![]() DiagnosisĪn accurate medical history and clinical examination are usually sufficient for your doctor to make the diagnosis. Other conditions associated with CTS include a tumour in the carpal tunnel canal, diabetes mellitus, hypothyroidism, menopause, pregnancy, renal failure, Raynaud’s syndrome, repetitive strain injuries and double crush syndrome (Osterman,Lancet, 1991). For example, pregnancy is a leading cause of CTS because of hormone imbalances. There are certain cases where CTS is caused by a change in your physical health. In some instances, there may be pre-existing conditions, hereditary or otherwise, that influence how prone you are to developing CTS. Repetitive activities of the wrist, such as typing, driving, reading the newspaper, holding a phone and using chopsticks could possibly bring on CTS. Buttoning up a shirt, holding a cup, pinching and gripping actions may be difficult to accomplish. Simple daily tasks may prove challenging as hands become clumsier. In severe cases, patients may experience pronounced numbness (decreased sensation) and pain and therefore have problems sleeping at night. There may also be feelings of tightness at the wrist area. Patients usually experience a sensation of “pins and needles” at the fingertips, particularly towards the thumb, index and middle finger.
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