Canadian is my roots, I'm Dr. Steven Zielinski, a Montreal native now practicing in the United States, dedicated to providing top-tier spine care to Canadians. Combining Canadian understanding with cutting-edge American technology, eliminating long wait times for patients. Graduated from Lower Canada College, earned my medical degree at McGill, completed neurosurgical residency at the Montreal Neurological Institute, and a Fellowship at Stanford. My roots are in Montreal, my parents still live in the same home I grew up in. Have family in Ottawa, Mississauga, and Kelowna. I've
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a nerve compression condition caused by pressure on the median nerve at the wrist’s carpal tunnel. While the exact cause is often unknown, environmental and medical risk factors are associated with the condition.
People at Risk
People at risk for carpal tunnel syndrome include those who perform repetitive hand movements, such as typing, assembly line work, or using hand tools. Women are more likely to develop the condition, possibly due to smaller wrist bones. Pregnant women are also at increased risk, as hormonal changes can lead to swelling and fluid retention. Individuals with diabetes may be more prone to carpal tunnel syndrome due to nerve damage, while those with rheumatoid arthritis face a higher risk due to inflammation that can compress the median nerve. Obesity can contribute to the condition by adding extra pressure on the wrist. Genetics also play a role, with a family history increasing the likelihood of developing carpal tunnel syndrome. Additionally, people who regularly use vibrating tools are at higher risk due to the strain they place on the wrist.
Symptoms
Common symptoms include numbness, tingling, or a “pins and needles” sensation in the thumb, index, and middle fingers, often occurring at night or after activities that involve prolonged use of the hands. People with the condition may also experience pain or weakness in the hand and wrist, making it difficult to grasp objects or perform everyday tasks. In more severe cases, the symptoms may extend up the forearm. The discomfort may worsen with repetitive hand movements or overuse, and individuals may notice a decrease in grip strength or dexterity. If left untreated, this can lead to permanent nerve damage.
Treatment
Conservative treatments for carpal tunnel syndrome typically focus on reducing inflammation and relieving pressure on the median nerve. These may include wearing a wrist splint, especially at night, to keep the wrist in a neutral position, which can help reduce symptoms. NSAIDs like ibuprofen can help manage pain and swelling. Physical therapy or exercises designed to stretch and strengthen the wrist can also be beneficial. In some cases, corticosteroid injections into the carpal tunnel may help reduce inflammation and alleviate pain temporarily. If conservative methods fail, surgery may be an option. The most common surgical procedure is carpal tunnel release, which involves cutting the ligament that is pressing on the median nerve, creating more space and relieving the compression. Depending on its severity. Can do open or minimally invasive. Recovery from surgery typically involves physical therapy to regain strength and flexibility in the wrist and hand.
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