Information about the
Carpal Tunnel Syndrome
What is Carpal tunnel syndrome?
In carpal tunnel syndrome The medianus nerve is entrapped at the carpal tunnel. Incidence of CTS is from 3 to 5% in general population. It is more common amongst females. The ulnar nerve entrapment at the elbow and the carpal tunnel entrapment are responsible for about 80% of all upper limb nerve entrapments.
- Pressure, jitter, repetitive movements
- Obesity and hereditary factors
- Mapping of symptoms
- Nerve conduction study
- Conservative treatment
- Night splint
- Injection treatment
Other nerve conduction studies
Symptoms of Cubital tunnel syndrome
- Numbness and tingling of ring and little fingers
Symptoms of Tarsal tunnel syndrome
- Felt inside of the ankle
- Tingling or burning sensation
- Numbness and pain
Symptoms of Diabetic peripheral neuropathy
- Loss of sensation
- Pain in feet, legs, or hands
Cubital tunnel syndrome (UNE)
UNE is entrapment of the ulnar nerve typically at the elbow. It is the second commonest cause of nerve entrapment in the body (the commonest cause is carpal tunnel syndrome with entrapment of the median nerve). The typical symptoms are of numbness and tingling in the ring and little fingers and on the little finger side of the palm. It may be associated with weakening of the muscles, and sometimes wasting (thinning) of the small muscles in the hand and in time contractures of the ring and little fingers may develop. Typically the onset is gradual, starting with numbness and tingling, particularly at night, and it may then become continuous. Very occasionally the ulnar nerve gets compressed in Guyon’s canal in the hand which can also result in tingling and numbness in the ring and little fingers.
Tarsal tunnel syndrome (TTS)
TTS also known as posterior tibial neuralgia, is a rare compression neuropathy and painful foot condition in which the posterior tibial nerve is compressed as it travels through the tarsal tunnel. This tunnel is found along the inner leg behind the inner ankle bone (medial malleolus). Patients with tarsal tunnel syndrome experience one or more of the following symptoms: Tingling, burning or a sensation similar to an electrical shock, numbness, pain, including shooting pain. Symptoms are typically felt on the inside of the ankle and/or on the bottom of the foot. In some people, a symptom may be isolated and occur in just one spot. In others, it may extend to the heel, arch, toes and even the calf.
Diabetic peripheral neuropathy (DPN)
DPN is damage to the peripheral nerves caused by chronically high blood sugar and diabetes. It leads to numbness, loss of sensation, and sometimes pain in your feet, legs, or hands. Peripheral neuropathy is the most common complication of diabetes and the most common nerves affected are the sural and superficial peroneal sensory nerves in the feet. Patients that are diabetic have a higher incidence of developing carpal tunnel syndrome as well as more generalised peripheral neuropathy, often known as diabetic polyneuropathy, along with other complications of diabetes such a retinopathy.