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
Arthritis 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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
The carpal tunnel is formed by the bones, tissues, and ligaments of the wrist. This tunnel exists to protect the median nerve, which controls sensations and movement to the thumb and fingers (not including the little finger). Carpal tunnel syndrome is when the carpal tunnel is inflamed and swollen, which pinches the median nerve and results in feelings of numbness, decreased grip strength, and muscle ...Read more
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
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