hello everyone I'm Dr nain Kumar LV I am a senior consultant in Orthopedics and Sports injuries at manipal hospital sjap Ro today we are going to talk about caral tdle syndrome this is a uh very common condition a lot of you might have heard this word but there's a lot of myths and scare around this problem because when people get numbness in the hand or tingling kind of sensation in the hand or pain in the hand or even some weakness and clumsiness with the hand so all of these things many times gets attributed to cervical spine people start thinking that there is some nerve which is getting pinched in the in the neck blah blah blah and people will start worrying about that but honestly a lot of people will be having pressure on the nerve which is in the wrist area where the median nerve it's called it's a nerve which traverses from all the way from our spine comes down here and it's under the band in the wrist area where it goes and Trav to the hand and supplies to these three and half fingers sometimes people will have a bit more wake symptoms where it can be whole of the hand but more commonly this is the area where you will have symptoms if you have pain or symptoms in more than two fingers then it is more likely to be something due to pressure down here not because of the spine because if you have got a disc which is bulging and pressing on a nerve it will supply that particular nerve will supply to only a particular finger and cause problems so if it is more than two fingers then it can't be due to spine you can rest assur but if it is coer tunnel syndrome like I'm talking about so that is something which causes symptoms more so at night rather than during the daytime so carpal tunnel syndrome is because of the nerve compression in the wrist area so the nerves which supply to the hand particularly the ones which supply to the three and a half fingers on the thumb side those nerves come from deep inside there and they cross over to the thumb uh and the rest of the hand beneath the carple tunnel so this is the carple tunnel sheet which is the liament which sort of can become Tighter and press on the nerve causing the carpal tal syndrome people sometimes would have left it for longer more than a year or longer then we will also see some thinning of the muscles in the thumb base area that's called wasting of the muscles and also some clumsiness with with the use of the hand this is a condition which can bother people a lot but treatments can often be very simple this particular condition doesn't respond much to medications or exercises however you can try a bit of exercises which are simple stretching exercises but more commonly this one will at least need an injection which we do for that which will be to help take away the inflammation in and around the nerve so by doing that a lot of people get better but there's a small chance that even after the injection the syp symptoms may come back and in people in whom the symptoms have recurred or in people in whom already there is some amount of muzzle weakness and wasting as well there it definitely needs a surgery which will be again a small surgery where we make a little cut over here and release the tight band for that reason okay by doing that we can actually help the nerve work in a back to normal way it may take few weeks for you to recover from that one depending upon how long you have had the symptoms for but it can cure or your problem completely uh this is one of the things which you must consider one more point to note this is not a kind of condition which we can diagnose by doing an M scan for the neck or for the hand the common uh investigation which gets done for this is Naru conduction study uh so that you need to remember uh but this is a condition which can be cured without needing any big intervention I hope this helps thank you