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### Carpal Tunnel Syndrome **Overview:** Carpal Tunnel Syndrome (CTS) is a condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. This can cause symptoms such as pain, numbness, and tingling in the hand and arm. **Symptoms:** - Numbness or tingling in the thumb and fingers (especially the index and middle fingers) - Pain that radiates up the arm - Weakness in the grip or difficulty holding objects - Symptoms often worsen at night **Causes:** - Repetitive hand movements (e.g., typing, assembly line work) - Wrist injuries or trauma - Health conditions (e.g., diabetes, thyroid disorders) **Treatment:** Nerve conduction study (NCV) Vitamin B 12 levels - Wrist splints to immobilize the wrist - Physical therapy - Corticosteroid injections - Surgery in severe cases Dr Abhishek Kumar Senior Consultant orthopedics and Joint Replacement