我们包括我们认为对读者有用的产品。如果您通过此页面上的链接购买,我们可能会获得一个小佣金。Here’s our process.
What is carpal tunnel syndrome?
腕管综合征是压缩of the中位神经当它进入手中。中位神经位于手掌侧面(也称为腕管)。中位神经提供了感觉(能力)到拇指,食指,长手指和一部分的拇指,食指,长手指和一部分。它将冲动的肌肉提供给拇指的肌肉。腕管综合征可以在你的一只手中发生。
在手腕内部肿胀会导致腕管综合征的压缩。它会导致麻木,weakness,并在拇指附近的手边刺痛。
这painin your carpal tunnel is due to excess pressure in your wrist and on the median nerve. Inflammation can cause swelling. The most common cause of this inflammation is an underlying medical condition that causes肿胀在手腕中,有时会阻塞血液流动。与腕管综合征相关的一些最常见的条件是:
- diabetes
- thyroid dysfunction
- fluid retentionfrom怀孕ormenopause
- high blood pressure
- autoimmune disorders such as类风湿关节炎
- 骨折或手腕上的创伤
腕管综合症can be made worse if the wrist is overextended repeatedly.Repeated motion你的手腕有助于肿胀和压缩中位神经。这可能是:
- 定位你的手腕使用键盘或鼠标时
- prolonged exposure to vibrations from using hand tools or power tools
- any repeated movement that overextends your wrist, such as playing the piano or typing
Women are three times more likely to have carpal tunnel syndrome than men. Carpal tunnel syndrome is most frequently diagnosed between the ages of 30 and 60. Certain conditions increase your risk for developing it, including diabetes, high blood pressure, andarthritis。
可能增加腕管综合征风险的生活方式因素包括smoking, 高的salt intake那久坐不动的生活方式和一个高体重指数(BMI)。
涉及重复手腕运动的工作包括:
- 制造业
- assembly line work
- 键盘职业
- 施工作业。
在这些职业中雇用的人可能是发展腕管综合征的较高风险。
由于压缩中位神经压缩,症状通常会沿着神经路径发现。你的手可能会经常“睡着”并丢弃物体。其他症状包括:
Doctors can diagnose carpal tunnel syndrome using a combination of your history, aphysical examination那and tests called神经传导研究。
体检包括您的手,手腕,肩部和颈部的详细评估,以检查任何其他神经压力的原因。你的医生会看着你的手腕,享受温柔,肿胀和任何畸形的迹象。他们将检查手指的手指和力量。
Nerve conduction studies are diagnostic tests that can measure the conduction speed of your nerve impulses. If the nerve impulse is slower than normal as the nerve passes into the hand, you may have carpal tunnel syndrome.
治疗腕管综合征取决于您的疼痛和症状的痛苦和症状有多严重,如果存在弱点。2008年,骨科外科医生学院发布了有效治疗腕管的指导。如果可能,建议是试图在没有手术的情况下管理腕管疼痛。
Nonsurgical options include:
- 避免过度扩展手腕的位置
- wrist splints握住你的手中立位置,特别是在晚上
- 轻度止痛药和药物减少炎症
- 治疗您可能拥有的任何潜在条件,例如糖尿病或关节炎
- steroid injections into your carpal tunnel area to reduce inflammation
如果对你的中位神经造成严重损害,可能需要手术。用于腕管综合征的手术涉及切割手腕中的组织带,以减少神经的压力。确定成功或失败的因素是患者的年龄,症状的持续时间,糖尿病,如果存在弱点(通常是晚期标志)。结果通常很好。
You can prevent carpal tunnel syndrome by making lifestyle changes that reduce your risk factors for developing it.
Treating conditions such as diabetes, high blood pressure, and arthritis reduces your risk for developing carpal tunnel syndrome.