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Carpal tunnel syndrome impacts as many as 10 million individuals across the United States. Repetitive hand and wrist motions like typing, assembly line work, or repetative, forceful gripping activity can lead to this condition, causing hand pain and numbness and tingling. 

At Pittsburgh Hand and Nerve, we specialize in treating hand and wrist conditions, including carpal tunnel syndrome. Our expert team provides personalized care to relieve pain and restore function. If you’re experiencing symptoms, schedule an appointment today and take the first step toward recovery.

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Understanding how work activities contribute to carpal tunnel syndrome is essential for effective prevention and treatment.

Understanding the Anatomy of Carpal Tunnel Syndrome 

The carpal tunnel is a narrow passageway in the wrist, formed by carpal bones and the transverse carpal ligament, that protects the median nerve and flexor tendons responsible for finger and hand movement. It plays a crucial role in allowing smooth, coordinated hand and wrist actions. However, repetitive motions or excessive strain, such as typing with wrists bent downward or prolonged wrist flexion or extension activities, can irritate and inflame the flexor tendons within the tunnel.

This inflammation can compress the median nerve, leading to median nerve compression and carpal tunnel symptoms like nerve pain, numbness, and tingling in the thumb, index finger, and middle fingers. These symptoms may become worse at night, with nighttime symptoms often waking patients with carpal tunnel syndrome.

Work Activities That Increase the Risk 

Examples of High-Risk Activities for Carpal Tunnel Syndrome 

  • Typing and Prolonged Use of Keyboards: Extended hours of typing, especially with wrists bent or flexed, can put pressure on the median nerve in the carpal tunnel. Over time, this can increase the risk factors for developing median nerve damage. 
  • Assembly Line Tasks Requiring Repetitive Wrist Motions: Jobs involving repetitive hand or wrist actions, like manufacturing or food processing, can lead to tendon inflammation and carpal tunnel symptoms. 
  • Use of Vibratory Tools Like Drills or Jackhammers: Operating tools that produce vibrations can irritate the wrist and hand, and cause stress to the median nerve. Over time, this can lead to symptoms worsening during daily activities, increasing the likelihood of long-term nerve damage. 

By being mindful of these risk factors and incorporating strategies to prevent carpal tunnel syndrome, individuals can lessen stress on the wrists and reduce the likelihood of developing related symptoms.

Symptoms of Carpal Tunnel Syndrome 

  • Tingling or 'pins and needles' sensation, especially in the thumb, index finger, middle finger, and ring fingers, potentially leading to finger pain
  • Numbness in the fingers or hand, often worsening during sleep, due to wrists bent downward. 
  • Weakness in the hand, making it difficult to securely grip objects, manage fine motor tasks, or move the thumb properly. 
  • Persistent or constant numbness in the affected hand. 

If carpal tunnel syndrome symptoms persist, worsen over time, or interfere with daily activities, a physical exam or diagnostic tools like a nerve conduction study may be recommended. Early diagnosis of carpal tunnel syndrome can prevent permanent nerve damage.

Tips for Ergonomically-Friendly Work Setups 

Importance of Proper Desk and Chair Alignment 

Proper desk and chair alignment is essential for patients with carpal tunnel syndrome to avoid strain and discomfort. Ensure your chair supports your lower back, your feet are flat on the floor, and your desk allows your arms to rest at a 90-degree angle.

Use ergonomic tools like split keyboards, wrist rests, and wrist braces to keep the wrist straight and reduce strain. Take regular breaks, perform wrist stretches or nerve gliding exercises, and switch between tasks to help prevent carpal tunnel syndrome symptoms.

Treatment Options at Pittsburgh Hand and Nerve

Carpal tunnel syndrome can be treated with nonsurgical or surgical options depending on severity. Nonsurgical treatments to manage carpal tunnel syndrome include using a wrist splint to keep the wrist stable, anti inflammatories to reduce swelling, and working with an occupational therapist for exercises. If symptoms worsen despite non-operative treatments, carpal tunnel surgery may be required.

This procedure helps the median nerve move more freely, relieving the pressure caused by inflammation. 

Surgical Options: 

  • Carpal Tunnel Release Surgery: This surgical procedure involves releasing the transverse carpal ligament to relieve pressure on the median nerve, through a small incision in the palm.

Benefits of Seeking Care at Pittsburgh Hand and Nerve: 

  • Expert Plastic Surgeon with a track record of successful outcomes. 
  • Utilize advanced diagnostics like nerve conduction studies and in-office ultrasound procedures.
  • Personalized treatment plans for both mild disease and advanced cases. 
  • A compassionate and patient-centered approach for all health conditions affecting the hand and wrist.
  • Access to on site Occupational Therapy, to help facilitate a complete recovery.

If you’re experiencing carpal tunnel symptoms, including wrist pain, numbness, tingling, or difficulty gripping objects, consult with Pittsburgh Hand and Nerve to diagnose carpal tunnel syndrome and explore treatment options tailored to your needs.

Start Your Journey to Relief Today

Effective treatment for hand and nerve conditions, including carpal tunnel syndrome, is possible with the right care. At Pittsburgh Hand and Nerve, our experienced specialist is ready to provide advanced, personalized solutions to help you restore functionality and reduce pain.

Don’t wait to seek the care you need. Contact Dr. Alexander Spiess today to schedule an appointment and get started on your path to relief and recovery. 

BOOK AN APPOINTMENT