Definitions and Contributing Factors

Carpal Tunnel Syndrome is a compression of the Median Nerve as it passes through the carpal canal which is made up by the wrist bones, the finger flexor tendons, and the Transverse Carpal ligament. The tunnel is already small enough as it is, but add in some inflammation from repetitive overuse of the finger flexors (keyboarding/mousing), or increased fluid retention due to Diabetes, pregnancy, obesity or other systemic/metabolic diseases and you get yourself Carpal Tunnel Syndrome.

Some other considerations for Carpal Tunnel Syndrome include: It tends to affect women more than men and more than likely middle-aged women (40-60 years old). A very common cause of Carpal Tunnel Syndrome is mechanical restriction (i.e. the joints in your wrist and hand are dysfuntional and not moving well causing local swelling). This can also result from osteoarthritis or Rheumatoid Arthritits in the wrist.

Occupational stressors/contributors include:

  • Certain Trade occupations: carpenters, mechanics, electricians, butchers, meat packers, office jobs, cashiers, truck drivers, seamstress, beauticians, writers/journalists, housewives, musicians, chiropractors, dentists, dental hygenists, and athletes
  • Repetitive gripping, constant pressure, and repetitive fine hand movements

Although some may argue otherwise, there is a likely connection between Carpal Tunnel Syndrome and having a vitamin B deficiency.

Traumatic events can initiate a Carpal Tunnel Syndrome: motor vehicle accident, a fall, dislocation or subluxation of a carpal (wrist) bone, surgery, fracture of a wrist bone.

Signs and Symptoms

Treatment Options

Vizniak N, Carnes M, et al. Quick Reference Evidence-Based Conditions Manual 3rd Ed. Professional Health Systems 2009.