更常见的条件之一that causes pain in the hands and wrists is carpal tunnel syndrome. The origin of the disorder is still somewhat unknown but certain movements in the hands and wrist can aggravate the condition and lead to sharp or dull pain, stiffness and weakness in the hand and wrist. This is especially true for repetitive movements or performing a motion for extended periods of time, such as typing or sowing.
If you think you may be suffering from carpal tunnel syndrome, schedule an appointment with a hand and wrist specialist at Banner Health for treatment options.
Carpal tunnel syndrome is stress or compression to the median nerve, which runs through the palm side of the hand. The median nerve provides sensation (feel) to the thumb, index finger, middle finger and part of the ring finger. Swelling constricts the space around the nerve and causes the compression of this nerve. This can lead to numbness, weakness and tingling on the side of the hand near the thumb.
While the root cause is still up for debate, it is certain that inflammation is what causes nerve compression. A common cause of this inflammation is an underlying medical condition that causes swelling in the wrist and a restriction of blood flow. Conditions that are frequently linked to carpal tunnel syndrome include:
腕管综合征症状可能会因手或手腕过度使用而恶化。重复运动会加剧中正神经的肿胀和压缩。加重动议可以包括：
Symptoms of carpal tunnel syndrome usually start gradually and worsen over time or with aggravation. Common symptoms include:
刺痛或麻木- 这可以在手指或手中，通常是在拇指，索引，中指和环手指中，并且可以移动到手腕和下臂。感觉也可能感觉像是轻度的电击。
关节疼痛- 通常在手指关节中刺痛，疼痛可能会伴随着刺痛感，并且可以一直移到肩膀上。
弱点- 这可能会影响您的握力或捏小物体的能力，并且在老年人中可能更为严重。
更严重的病例可能会导致肌肉萎缩或在拇指底部磨损，并损失从冷热中告诉热的能力。
可以结合您的病史，全面的体格检查和称为神经传导研究的测试来完成腕管综合征的诊断。在体格检查期间，您的医生将寻找任何压痛，肿胀或畸形的迹象。
神经传导研究是一项测量传导速度或神经冲动的测试。神经冲进手的神经冲动较慢，可以证实腕管综合征的诊断。
如果诊断后尽快开始使用腕管综合征的治疗，将最有效。早期治疗可以包括以下简单步骤：
最初的治疗通常包括腕部夹板和药物以减轻疼痛或炎症，例如NSAIDS（非甾体类抗炎药）。
您的医生可能会推荐皮质类固醇（例如可的松）来缓解疼痛和肿胀。可以在此过程中使用超声波机，以帮助医生指导药物并确保其到达受影响区域。
如果症状对其他疗法无反应或症状恶化，则手术程序可能是治疗的下一步。
The goal of surgery is to relieve pressure on the median nerve. The procedure used to accomplish this is called carpal tunnel release surgery. In this procedure, surgeons cut through the carpal ligament to create more space for the median nerve and surrounding tendons. The procedure can be performed in two different ways:
内窥镜手术– Performed using small incisions, a scope and a tube with a camera and a light. This allows for the surgery to be done with minimal invasiveness, less pain and shorter recovery time.
开放手术- 对于更严重或更复杂的情况，可以通过将手掌切开在腕管上并切穿韧带以使神经免受压力的方式来完成此过程。
缓解疼痛可能是立即的，但完全康复可能需要数周甚至几个月。在愈合过程中，韧带组织逐渐生长在一起，同时为神经提供更多空间。内部愈合可能需要几个月，但皮肤切口将在几周内愈合。
You may experience pain, swelling and stiffness following the operation. Your doctor will recommend that you gradually begin using your hand and wrist after the ligament has healed, initially avoiding any heavy usage.
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