Hand is in trap.

 On November 2018, am stayed at hospital with diagnosis as compression ishemic  neuropathy for right median nerve of right wrist with hurt syndrome, as of result protracting   acuting  .2years ago this problem happened, but am felt hurt and cheped.At  hospital for me done injections, droppers applied, after hospital felt better, but after again hurt .In   zoz   for no  1 6, 2019 read post by Neurologist Seliverstova, that read same about neuropathy, but for hip. Asking her a question, ad help , that hot to stop hurt, four fingers on right hand hurt, and on the nighttime, small finger just works, analgesics not help, rubbing too.

A how to live?

 Pressing for median nerve of hand is calling carpal syndrome canal, as anatomic narrowing in wrist. And other calling this neuropathy kind is tunnel wrist syndrome, which very often spreading in adults. Pathology is not dead, but affecting on the wrist work, and patient later loosing ability for loosing with hand doing an simple things. And how this is happens?

    Median nerve for wrist tie with CNS of muscle, answering for targeting and opposition for big finger, bending and bending out direction phalanges and middle fingers. In decreasing sizes for wrist canal is compression having for median nerve, that leading to destroys his blood  supply, as ishemia, like entering in trap,and its true hurt.

Reasons for carpal syndrome are local pathologic processes and in tunnel region, and common systemic diseases as: sugar diabetes, hypothyreosis,as lowering thyroid gland function, ovaries functional destroys, hormonal background changing on climax stage, systemic diseases for connective tissue as rheumatoid arthritis, lupus, system scleroderma, polymyositis, gout, diseases for support-mobility apparatus.

And also leading  are big sizes forming for median nerve /neurofibroma, lipoma/.

Diagnosis here are neurologist checking, blood test on glucose level, TTH, elector  physiologic testing is electer  neuromiography for ultrasound nerves median, x ray for ray wrist canals.

And cure for tunnel syndrome depending on from a reason caused and character for local tissue changes in tunnel by ultrasound test and ENMG.For   example  a full cure for sugar diabetes or hypothyreosis are leading to damaging nerve allowing decreasing symptoms his irritation or a full avoiding his. At the same time using pathogenetical cures methods for removing loading a nerve by decreasing tissue edema or decompression nerve. And here using special items as bandages, orthosis, splint  are limiting mobility in damage region. They are comfortable in use and easy wear ,  remove, and buy theirs at pharmacy markets . And effectivity here a using for alfa-lipoid  acid as thioctic acid/octolipen, berlition, tiogamma, tioctacide. espa-lipon, one pill on 600 mg for morning on am empty stomach within month.

In finding neuropathic ache component ,keeping burning aches in wrist, are using  anticonvulsants as gabapentin, pregabalin, which prescribing by doctor s and control. If these remedies no helping in strong aches thus using a cure-diagnostic blockade in a entering in region for pinching as in carpal canal a anaesthetic novocaine, and hormone hydrocortisone. And surgery indications using  is in insufficient effect for conservative therapy and if in patients having: Signs for straight nerve compression by bone forming, fibrosis structures, scar-adhesion processes, tumor or haematoma, stable ache syndrome, lowering work ability, progressing atrophic paresis are few muscles with a lowering professional work capacity or social adaptation.And analgesics, rubbing in data diagnosis are not effectivity, as not removing a base reason a diseases is compressing nerve n wrist canal.

Seliverstova Ekaterina, neurologist M.D.