Sign and symptoms of (CST) are caused by compression of the median nerve travelling through the carpal tunnel. Carpal Tunnel Syndrome affects the hands in motor and sensory disturbance of the median nerve.
This condition affects causing pain, paresthesia, and sometimes weakness in the median nerve distribution. Those diagnosed with Carpal Tunnel Syndrome may experience pain, numbness and tingling sensations in the arm, which may extend to the shoulder and neck area; these feelings are more at night due to various sleeping positions. Carpal Tunnel Syndrome, a disabling overuse injury to the hand is one of the most frequent work injuries reported by the medical profession
Symptoms
Patients that have been diagnosed with CTS experience numbness, tingling, or burning sensations in the thumb and fingers, particularly the index and middle fingers. Individuals also experience pain in the hands or wrists and some report to have lost gripping strength. Pain also develops in the arm and shoulder and swelling of the hand, which increases at night
Causes
Most cases of CTS are of unknown causes, or idiopathic. Carpal Tunnel Syndrome can be associated with any condition that causes pressure on the median nerve at the wrist. Some common conditions that can lead to CTS include obesity, hypothyroidism, arthritis, diabetes, and trauma. Other causes of this condition include intrinsic factors that exert pressure within the tunnel, and extrinsic factors which include benign tumors such as lipomas, ganglion, and vascular malformation.
CST with other diseases Examples include:- Rheumatoid arthritis, pregnancy, inflammation such as inflammatory arthritis, Colles' fracture, amyloidosis, hypothyroidism, diabetes mellitus, acromegaly, and use of corticosteroids and estrogens. Previous injuries, Tumors such as a ganglion or a lipoma, Acromegaly, a disorder of growth hormones, Obesity.
Diagnosis
Clinical assessment by history taking and physical examination can support a diagnosis of CTS.
Phalen's maneuver is performed by flexing the wrist gently as far as possible, then holding this position and awaiting symptoms. A positive test is one that results in numbness in the median nerve distribution when holding the wrist in acute flexion position within 60 seconds. The quicker the numbness starts, the more advanced the condition. Phalen’s sign is defined as pain and/or paresthesias in the median-innervated fingers with one minute of wrist flexion. Tinel's sign, electromyography, Durkan test.
HOMOEOPATHIC TREATMENT: -
Following homoeopathic medicines are useful – Boswellia, Calcarea cab, Calcarea phos, Causticum, Curcuma longa, Formica rufa, Ginkgobiloba, Guaicum, Lachesis, Lycopodium, Medorrhinum, Natrum mur, Nux vom, Pulsatilla, Rhus tox, Ruta g, Viola odorata.
CASE
This is the case of a lady (Mrs. Anj.) aged 45 years with pain in right wrist, numbness. Pain aggravated night, work ameliorated by pressure, rest. Pain up to shoulder weakness in hand, she lost her gripping strength. This was diagnosed as a carpal tunnel syndrome.
Following medicines given on 27/04/10 for fifteen days. Rhus tox 1M weekly, Ruta gr,30 TDS, Viola odorata Q, Lachesis 30 TDS, Kreosotum 200.
Patient reported with no pain, no numbness and she regaining her gripping strength.
Patient was cured. She was given some P.L. doses.
Dr. G. S. Bhatnagar
D.H.M.S. B.H.M.S.
Research officer
Sewa Mandir
Mobile 9829978284
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