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Carpal Bones, Carpal Tunnel Syndrome, Carpal Tunnel Release Print E-mail

Dr. Kennedy The carpal bones are the wrist bones of which there are eight arranged in two rows. The carpal bones articulate (come together to form a joint) with the long bones of the forearm - the radius and the ulna - and with the five metacarpal bones that make up the palm and support the five digits.

The carpal tunnel syndrome is a compression neuropathy (causing nerve damage) caused by compression and irritation of the median nerve in the wrist. The nerve is compressed within the carpal tunnel, a bony canal in the palm side of the wrist that provides passage for the median nerve to the hand. The buildup of scar tissue inside the carpal tunnel leads to this problem. The irritation of the median nerve is due to pressure from the transverse carpal ligament. Carpal tunnel syndrome (CTS) can be due to trauma from repetitive work such as that of checker in stores, assembly line workers, meat packers, typists, word processors, accountants, writers, etc. Other factors predisposing to CTS include obesity, pregnancy, hypothyroidism, arthritis, and diabetes.

Carpal tunnel release is a surgical procedure to relieve pressure exerted on the median nerve within the carpal tunnel (the carpal tunnel syndrome). The surgical release is performed via a small incision using conventional surgery or a fiberoptic scope (endoscopic carpal tunnel repair). Surgical treatment is often not successful.

Treatment options which should be considered before surgery include Vitamin B6, splinting, and anti-inflammatory agents.

The information in this article is not meant to be medical advice.�Treatment for a medical condition should come at the recommendation of your personal physician.

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