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What Is Tunnel Syndrome

tunnel syndrome

Tunnel syndrome or tunnel neurology is compression of the median nerve in the narrow compartment of the hand, so-called carpal tunnel. The transverse fascia forms the compartment. It also performs the role of the tunnel where muscles of the fingers, the blood vessels, and the median nerve pass. The nerve plays an important role in the upper limb pronation and palmar flexion. Also, it extends the terminal phalanges. The sensitive part of the nerve is the palmar surface of fingers 1 to 3 and half of the 4th finger. The disease is manifested by impaired sensitivity, neuropathic pain syndrome (tingling sensation in the hand), limitation of flexion of the fingers. The ailment progress could damage both sides of the hand.

The respective research fact-finding does not highlight some positive arguments. According to clinical trials, specialized doctors could frequently find a carpal tunnel among female patients. The female-to-male ratio of its prevalence is approximately 3:1.

Such statistical outcomes have resulted from the triggers of this disease. Hence, periodical hormonal imbalance, predisposition to calcium deficit, and monotonous work make women more vulnerable to this disease. On the surface, carpal tunnel syndrome may seem like an easily treated disturbance. However, this is a mistaken belief, and the conditions could suddenly disappear, or the damaged median nerve is healed in a miraculous way. The relief process is extended and complicated because some cases require the surgeon’s interventions.

This neurological disorder responds to the treatment procedures if the patient receives medical aid promptly and follows all the neurologist’s prescriptions. In this case, the chances to overcome the signs and effects of the succumbed disability are pretty high.

Carpal tunnel syndrome causes

Carpal tunnel syndrome causes

The median nerve-injured syndrome occurs when the nerve is compressed. The compression could be caused by the different factors more typical for female patients. Such reasons can be summed up into the following items:

  • menopause hormonal changes in female organism which affect most organs’ functions;
  • inheritance factors due to genetic ties and DNA structure;
  • traumas caused by external triggers;
  • development of anomalies which could be associated with the other diseases or disorders;
  • synovitis meaning the inflammatory pain in the case of joints and ligaments;
  • tenosynovitis related to inflammation of the ligaments or their case;
  • diseases of the joints which are dangerous for health and even life of the respective patients;
  • innocent or cancerous tumors;
  • edema diseases which are typical signs during endocrine illness or pregnancy.

Trauma to the carpal tunnel is often chronic and stemming from professional activities. Pathology is typical for musicians, people who type a lot on the keyboard, and those who perform minor, monotonous work with their fingers.

When a median nerve is compressed, and its blood supply is disrupted, this leads to degenerative changes and proliferation of connective tissue through the extended period. The disease begins to develop when perception is disturbed, neuropathic pain syndrome appears. The illness progress anticipates motor function effects and motor disorders.

The negative feature of neurological diseases is that they are closely connected with the other nervous disorders untreated or unexamined properly.  Therefore, you should be aware of universal factors for all neurology-related ailments to keep strong and healthy bones, joints, ligaments, and blood vessels.

Symptomatology for tunnel syndrome diagnosis

The disease begins with acute and permanent pain impulses, inflammation, pins and needles in the heel of the affected hand, numbness reactions for an extended period. Seizures usually occur at night. The clinical cases could describe the painful lesions in one arm, but the syndrome can be bilateral. Rubbing the problem area and shaking arms allows to get rid of unpleasant sensations; however, such procedures are helpful only for a short time.

As the disease progresses, paresthesias and impaired motor function are added to the pain. To this extent, the patient feels numbness. Compression of the median nerve leads to difficulty grasping objects with the thumb, impaired flexion of fingers 1 to 3; this creates problems in everyday life and restricts professional activities.

Moreover, such vegetative disorders accompany cold hands, inflammatory sensitization, swelling, and redness.

To reach practical relief effects, the potential patient should receive the correct diagnostic procedure. You should understand that the complete clinical picture, including pain investigation, paresthesia in the innervation zone of the median nerve, and fixation of disturbances lead to the diagnosis of the carpal tunnel syndrome symptoms proved after a conversation with a patient and a neurological examination. The primary diagnostic actions are quite straightforward. The doctor should knock the area of the hand nerve compartment, and the clear painful reactions would prove the tunnel syndrome. Passive hand movements provoke the development of unpleasant signs; the neurologists call this phenomenon the Fauville symptom.

To confirm the diagnosis, the following examinations are carried out:

  • electromyography;
  • radiography;
  • computed tomography;
  • MRI.

The above diagnostic techniques help gain a reliable neurology diagnosis and prepare the treatment plan for a positive outcome.

How to treat carpal tunnel

How to treat carpal tunnel

If the nerve compression is caused by trauma, anatomical defects must eliminate the core trigger impact. To this end, the treating doctor decides to apply surgical solutions followed by immobilization of the hand. Dislocations are remedied without surgical manipulations.

If the carpal tunnel syndrome symptoms include edema signs, you need to determine its cause and location and treat the underlying disease. As usual, these are harmful endocrine and inflammatory processes. In cases characterized by severe edema, the doctor may detect diuretics or any other substance influencing the urine.

To eliminate pain, the neurologist could prescribe particular medical products such as corticosteroid drugs and anesthetics to blockchain the painful reaction in the injured wrists.

In addition, to reduce edema and the inflammatory process, non-steroidal anti-inflammatory drugs are recommended. Besides, anticonvulsants are used to relieve neuropathic pain syndrome.

Vascular therapy (pentoxifylline) and metabolic therapy (B vitamins, thioctic acid preparations) can improve the nervous tissue’s metabolism to avoid the irreversible consequences of ischemia.

In complex therapy, the neurologists include physiotherapy in the comprehensive relief agenda. The patient shall follow magnetic laser, magnetotherapy, ultrasound with hydrocortisone, acupuncture, massage, a special set of exercises, balneotherapy, or mud applications on the carpal tunnel area.

If conservative treatment is ineffective, surgical dissection of the transverse ligament is indicated; this allows the carpal tunnel to be widened. The surgical procedures are identified for 10% of the respective patients.

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Lone Star Neurology
4.4
Based on 617 reviews
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Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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