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Doctor insights on: Psoriatic Arthritis Carpal Tunnel Syndrome

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Carpal tunnel syndrome more common in patient with psoriasis arthritis? Does it have any impact on treatment for cts if you have psa?

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

Dr. Thomas Namey
2,420 doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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Can you explain carpal tunnel syndrome?

Can you explain carpal tunnel syndrome?

Median nerve: Compression of the median nerve at the base of the palm in canal bound by bone and the traverse carpal ligament. Swelling in the canal increases pressure on the median nerve causing numbness and tingling in the thumb, index, long and half the ring fingers. Can get weakness of thenar muscles and loss of coordination as well. ...Read more

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Symptoms of carpal tunnel syndrome onset?

Symptoms of carpal tunnel syndrome onset?

Numbness: The most common symptom of carpal tunnel syndrome is numbness or tingling on the palmar surface of your hand on the thumb, index, middle and 1/2 of the ring finger. ...Read more

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What can I do for carpal tunnel syndrome?

What can I do for carpal tunnel syndrome?

Splints , ansaids (flurbiprofen): 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 more

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How can I diagnose carpal tunnel syndrome?

How can I diagnose carpal tunnel syndrome?

Physical exam: Numbness in the thumb, index, middle, and radial ring fingers. Weakness of the thenar eminence muscles, loss of dexterity, and loss of strength also occur. Numbness that awakens you at night indicates possible carpal tunnel syndrome. Tests include nerve conduction studies, and physical exam with phalen's, tinel's, and Durkin's signs being assessed. See a Hand Surgeon ...Read more

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How to deal with my carpal tunnel syndrome?

How to deal with my carpal tunnel syndrome?

Varies: If it is mild, a splint can be worn at night. If it is severe, surgery can be required. ...Read more

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Can you please explain carpal tunnel syndrome?

Can you please explain carpal tunnel syndrome?

Nerve compression: Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel of the wrist. This nerve provides motor and sensory function to the thumb, index, middle fingers and half of the ring finger. Therefore, patients with carpal tunnel syndrome will develop pain, numbness and tingling in the distribution of this nerve. ...Read more

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How do I know if I have carpal tunnel syndrome?

How do I know if I have carpal tunnel syndrome?

While : While wrist pain can be associated with carpal tunnel syndrome, the more common symptom is numbness in the thumb, index and long fingers. To find out exactly what is going on, I would recommend that you see a hand surgeon. ...Read more

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What should I do about my carpal tunnel syndrome?

What should I do about my carpal tunnel syndrome?

CTS treatment: If you are certain of the diagnosis, you must be aware of the treatments:
1. Wrist splinting
2. Surgery 3. Medication for pain, gabapentin or amitriptyline, or NSAIDs
Not everyone responds to these, but more than 60% respond to the splinting. Hopefully you will consider trying this. ...Read more

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Help please! Is carpal tunnel syndrome temporary?

Help please! Is carpal tunnel syndrome temporary?

Not usually: Typically, carpal tunnel is progressive if not treated. Conservative treatments include nighttime splinting and steroid injection. Carpal tunnel release via endoscopic or open means. Is the surgical treatment. ...Read more

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Help please! Is carpal tunnel syndrome permanent?

Help please! Is carpal tunnel syndrome permanent?

Usually not: Treatment can include splints, nsaids and steroid injections. Surgical treatment is very effective however carpal tunnel syndrome can lead to permanent nerve damage if it progresses without appropriate treatment. A hand surgeon can evaluate and determine the best treatment options. ...Read more

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How is carpal tunnel syndrome typically diagnosed?

How is carpal tunnel syndrome typically diagnosed?

Usually Clinically: Carpal tunnel results from entrapment of median nerve & is typically a clinical diagnosis. Common symptoms are numbness of palm, thumb, first 3 fingers & weak hand grip. Tapping the wrist over the nerve & bending the wrist forward may elicit these symptoms & aid in diagnosis. Nerve studies may be helpful, but typically are not used as the diagnosis is often easily made based on symptoms & history. ...Read more

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What are some ways to treat carpal tunnel syndrome?

What are some ways to treat carpal tunnel syndrome?

Splints, surgery: The most common treatments for cts are wrist splints that typically are worn at night, anti inflammatory medications, some advocate steroid injections, and if the symptoms persist, a carpal tunnel release surgery. Surgery typically has a very good success rate. ...Read more

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Can sex be subdued because of carpal tunnel syndrome?

Can sex be subdued because of carpal tunnel syndrome?

Potentially: Yes, potentially. For example, if carpal tunnel syndrome is from overuse, rest can potentially resolve it. If from inflammation, then if that can be addressed symptoms can resolve. ...Read more

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How can I tell whether I have carpal tunnel syndrome?

History, exam, tests: While the diagnosis of carpal tunnel can often be made on the basis of a careful history and examination, electrical testing can be used to prove the diagnosis. This is important to rule out other diagnoses (e.g. Pinched nerve in the neck) that may be causing your symptoms. A neurologist can help guide diagnosis and treatment,. ...Read more

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What is the best way to manage carpal tunnel syndrome?

What is the best way to manage carpal tunnel syndrome?

Surgical/nonsurgical: If the symptoms are severe or there evidence of nerve injury on nerve conduction studies surgical treatment is usually advised.
In mild to moderate symptoms non-surgical approach is reasonable as splinting, steroid injection or oral steroids.
Other options is hand physio therapy
if non-surgical options are not effective then surgery will be advisable to release the pressure on the nerves ...Read more

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How to determine when you have carpal tunnel syndrome?

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 more

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What are some tests for Carpal tunnel syndrome?

What are some tests for Carpal tunnel syndrome?

Exam: Physical exam gives a good idea whether symptoms are from carpal tunnel syndrome, a nerve conduction can confirm the diagnosis and also show the severity of it as well. ...Read more

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What are some symptoms of carpal tunnel syndrome?

What are some symptoms of carpal tunnel syndrome?

Numbness, pain, weak: Carpal tunnel usually starts with numbness and tingling in the thumb and first three fingers of the affected hand. Symptoms are worse at night, will often wake you up from sleep, and are temporarily relieved by shaking out the hands. Later on, if not treated, carpal tunnel can lead to pain, clumsiness, and frank weakness in the hand. ...Read more

Dr. Thomas Namey
1,030 doctors shared insights

Psoriasis (Definition)

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


Dr. Robert Lowe
1,553 doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more