Carpal Tunnel Syndrome - Causes and Treatments
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- Опубліковано 21 вер 2023
- Join us for an informative and engaging episode of Talking with Docs as our expert doctors delve deep into the world of Carpal Tunnel Syndrome (CTS). In this episode, our medical professionals will break down the complexities of CTS, offering clear explanations, real-life case studies, and practical tips for both prevention and management.
Discover the causes, symptoms, and risk factors associated with Carpal Tunnel Syndrome, and gain valuable insights into the latest advancements in diagnosis and treatment options. Whether you're someone who spends hours at a computer, an athlete, or simply curious about this common condition, this episode is a must-watch.
Don't miss this opportunity to learn from our seasoned physicians as they share their knowledge and experience to help you understand, manage, and, most importantly, find relief from Carpal Tunnel Syndrome. Subscribe now and stay tuned for more enlightening discussions with our healthcare experts on Talking with Docs!
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
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What is CTS? Well, since achieving a "professional secretary" ranking in 9th grade when tested on a manual typewriter, I have now been typing for 55 years. I am a software engineer, and the poster child for CTS! It comes and goes. When it hurts, just stop working so hard. :-)
Had CTS in my right hand and it reached its peak intensity while I was a student pilot. Got to a point where I could not push the comms button on the yoke (with my thumb) in order to reply to air traffic control. Ultimately had very successful surgery but as a sleep apnea sufferer, I was one who had the wrist splint, chin strap, and CPAP all at once for a period.
My surgery was endoscopic under general anesthesia with an incision about 1/2". I now have zero scar and zero lingering effects 10+ years on.
I had bilateral CTS surgery when I was 26. Mine was due to my job requirements. I took a month off for each hand. The only lasting side effects are the sensitivity on the scars and hand strength has weakened. I'm very glad I did it though.
Thanks for bringing this up, docs! I had bi lateral carpal tunnel surgeries in 1995. Which moved on to bi lateral ulna nerve transportations.I tell you this because one of the four surgeries gave me RSD or Complex Regional Pain Syndrome. At the age of 30. At almost 58 now, the suffering through that has been far, far greater than the original disorders. Although it has been many years I live a great life and you come to a point of acceptance and an ability to understand your life. All life is ups and downs, just like CRPS. My advice, if possible is if you can change the job that is causing the CT, do so. Sometimes that may change the course of your symptoms and maybe even your life. Love you guys All the time..🎉🎉🎉
I’m a casino dealer, and had it in the beginning of my career. Rest, and proper dealing techniques corrected it. Some dealers have to resort to surgery. The pain can be debilitating.
Got my both hands done many years ago , never looked back recovered very quickly, 10:29 as a pastry chef , and a busy horticulturist brillant outcome 👌👍
Good stuff!
Where did u get the treatment done and how long the treatment went pl tell
Where did you get surgery
At one time I thought I was heading towards CTS. After working in an office for years, computer and calculator work would fatigue my wrists. But after a while, I changed the specific type of work and the pain stopped.
So many things have changed for office workers, ergonomic keyboard and mouse are just some of the things and of course, self awareness, the right position and resting the fatigued area. It always helps to beware of the problem and compensate for any stress or pain.
Plus videos like this that explain what it is, what to do and if surgical intervention will help.
You two continue to give us the best information and have incredible guests!👍
Thanks for sharing another great video!
I had my employer assess my work station and was able to have multiple environmental changes implemented, which saved me from having surgery 😊
This info couldn't be more timely....i was just diagnosed with CTS by a neurologist a couple of days ago! Thank you for this info....i needed it😊
As always, it is an excellent programme that keeps it simple but straight to the point.thaks guys
Great video. Thanks again to the Docs and their guests.
Thank you so much for this informative video on Carpal Tunnel Syndrome! I've been experiencing some wrist discomfort lately, and this video has been incredibly helpful in understanding the potential causes and treatment options. It's reassuring to know that there are various approaches to managing CTS, from lifestyle changes to medical interventions. I'll definitely be discussing these options with my healthcare provider. Your clear explanations and visuals make this complex topic much easier to grasp. Keep up the great work, and thank you for sharing this valuable information with us! 👍💼💻
Thank you so much AMAZING Doctors! Very helpful information.
Really good video, thank you.
Love your video and know I know what to go through, Colin from England ❤
A fine presentation that showed me I do not have carpel tunnel (have wondered for years).
So glad he mentioned the neck might be the problem. My orthopedic surgeon was convinced after xrays and MRI that I had CTS and surgery was even scheduled. However, PCP recommended EMG test which found I had nerve pinch in my neck from arthritis. I had neck fusion surgery and CTS symptoms disappeared.
great information! surgery is fast, but recovery takes a while---especially to get back to work if you use hand in a major way. At least it can be fixed!
I need to get this done. I can barely use my hands now.
do it, I put it off for years, had it done and no problems since
The longer you leave it the less chance of full nerve recovery. Best to get that nerve conduction test done soon.
Look up the Sonex Microknife. It's amazing!
Try K-Laser first, my CTS solved with K-Laser
@@eveningfairy2030what is k-laser?
love the good humor regards from ireland
Great video as always. Could you do one on meralgia paresthetica?
Awesome video
In January of this year I had Carpal tunnel release on my right hand. I had found a brace was too painful to wear at night. CT was severe in right hand and mild in left. There was no after care and the pain and distress was the worse I have experienced. There is zero chance I will let anyone do the left hand. Sorry, I understand there is a wide range of experiences post surgery. Some people heal easily.
Sorry it didn't work for you.
Do you have any trouble in your neck? I have stenosis in various spots. So it the surgery doesn't help much, it could be from bad vertebrae in my neck.
Thank you!
Another informative video, thanks. How about a video on Dupuytren's contracture, I have it and have had radiotherapy that hasn't seemed to help.
I have moderate carpel tunnel but have being putting off surgery as I knew nothing about the operation. I am going to contact my Doc & get a referral as this being on to long. Thanks Doc;s for the great Video.
I've been through this in both hands. This doctor is right on. My doctor, Dr. George White is the top in the south east. This doctor is right there.
Good evening docs after watching this video I think my hand troubles are arthritis . But will get it checked out to be sure . Thank you .
Thanks docs....❤❤❤❤❤
I love you guys!
I 've had CTR on both hands several years apart, so far so good.
crash team racing?
interesting listing of risk factors. i was expecting to hear repetitive stress injury from hand posture at keyboards for office workers.
Hi docs. Thanks for the video. I have another challenging question that i get different responses for. Osteochondral allografts for the wrists. Why isn’t it done as often? Is it the lack of cadaver bone supply and lack of insurance acceptance?
Second question, how important is vascularization for transplanting cartilage? I know the general rule is anything over 6 cm but it does not seem to be rooted in fact
everyone thanks for watching
Can you speak on calcium on shoulder ligaments? What is procedure? What is treatment and recovery?
When I was 30 years old my carpel tunnel was as you say "acute". The Chairman of the St Louis University Medical School Neurology said my case was the WORST he had ever seen. He decided to do this procedure rather than delegate, partly because he wanted to teach the surgical technique to a senior resident. Then, three months later, the Chairman did my surgery on the other hand. He used a T-cut on my upper palm and my symptoms have not returned in 35 years.
Now, I have arthritis and inflammation in my finger bones and hand knuckles. What do you suggest? Have any videos on hand bone arthritis?
Can you do a talk about encephalomalacia? I want to know more about it.
I had ACDF and CTR at the same time and the CTR took way longer to heal. I still have pain after 17 months, but it is definitely better than the sleepless night pains.
Did you have surgery and were your symptoms mild or moderate ctr
Great as always, I want to ask you, I’m a hairstylist and when I’m blow drying hair on clients when using a round brush can that effect it??
I suffer from severe pain and numbness in my fingers and elbows, I go in for Kenalog Steroid injection in both of my elbows, when it is fully flared up I rarely get a nights sleep, I've learned some pressure points to help relieve the pain around the base of the tricep and in the forearm, I'm starting to consider surgery to get longer relief from the pain.
I wonder what the doctors have to say about the benefits of magnetic bracelets worn on the left wrist
Dr Middaugh El Paso Manual Physical Therapy has the best advice on CTS!
Working as a correction officer for the past 8 years. CONSISTENTLY opening doors, turning wrist/forearm, writing in a log book (every 15-30 minutes). Along with an work related injury. And on dominant hand. 😑
I hope you'll update this with a feature about the Sonex SX-One Microknife. January 2024 will be my 3rd anniversary and I have never looked back!
Can you do a video about cubical tunnel w/ Dr Haverstock?
Can you do a teaching on Dupuytren contracture
I've had carpal tunnel twice (same hand/arm), more than 10 years apart. The first time (late 1990s), ortho sent me to a neurologist who recommended PT/splinting at night, and modifying work environment - instead of surgery. It improved within a few days and completely resolved in 4 weeks. It returned again in 2010 after I broke my radius at the wrist in 2 places. It developed after I had the cast removed, but again, resolved with PT/splinting and, thankfully, it has never returned. I always make sure that my work environment is ergonomically correct. I know people who have had surgery because they were unable to modify their environment.
Pl recommend the physiotherapist u went to pl
I was living in MD at the time (16 years ago), and sadly can't recall the name of the lovely woman who successfully treated me for that and an elbow/shoulder injury. Call you FP and seek a referral. When you call the referral, ask about their treatment options. The exercises were very easy and I often did them while driving or watching TV.
when first time it get resolved do you stop using splinting after 4 weeks? and did yo do any exerciser for it?
I was able to stop using the splint once the inflammation completely resolved. I stopped having the pain whenever my wrist was resting on a surface. At that point, I tried sleeping without the splint and thankfully, I was no longer awakened by the burning sensation. I am typing on a laptop now, wrists resting directly on it, no issues! GL!
@@stephaniehyatt309hey can i just simply rest my hand at proper position during sleep is that ok or splinters are necessary?
Grear video! I had the CTS surgery in both hands about 20 years ago. The last 5 or 6 months or so i have been having repeat symptoms mainly at night as i wake up and thunmb and 2 fingers are numb. Same for both hands but moreso in my right hand. My right hand has finger tip numbness all the time. Could this somehow be a return of CTS? If so what can be done about it? Thanks for any help with this...
mine is a neck problem. I started exercising everyday and the problem is a lot better. did some neck stretching as well.
3:20 OMG so funny! I was thinking that same thing (I'm65). I got on my splint, my retainer, my compression socks...😀
Just had the nerve conduction test done and the results showed one side mild and the other side moderate. My orthopedics doctor recommended surgery on the moderate side before it becomes severe. Glad I was able to watch your video because I had no idea what surgery entailed.
Is the mild one recovered now?
@@eveningfairy2030 had endoscopic surgery on moderate side mid Feb. All healed but still tender when body weight is pushing on recovering hand. Glad I had it done. Mild symptom hand is not really bothersome.
@@joannm.1756what are your mild symptoms? You can get K-Laser for the mild one. Mine is solved with K-Laser
how about cubital tunnel?
Please do First Bite Syndrome. There isn’t enough info out there about this and it could be the sign of really big issues
Do you get pain shooting going up your arm? I do all the lifting for picking up laundry when going to a laundry mat, grocery shopping and I get this pain up my arm. 🙄
My left hand is worse than the right, but it burns more on the right. Getting my left one done pretty soon now.
😂 As soon as the doc said magnifying glasses, I expected him to say tiny little tools - like the vet who operated on George Castanza’s squirrel! 🐿
I have CTS after a wrist fracture. I am finding relief to an extent wearing a night splint. My doc said my wrist would take up to a year to heal, but I don't see this getting better.
Is there a medical reason why hypothyroidisms is connected to carpal tunnel syndrome and peripheral neuropathy.? I have PN and had the carpal release surgery but I don’t understand how/why the thyroid can play a role.
There was a time when I assumed “carpal tunnel syndrome” was a vision disorder in which your vision made it like you were in a tunnel (more specifically a “carpal tunnel” whatever that is)
What about the ligament you cut, don't we need that? I have been diagnosed with carpal tunnel. I'm very nervous about the surgery. I started exercising and doing hand exercises it improved to where it's manageable now. I'm constantly aware of how I'm sleeping at night. I find even with a wrist brace if I bend my elbow I can get numbness at night. I have it in both hands. I may get the surgery later in life I'm still trying to manage it with exercise.
Same here too
I always feel surgury is a last resort. After 30 years of typing plus skateboarding and table foosball I cannot rest long enough to get some pain from very little work. This surgury only addresses part of the problem. If you are like me you have other repeatitive strain issues too. I'm not bad enough to want the surgury yet. I'm happy to learn more and will try some of the recommendations. Everyone is different. If the surgury is so simple I can get it anytime but I can't undo it if it makes new problems and doesn't fix the problem.
Get a K-Laser! My CTS solved with K-Laser! Surgery will only making you addicted because once they cut your ligaments, you will develop scar tissue and it can trigger CTS again in few years and eventually you need surgery again.
@@ColleenBee Get a K-Laser! My CTS solved with K-Laser! Surgery will only making you addicted because once they cut your ligaments, you will develop scar tissue and it can trigger CTS again in few years and eventually you need surgery again.
39th! I HAD BOTH HANDS DONE AT THE SAME TIME! What a MISTAKE! Would never do that again! Roger in Pierre South Dakota USA
Why im going for surgery soon please explain?
Excellent presentation as always. I had both hands done. Actually the emg pain was worse than the surgery ☹️
I’m confused, because my EMG/NCS tests stated that I had carpal tunnel syndrome. There were also delays in the ulnar nerve. I thought my symptoms were more consistent with cubical tunnel. However, I have no pain, numbness, or tingling. I just get loss of fine motor movement and stiffness in my fingers. It comes and goes.
I had both hands done, a month apart, almost 30 years ago. The incisions were across my wrist, not into the hand. I've had no problems. In fact it was done so well I was able to lift rocks building raised beds in my garden.Nobody said not to do that.
You learn something everyday Brad I thought it was tunnel vision of the wrist😂
No mention of Thread Carpal Tunnel Release. The less than minimally invasive procedure. No scar, no re-hab. I just had it done on Monday, will be back riding my motorcycle on Thursday.
It has pros and cons for sure. Congrats
Which is it true that it would be repeated again in 10 years since I did have both done back in 2010 i think. That's what my surgeon told me that it would be repeated in 10 year's. Thanks for sharing this video with us.
Had carpal tunnel surgery performed in attempt to release a nerve impingement, but ended up undergoing a elbow debridement surgery, and shoulder impingement surgery which finally eliminated the numbness sensation. Loss flexible of the wrist after undergoing the carpal tunnel surgery and the symptoms reappeared a few years later.
So would you not recommend cts surgery as i have had this for 10 years and exercises are not working
I think that you should mention that if it is untreated the muscle in your will disintegrate
Constantly holding these phones in our hands with all of the chemicals that passed through result in this kind of pain, we need class action suits against these phone companies
I'm 18 years old. And pain in both my wrists and thumbs have been going on for months. It's ruined me and I'm not able to play sports or workout. If I have Carpal Tunnel syndrome is there any chance of me being able to workout at least in the future?
My symptoms made me work on guitar pieces with a lot of movement, which were less painful than holding static chords. Now I can't escape it.
Look up the Sonex Microknife. It's amazing!
Ad a California USA resident I hope to have more talking with docs type doctors and insurance providers . I love your channel. Life saving habits happiness happening here💪🏽🙏💙🐝🐢👏 P.S. thank to the guess appearances people and whole medical staffers. 😊
the subject of insurance providers will probably not be on this channel since in Canada this procedure is paid for by the Health Care system....
Thanks Docs. I understand what to look for. You guys are great. Is this something that MLB pitchers would often deal with?
Bought a hand massager machine from Amazon , it helps but not rid
Hi, what kind of hand machine
Can you doctors please do a segment on diverticula’s disease, please? I suffer from it and I have different advice from different doctors. One doctor told me to stick to a high fibre diet which I usually do but another doctor told me to keep on a low residue diet which really limits fibre. I know from experience that when I get a flare up I have to go back to the low residue diet. My GP says I should stay on low residue diet all the time because I have advanced disease. I don’t know who to trust here. Please help.😊 I did do a search on your channel to see if you had done anything about this disease previously and I couldn’t find anything.
We can add to the list. If low residue works for you it may be worth continuing that. Best of luck
What does being pregnant or being a smoker have to do with it?
I had it because of severe Dystonia... it's very very painful and I can burn myself without knowing I can't feel it.. EMG showed it..
Look up the Sonex Microknife. It's amazing!
Occupation therapy. Both two hands are finished surgery but one hand are pain again.
I developed my CT after over 100,000 mi of dirt and overland motorcycle tides…
Nice
I have Basel thumb arthritis in one of my hands plus carpal tunnel too. Carpal Tunnel in both hands. Can you have both surgery?
Look up the Sonex Microknife. It's amazing!
Something bad happened. I got unstable angina- with an "A". I was in great pain. I thought I should see a doctor. They gave me angioplasty and found an artery right up to the heart was 99% BLOCKED. I now have a stent the size of a .22 bullet jammed in there and I'm on blood thinners and double dose statins. No more pain but it's hard to breathe. Like the guy in the life of Brian" I'm alive, I'm alive"
Wow glad you are ok!
I think I've developed CTS in my left wrist. It's the same arm of my dialysis fistula. My Vascular doc is referring me for the nerve test for diagnosis. If it's CTS I think I'll have to have the surgery.
no need for surgery, just take vitamin B6 for nerve regeneration and do some exercise or stretches. u'r welcome ☺️
@@sandercaspe3653 B6? I'll look into it. Turns out I don't have CTS. The pain and swelling went away on its own. Now if I could just get my hands on a functioning kidney I'd be good to go. Lol. 😅
Did I miss something? What are the non op exercises ?
Get a K-Laser! My CTS solved with K-Laser! Surgery will only making you addicted because once they cut your ligaments, you will develop scar tissue and it can trigger CTS again in few years and eventually you need surgery again.
the test says i have that but i don't feel anything.
Not a Lincoln, Dr. Brad, a Cadillac.
Does cts casuse pain in the chest too as i get tingling in my shoulder and chest
No that would be a separate issue that you should talk to your doctor about
It realy hurts me sometimes, because i'm a therapist , do this jobs everyday n can't move my fingers 😢😢
I got a nerve conduction test which shows i have cts ive been getting numbness and tingling and pain for a long time but i dont care about that i can deal with it im just worried if i dont get surgery i will get atrophy of my hands, so is there a way i can not get surgery and not get atrophy of the hand ?
Get a K-Laser! My CTS solved with K-Laser! Surgery will only making you addicted because once they cut your ligaments, you will develop scar tissue and it can trigger CTS again in few years and eventually you need surgery again.
caddilac cts is the car ur thinking about
I am currently dealing with this (both wrists). Mom and sister have both had the surgery and I was hoping to avoid it. I had the injections and they worked very well - complete relief from the numbness in both hands. I understand relief is probably temporary. Injections can be repeated if this is the case. However I now have increasing pain in my right wrist. Is this still CT or something else (arthritis?). How can this be determined?
Get evaluated by a neurologist and see if you can get a referral for physical therapy. I was able to avoid surgery and learned techniques/skills to prevent it from recurring.
Look up the Sonex Microknife. It's amazing!
Can you tell me how u recover @@stephaniehyatt309
Cab hypothyroidism cause carpal tunnel??
if u cut the ligament, what are u giving up? Isn't the ligament used for hand/muscle/wrist functions?
They leave it open, so eventually the scar tissue will develop in the wound and it’ll trigger CTS again in few years and you’ll need surgery again
@@eveningfairy2030 😳😳
Uhh now I don't know what I have cause i feel pain in my whole forearm as well ( up to my elbow) slightest/normal bump on forearm actives the pain (skipped a couple of parts)
Btw started feeling it around mid of august and i started weightlifting first of June
I had bilateral CTS years ago but now I have numbness in my little fingers and ring fingers when I lean on my elbows. What is causing this problem?
maybe your ulner nerve has too much pressure on it when on your elbows
I'm 28 and have this in my non dominant hand. I'm cranky about it lol.
Look up Sonex Health and read about the Microknife! It changed my life!
How much does this surgery coat?
Google it at your nearest hospital
Is it a sign of a stroke ?
Can fall on the elbow cause this
I used to do 12 releases in an afternoon. I believe ( maybe wrongly) it's the only op. thats gives a complete cure compared to all surgery - discuss! You dont cut a ligament!! Please !!
I get carpal tunnel sometimes because I type a lot. The wrist braces help, and I always wear them when I sleep.
But here’s a question: My friend Pirate Pete gets carpal tunnel in his hook, which can impede his ability to say “Yar, Matey!” What kind of therapy should he pursue? 🤪