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At the base of the palm is a tight canal or tunnel through which tendons and nerves must pass on their way from the forearm to the hand and fingers. The nerve that passes through this narrow tunnel to reach the hand is called the Median Nerve. This narrow passage between the forearm and hand is what we call The Carpal Tunnel. |

| The Carpal Tunnel is normally quite snug and
there is just barely enough room in it for the tendons and nerves that have to pass
through it. If anything takes up extra room in the canal, things become too tight and the
nerve in the canal becomes constricted or pinched. This pinching of the nerve
causes numbness and tingling in the area of the hand that the nerve travels to. The
condition that results when the Median Nerve is being pinched in The Carpal Tunnel is
commonly referred to as Carpal Tunnel Syndrome or CTS. |
The most common cause of Carpal Tunnel Syndrome is inflammation of the tendons in the tunnel which can normally be attributed to repetitive use of the hand and/or wrist. Repetitive Strain Injuries (RSIs) can happen to anyone whose work calls for long periods of steady hand movement, from musicians & dental hygienists to meat cutters & cashiers. RSIs tend to come with work that demands repeated grasping, turning and twisting; they are especially likely if the work requires repeated twisting or involves repetitive vibration, as in hammering nails or operating a power tool. Stressful hand, arm and neck positions whether from working at a desk, long-distance driving or waiting on tables only aggravate the potential for damage. A number of sports can bring on repetitive stress injuries. The obvious sports associated with these ailments include both Tennis Elbow as well as Golfers Elbow. Just about any activity that involves repetitive movement, including rowing, skiing, archery, etc. can lead to injury. The above mentioned sports represent just a sampling of activities that stress the hand and wrist joints. Injuries and ailments that cause swelling or compression of soft tissue on nerves, such as sprains, leukemia, and rheumatoid arthritis can lead to stress injuries too. Diabetes, thyroid problems, and other systemic disorders are also associated with discomfort from stressed nerves, as is the fluid accumulation that sometimes accompanies pregnancy. Some authorities believe that a pyridoxine (vitamin B6) deficiency can also induce the symptoms. Fluid retention, a major contributor to CTS
& RSI symptoms naturally occur with the usage of contraceptive pills. Post Menstrual
Syndrome (PMS) also causes fluid retention as do many other medical conditions, all of
which can result in Carpal Tunnel Syndrome symptoms. |
For many unfortunate sufferers, CTS has a pattern of flaring up through the night thereby making sleep difficult. CTS symptoms can also be expected to arise frequently while performing the activity that is the cause of the condition in the first place. |
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