Given that many of us work with our hands and are often typing in front of a computer, it isn’t surprising so many complain about carpal tunnel syndrome.

The problem usually arises from some type of repetitive motions that cause irritation of the median nerve which runs right through the carpal tunnel in the wrist. The condition can cause pain, numbness or tingling, or even weakness in the hands. This is usually isolated to the first 3 fingers and half of the 4th finger and part of the palm. The pinky is not affected. In severe cases, people can get atrophy of the muscles at the base of the thumb.

What can you expect when you see the doctor for this?

  1. After getting some history, the doctor will perform some tests on you which will help elicit which nerve is being affected.
  2. If you have carpal tunnel syndrome, the doctor will likely advise you to take some ibuprofen or other anti-inflammatory medicine.  If you have a sensitive stomach and can’t take ibuprofen, let your doctor know so that he can prescribe something different for you.
  3. You will also likely be advised to purchase a wrist splint for the affected side.  You can often find these at any pharmacy.  Keep in mind that there can be a wide range in price from $15 – $30+.  I usually tell people to take the wrist splints out of the box and try them on before purchasing.  You’ll want to be sure it is the right size and fits comfortably.  If it isn’t comfortable, you’re not going to be compliant with wearing it.  Ask your doctor if he can recommend a specific type for you.
  4. Usually the conservative treatments with the medication and splints are enough to alleviate the pain.  Some people will need to make ergonomic adjustments to their work space i.e. changing keyboard or chair.
  5. If your condition persists or worsens, you should follow up with the doctor.  He may need to check your thyroid level or send you for additional nerve tests.  In severe cases, people sometimes opt to have surgical intervention.  Ask your doctor about when this option is appropriate for you.
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