Doctor insights on:
Psoriatic Arthritis Carpal Tunnel Syndrome
Carpal tunnel syndrome more common in patient with psoriasis arthritis? Does it have any impact on treatment for cts if you have psa?
Yes: If the wrist has arthritis or the skin near the wrist is inflamed you would expect carpal tunnel syndrome much more commonly than normal. The medical treatment involves controlling the psoriatic arthritis systemically, injecting the wrist with a corticosteroid if necessary, and splitting the wrist. Surgery would be a last resort but only if medical treatment fails.. ...Read more
Entrapment of the median nerve at the wrist is how we describe carpal tunnel. There are 8 carpal bones, but the hamate and pisiform form the ulnar side. The trapezium and scaphoid for the radial side. Flex the 3rd digit and look at the palmar hand side. The long flexor's tendon will be visible, the median n is just to its thumb side. Wrist flexion or extension can irritate ...Read more
Splints , ansaids: There may be an activity you are doing that is exacerbating your symtoms, night splints, arthritis type meds, cortisone shots in the carpal tunnel given by your doctor. However the best treatment would be a thorough evaluation by your specialist as to the cause of the problem then you would not be wasting your time on other treatments that may not work. Surgery is last resort. ...Read moreSee 2 more doctor answers
Non-op modalities: Common non-operative treatment modalities for carpal tunnel include night splinting, anti-inflammatory medication, and corticosteroid injection into the carpal canal. Ultimately the goal of these modalities is to decrease pressure/swelling (anti inflammatory or steroid) and prevent decreased space (splint) at the level of the carpal canal. ...Read moreSee 2 more doctor answers
Numbness and or pain: The symptoms of carpal tunnel syndrome include numbness to the thumb, index and middle finger. Patients can also have pain in the wrist and these symptoms can radiate up the arm. A proper history and exam along with diagnostic tests such as a nerve study or ultrasound can confirm the diagnosis. ...Read moreSee 1 more doctor answer
I don't have carpal tunnel syndrome, but i seem to have all the symptoms. What are some conditions that replicate carpal tunnel symptoms?
Cold. I also sometimes get this light, achy pain in my wrist. Is it possible that I have carpal tunnel syndrome?
Usually tingling: That's not a typical presentation. Carpal tunnel surgery is a compression of the median nerve at the wrist so symptoms involve that nerve and specifically sensory symptoms such as generalized discomfort of the hand, numbness and tingling on the thumb side of the hand as well as motor changes and specifically weakness of the hand especially involving the thumb. ...Read moreSee 1 more doctor answer
Lots of things to do: Wrist exercise and stretch at work or home, work place ergonomic assessment, avoid repetitive work at a time, give rest to the joint and do some stretch in between. Avoid or control obesity, manage thyroid disorders, diabetes, rheumatoid arthritis and kidney failure, avoid falls and fractures, drink alcohol only on occasions and not more, and keep in mind this problem is more common in pregnancy. ...Read moreSee 1 more doctor answer
Psoriasis is an autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more
An inflammatory arthritis associated with psoriasis. The arthritis can affect a few joints (oligoarticular), many joints (polyarticular), tips of fingers (dip only), the spine (spondylitis) or a severe deforming of hands (arthritis mutilans). Arthritis severity does not ...Read more
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