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Carpal Tunnel

Carpal Tunnel Syndrome

The carpal tunnel is a narrow space in the wrist that is formed where a strong ligament that connects the base of the thumb and little finger passes across the bones at the front of the wrist. The median nerve passes through this space, and carpal tunnel syndrome (CTS) occurs when the nerve becomes pinched to cause painful tingling in the hand, wrist and forearm. In severe cases, numbness, weakness and muscle wasting may occur. Symptoms classically affect the thumb, index and middle fingers and the inner side of the ring finger as these areas are supplied by the median nerve. Carpal tunnel syndrome is most commonly seen in middle aged women. It often affects both hands and is sometimes associated with obesity, pregnancy, underactive thyroid gland, fluid retention or repetitive finger movements (eg typing).

Self Help

• Frequent work breaks are important.
• An ergonomic assessment of work conditions is essential as altering posture, chair and table heights, computer placement, and the correct use of a keyboard can improve symptoms.

Some people with CTS have a low vitamin B6 level (needed for optimum nerve functioning) and high dose supplements containing B6 are said to help at least 85% of people within 12 weeks. High dose vitamin B6 is best taken under supervision of a nutritional therapist as excess may, in itself, lead to nerve conduction problems. Apply two patches, one on either side of the wrist, above and below the most painful area.