Carpal tunnel syndrome (CTS) is a condition caused by compression of the median nerve at the level of the wrist. It leads to pain, numbness, and weakness in the hand and fingers. Modern treatment approaches allow effective relief of symptoms and restoration of normal hand function.
Symptoms of carpal tunnel syndrome
- Pain and burning sensations in the hand and fingers, especially at night.
- Numbness and tingling in the thumb, index, and middle fingers.
- Hand weakness and difficulty gripping small objects.
- Reduced sensation in the fingers.
- Atrophy of the thenar muscles (base of the thumb) in advanced cases.
Causes of carpal tunnel syndrome
- Prolonged repetitive hand movements (computer work, playing musical instruments).
- Wrist injuries and contusions.
- Inflammatory joint diseases (arthritis, osteoarthritis).
- Endocrine disorders (diabetes mellitus, thyroid diseases).
- Pregnancy and hormonal changes.
- Genetic predisposition.
Diagnosis of carpal tunnel syndrome
- Physical examination: assessment of wrist mobility and tenderness over the carpal tunnel.
- Electroneuromyography (ENMG): evaluation of median nerve conduction.
- Ultrasound of the wrist soft tissues: detection of edema or structural changes.
- MRI: assessment of the median nerve and surrounding wrist structures.
Treatment methods for carpal tunnel syndrome
Conservative treatment
- Reduction of hand load and temporary use of a wrist splint or brace.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
- Physiotherapy (ultrasound therapy, magnetotherapy, electrophoresis).
- Corticosteroid injections into the carpal tunnel to reduce inflammation.
Manual therapy and massage
- Gentle techniques to relax muscles and reduce nerve compression.
- Massage to improve local blood circulation in the wrist area.
Therapeutic exercises (physical therapy)
- Exercises to strengthen hand muscles and improve mobility.
- Stretching and mobilization of the wrist joint.
Surgical treatment
- Indicated when conservative therapy is ineffective.
- Endoscopic carpal tunnel release: a minimally invasive procedure involving division of the transverse carpal ligament to relieve pressure on the median nerve.
- Open carpal tunnel release: a standard surgical procedure with direct decompression of the nerve.
Rehabilitation
- Gradual restoration of hand function after surgery.
- Physiotherapy and therapeutic exercises to strengthen hand muscles.
- Medical follow-up to monitor recovery progress.
Advantages of carpal tunnel syndrome treatment in Belarus
- Rapid symptom relief. Modern techniques effectively reduce pain and numbness.
- Minimally invasive approaches. Endoscopic surgery shortens recovery time.
- Long-term results. Elimination of the underlying cause helps prevent recurrence.
- Restoration of hand function. Patients can return to their usual daily activities.
When should medical attention be sought?
- In case of persistent pain or numbness in the hand and fingers.
- If symptoms worsen at night or after hand strain.
- When grip strength decreases or finger sensation is impaired.
In Belarus, carpal tunnel syndrome is treated in specialized clinics using modern diagnostic and therapeutic methods. Highly qualified specialists apply both conservative and surgical approaches. Affordable costs and a high standard of medical care make Belarus an attractive destination for international patients.
