Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) occurs when the median nerve along with the tendons, become entrapped in the tightly spaced tunnel or flexor retinaculum, thus leading to inflammation. The tunnel is comprised of the transverse ligaments, carpal bones and flexor tendons. This syndrome occurs in the general population due to repetitive wrist motion. Some symptoms include a burning, numbness and tingling sensation in the first three fingers and medial aspect of the pinky finger. Symptoms usually worsen at night; some report having to “shake out their hands”. Symptoms are present when direct pressure is put on the median nerve of the carpal tunnel. Actions such as typing for a long time, can recreate symptoms or feelings of discomfort. Everyday functions such as gripping or pinching becomes a problem for those who have Carpal Tunnel Syndrome.
A positive indication of Carpal Tunnel Syndrome includes the Phalen’s test and Tinels sign. Those tests are not the final factor in saying that one has Carpal Tunnel Syndrome. One would have to be diagnosed with the syndrome by a physician and/or MRI. Some management considerations can be surgical or non-surgical. In the more advanced or extreme cases of Carpal Tunnel Syndrome some people undergo surgery where that flexor retinaculum is released. Most physicians would prefer taking a non-surgical treatment protocol before considering surgery as an option. The non-surgical route includes rehabilitation of that wrist which includes immobilization, the use of non-steroidal anti-inflammatory drugs(NSAIDS) and icing to help reduce the swelling. Others have considered taking a corticosteroid injection under the flexor retinaculum decompresses the median nerve by decreasing tissue swelling.
Anderson, Marcia K. Foundations of athletic training prevention, assessment, and management. Philadelphia: Lippincott Williams & Wilkins, 2004. Print.
Kanaan, Nabil; Sawaya, R.A. Carpal tunnel syndrome: modern diagnostic and management techniques. British Journal of General Practice (2001); 51:311-314
Jake Ivey is a first year graduate student and recipient of the Hughston Athletic
Training Fellowship in Columbus, Georgia. A Columbus native, Jake earned a Bachelor Of Science Degree in Sports Medicine/Athletic Training and Exercise Science from Georgia
Southern University in December 2008. While attending GSU, he completed rotations with men’s soccer, women’s track and field, GSU recreational center, women’s basketball, and
high school rotation at Statesboro High School. Jake served as Treasurer of the Georgia Southern Athletic Trainers Association from 2007-2008 and severed as President from 2007
-2008. He is an active member of the National Athletic Trainers Association (NATA), the Southeast Athletic Trainers Association (SEATA), and the Georgia Athletic Trainers
Association (GATA). Jake has been assigned to and will oversee the healthcare of the athletes at Chattahoochee Valley Community College.
Andrea Riley, a native of Stamford, Connecticut, is a first year graduate student and recipient of the
Hughston Athletic Training Fellowship Program in Columbus, Georgia. She received her Bachelor Science Degree in Athletic Training from Temple University in May of 2009. While at
Temple, Andrea was involved in different organizations such as Student Organization of Caribbean Awareness (SOCA) and Organization for Athletic Training Students (OATS). She is
the youngest of Jamaican parents and her older brother is a sergeant in the US Military. Andrea is an active member in National Athletic Trainers Association (NATA) and is
responsible for the overall healthcare of the athletes at Kendrick High School, Columbus.