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Dr. Keith Roach: Nerve compression of the wrist causes carpal tunnel syndrome | For your health

Dr. Keith Roach: Nerve compression of the wrist causes carpal tunnel syndrome | For your health

 


Carpal tunnel syndrome pain is usually found on the three fingers of the thumb and middle finger of the hand, but can also rise to the elbows. On rare occasions, it may be felt on the elbows.

Electromyography and nerve conduction velocity (EMG and NCV) tests need to show where the specific nerves and compressions affected are. Neurologists are worried that they don’t know where the pain is coming from. If the pain in the hands is due to a neck problem, carpal tunnel surgery does not help relieve the pain. Hand surgeons should not perform surgery unless there is clear evidence of nerve damage.

Pain in both upper arms suggests to me that cervical radiculopathy is likely to be the cause, but I will not continue surgery unless the neurologist is convinced that the surgery will help.

Dear Dr. Roach • In one of my past columns, I mentioned sleeping pills that are not related to dementia. But you didn’t mention the name of any drug. I have tried many “natural” sleep aids, but none of them work. We would appreciate any suggestions! —G.

Answer • While there is certainly an association between many sleeping pills and the subsequent development of dementia, it is not clear that taking the drug increases the risk. People in the very early stages of dementia are more likely to take sleeping pills, which may pose an obvious risk.

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