or move around the wrist while sleeping.
- Cramping commonly occurs in the hand.
- Most will find that the strength associated with their grip is drastically diminished.
- Limited mobility in the shoulder and arm may be experienced.
Carpal Tunnel Test Process
Many medical professionals work together in the carpal tunnel test process. Primary care physicians, physical therapists, ortho specialists, and others. The carpal tunnel test process is often comprehensive because it’s important that it’s diagnosed accurately to ensure proper treatment. Here are the steps included in the carpal tunnel test process. In some instances, only a few of these steps are performed. In others, all may be performed:
- A Thorough Neck and Back Examination
- Grip Strength Tests for Fingers and Hands
- Blood Tests
- Wrist Tests
- Range of Motion Tests
- Test for Wrist Flexion
- Tinel’s Sign Carpal Tunnel Test
- Sensory Tests
- Electromyogram/EMG Testing
- Nerve Conduction Tests
- Phalen’s Maneuver
- Reflex Tests
- MRI Scans
It is quite likely that you are experiencing shoulder pain that you believe could be caused by carpal tunnel syndrome. Is it carpal tunnel or is it a shoulder issue?
The truth of the matter is, it is probably both – stemming from reversed median nerve pain resulting from compression. If you have shoulder pain, it is likely that you are suffering from carpal tunnel syndrome.
In years past, most doctors would not make this correlation. In today’s medical landscape, it’s been found in approximately 75% of all cases of shoulder pain. The root cause is carpal tunnel syndrome. This is especially true among high risk groups.
How Can I Tell if My Shoulder Pain is Median Nerve Pain?
Nerve pain – especially that associated with carpal tunnel syndrome – affects each person in a distinct manner. It often starts with numbness and sensitivity in the fingers and hand.
Then, there are some that start to feel burning sensations or tingling sensations. Many may feel the impact of median nerve pain from their fingertips all the way back into the back.
The truth of the matter is, median nerve pain is felt in many ways and it is not the same for two people.
Each form of compression is unique and is based on a number of factors. These include age, risk factors, general level of health, and the manner in which the median nerve is compressed.
The GOOD News
While carpal tunnel syndrome is a challenging issue that causes many complications, it is a medical condition that can be treated.
Many throughout history have opted for surgery. While surgical intervention is a viable option, it is not the only option.
There are several other – less invasive – methods for treating carpal tunnel syndrome and shoulder pain caused by CTS that will aid in alleviating symptoms. These include hand and wrist exercises, range of mobility techniques, and more.
We Can Help!
If you suffer from carpal tunnel syndrome and the lingering effects of the condition – such as shoulder pain, tingling, and other uncomfortable symptoms – you will be pleased to know that we here at Back to Motion can help you overcome the challenge.
Come back for the conclusion to this series and learn about the treatment options that you have at your disposal. You may also Contact Us Today for more information.