CARPAL TUNNEL SYNDROME

BY GROUP 1

OBJECTIVES
To explain the pathophysiological basis of CTS in pregnancy Identify the gestation/ trimester that pregnant woman experience CTS Discuss the management of CTS

PATHOPHYSIOLOGY
There are eight small bones called the carpal bones in the wrist. These bones form a semi circle, with a tough band of tissue(the carpal ligament)forming the root of the carpal tunnel passing through this tunnel are tendons, nerves and vessels which control the hand. When the median nerve get compressed, it causes the symptoms of CTS. The median nerve supplies the movement and feeling to the thumb, index and middle finger and half of the ring finger.

 During pregnancy, the body naturally retains more fluids and swelling of the hands is common. If some of these fluids is localized to the carpal tunnel; the median nerve and other vessels can be compressed, causing symptoms of CTS.

THE COMMON SYMPTOMS.

Pain and needless/numbness. Pain and burning sensation in thumb, hand wrist or arm. Weakness in hand affecting grip. Swelling in the hands. NB symptoms tend to be worse at night or first thing in the morning. This can be due to build up of fluid(due to lack of movement over night) or a poor sleeping position.

MANAGEMENT
Positioning Try to keep the wrist straight to avoid pressure on the nerve. Rest Try to prevent overworking arm like lifting, computer work, writing or space those activities.

 Ice Pass ice pack for 10 minutes or massage it with ice cube alternatively. Movement Gently exercise during day regularly and gentle massage may offer relief. Elevation Elevate the hand with pillow to reduce swelling.