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Carpal Tunnel Syndrome

Median nerve compression at the wrist causing hand paresthesias and weakness.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome results from compression of the median nerve beneath the transverse carpal ligament (flexor retinaculum) at the wrist.

The carpal tunnel contains nine flexor tendons and the median nerve; any space-occupying or edematous process can increase intra-tunnel pressure.

Symptoms involve the median nerve distribution (thumb, index, middle, radial half of ring finger), with thenar atrophy in advanced cases.

Diagnosis uses clinical signs (Tinel, Phalen, durkan compression tests), nerve conduction studies (prolonged distal motor and sensory latency), and ultrasound showing nerve enlargement.

Symptoms

Numbness and tingling in thumb, index, middle, and radial ring finger
Nocturnal paresthesias that wake patient from sleep
Pain radiating to forearm or shoulder
Weakness with pinch grip and dropping objects
Thenar muscle atrophy in chronic cases
Positive Tinel sign (tapping median nerve) and Phalen test

Risk Factors

Female sex (3:1 ratio)
Age 40–60 years
Pregnancy (often resolves after delivery)
Diabetes mellitus, hypothyroidism, rheumatoid arthritis
Obesity
Repetitive wrist flexion/extension, vibration exposure, prolonged computer use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent nocturnal hand numbness and tingling
  • Thenar muscle atrophy or persistent weakness
  • Failure of conservative treatment after 4–6 weeks

Treatment Methods

01
Neutral wrist splinting, especially at night
02
Activity modification and ergonomic adjustments
03
NSAIDs for associated tenosynovitis
04
Local corticosteroid injection (temporary benefit in most patients)
05
Carpal tunnel release (open or endoscopic) for persistent symptoms, thenar atrophy, or severe electrodiagnostic changes
06
Treatment of underlying systemic conditions (diabetes, hypothyroidism)

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.