How do you know when your carpal tunnel is severe?

Answered by Robert Dupre

Severe carpal tunnel syndrome (CTS) is characterized by intense pain, numbness, and tingling in the hands and fingers. It is important to recognize the signs and symptoms of severe CTS in order to seek proper treatment and prevent further complications.

1. Intense Pain: One of the key indicators of severe CTS is the presence of intense pain in the affected hand or hands. The pain may be sharp, shooting, or throbbing in nature and can extend from the wrist up to the forearm or even the shoulder. It may worsen at night or during activities that involve repetitive hand movements, such as typing or gripping objects tightly.

2. Persistent Numbness: Numbness is another common symptom of severe CTS. The affected individual may experience a loss of sensation or a “pins and needles” sensation in the hand, particularly in the thumb, index, middle, and ring fingers. This numbness may persist for extended periods of time and can interfere with daily activities.

3. Tingling Sensation: Alongside pain and numbness, severe CTS often presents with a tingling sensation in the hand or fingers. This sensation is often described as a feeling of electric shocks or a “buzzing” feeling. It can be quite uncomfortable and may occur intermittently throughout the day.

4. Weakness and Muscle Atrophy: In advanced stages of CTS, muscle weakness and atrophy may become noticeable. The muscles at the base of the thumb, known as the thenar muscles, may gradually lose their strength and mass. This can lead to difficulty in gripping objects, performing fine motor tasks, and even dropping things unintentionally.

5. Impaired Fine Motor Skills: Severe CTS can significantly impact fine motor skills, making simple tasks like buttoning a shirt or holding a pen challenging. The fingers may feel clumsy, and coordination may be compromised. This impairment can have a significant impact on an individual’s ability to perform their daily activities and can be a clear indication of severe CTS.

If you suspect that you may have severe CTS, it is crucial to consult with a healthcare professional for a proper diagnosis and treatment plan. They may perform a physical examination, review your medical history, and possibly order additional tests such as nerve conduction studies or electromyography to confirm the severity of the condition.

It’s worth mentioning that the severity of CTS can vary among individuals, and what may be considered severe for one person may not be the same for another. Therefore, it is essential to seek medical advice to accurately assess the severity of your specific condition.

Personal experience: As someone who has dealt with carpal tunnel syndrome, I can relate to the challenges and frustrations that come with the condition. In my case, as the symptoms progressed, the pain became excruciating, and I experienced constant numbness and tingling in my hands and fingers. Simple tasks like typing or writing became unbearable, and my hand strength noticeably decreased. Seeking medical help and receiving appropriate treatment made a significant difference in managing the severity of my carpal tunnel syndrome.