Carpal Tunnel Syndrome
Carpel tunnel syndrome or as the name suggests is a condition of where a nerve of hand. i.e Median nerve gets compressed as it passed through the wrist. Median nerve compression is also known as the carpal tunnel syndrome. Compression of Median nerve causes numbness and tingling sensation in the distribution of the median nervein the hand. The nerve gets compressed under a muscle known as Flexor Retiniculum.
The commonest cause is rheumatoid arthritis or many times a non specific synovitis. Another common cause is compression of the canal be trauma (long term or immediate ) for example in persons constantly using the hand in one position, e.g. hair dressers, gardeners, people working on computers etc. The condition is common more common in females.
Other known causes are:
- Joint dislocation
- Chronic granulomas
- Fluid build-up during pregnancy
- Swelling of the lining of the flexor tendons
Sign and Symptoms
Numbness and Tingling senation in hands is the most common presenation. Most patients are not able to realize that paraesthesia is only in the median territory and say the whole hand tingles.Patients also sometimes present it as burning sensation.
A more diffuse symmetrical peripheral neuropathy can occur and is usually limited to symptoms and signs of mild ‘glove and stocking’ sensory loss. Where person feels loss or decreased sensation in hand where they wear gloves.
Carpal tunnel syndrome and ulnar nerve palsy may remit if patients are advised to avoid activities involving repetitive wrist movement or pressure on the elbows.
The main symptom is acroparaesthesia at night occurring in the distribution of the median nerve but may spread up to involve the arm. The symptoms usually appear at night (2-4 am) and may wake the person from sleep. Patients usually shake the hand to get relief.
- On examination sensory loss is in the median nerve territory involving only the fingers. The abductor policis power which is a muscle ,is weak.
- Flexor digitorum profundus is not affected as the branch to this muscle is given out much above the wrist.
- Wasting, if it occurs, is in the outer half of the thenar eminence but 80-90% of cases have no physical signs at all and the diagnosis is made only on history and wasting.
- Pain and tingling may be elicitied by sustained flexion of the wrist for a minute or tapping the wrist over the median nerve.Pain is often relieved by elevating the arm and shaking the wrist to assist venous return.2
Physiotherapy and exercises have a very important role to play in case of Median nerve compression or carpel tunnel syndrome. As right exercise can decompress the area gradually and symptoms wane off. In some patients’ decompression of the carpal tunnel or transposition of the ulnar nerve may be necessary.In these electrophysiological investigation is advisable pre-operatively in order to confirm the diagnosis and site of compression.1
Homeopathic management includes giving drugs/remedies based on symptomatic presentation as per each case. Therefore, every next patient of Carpal tunnel syndrome will receive a different remedy based on his/her presentation. Homeopathic remedies if given rightly, not only reduces intensity of symptoms but also slow down progression of disease.
It is advisable to contact a registered homeopathic practitioner and seek homeopathic treatment in person consultation.
Do not self medicate.
Median nerve compression in the carpal tunnel. When the major nerve to the hands is squeezed travelling through the wrist, it causes this condition. This nerve provide sensation to the fingers.Carpal tunnel syndrome and ulnar nerve palsy may remit if patients are advised to avoid activities involving repetitive wrist movement or pressure on the elbows.Homeopathic remedies if given rightly, not only reduces intensity of symptoms but also slow down progression of disease.
Carpal Tunnel Syndrome Medicines
Upper and lower cervical vertebrae sore to touch, often reflex from uterine irritation; dullpain in region of lower dorsal and upper lumbar vertebrae; weight and pain in lumbar andsacral region, sometimes extend all around body.
Burning and twinging in spinal column with numbness of feet, hands and other parts ofbody; crampy pains in hands; sudden jerkings of the limbs on dropping off to sleep,muscles of back become rigid; aesthenopia.
NEURASTHENIA WITH HYPERAESTHESIA. Stiffness and tension of neck; tearing pains;BURNING BETWEEN SHOULDER-BLADES, along whole spine, aggr. sitting; tearing,trembling and lameness in limbs; twisting and frequent jerks in limbs; great weakness,especially of lumbar region and bend of knees; TRANSFER OF PAINS FROM ONE SIDE TOANOTHER.
1. Davidson’s, Principles and Practice of Medicine, 1995,1203p 2. API, Textbook of Medicine, 1444p