Tunnel syndrome (carpal tunnel syndrome)

A disease that occurs when the median nerve is compressed in the wrist area. It develops due to chronic overexertion or injury to the wrist joint.
Tunnel syndrome occurs due to compression of the median nerve in the narrow carpal canal of the wrist. This nerve is responsible for the sensitivity of the fingers and the movement of some muscles of the hand. With chronic overstrain of the tendons or inflammation of the surrounding tissues, the space in the canal narrows, which leads to nerve compression. The disease can develop gradually, starting with mild discomfort and numbness of the fingers. Over time, the symptoms worsen, with pain, weakness in the hand, and difficulty performing daily tasks. To prevent tunnel syndrome, it is important to monitor the load on your wrist, especially if your activity involves monotonous movements. Regular breaks, arm exercises and the use of orthoses will help reduce the risk of developing the disease.

Reasons

Chronic overexertion of the wrist joint (monotonous movements, static load)

Wrist injuries (fractures, dislocations, bruises)

Inflammatory diseases (arthritis, tendovaginitis)

Diabetes mellitus, acromegaly, hypothyroidism

Tumors of the median nerve or surrounding tissues

Congenital anomalies of the wrist structure

Symptoms

Numbness of the fingers, especially the thumb, index finger and middle finger

Tingling or burning sensation in the hand, worse at night

Pain in the wrist extending to the forearm

Weakness in the hand, difficulty holding objects

Skin color change to a lighter one

In the later stages, muscle atrophy and deformity of the hand

Consequences

If left untreated, tunnel syndrome can lead to serious complications. Constant compression of the nerve causes permanent damage, which leads to loss of sensitivity and weakness in the hand, making it difficult to perform daily tasks.

Treatment

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Conservative treatment
In the early stages, tunnel syndrome can be treated without surgery. The basic approach involves fixing the wrist with an orthosis, which holds the hand in a physiological position and reduces pressure on the nerve. Nonsteroidal anti-inflammatory drugs are prescribed to reduce pain and inflammation. In some cases, corticosteroid injections are used directly into the carpal canal. The doctor may prescribe physical therapy aimed at stretching and strengthening the muscles of the forearm and hand. Patients are advised to avoid actions that worsen their symptoms.
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Surgical treatment
If conservative methods fail or the disease progresses, surgery is performed. The surgical intervention is aimed at decompression of the median nerve by dissecting the transverse ligament of the wrist. The operation can be performed either in an open way or using endoscopic techniques, which minimizes injury. After surgery, the symptoms usually decrease immediately, and it may take several months to fully recover.

How to reach

Address
Moscow, 1st Yamskogo Polya Street, 15
Operating hours
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How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Travel time

9 minutes

Landmark

Olympus Clinic MARS sign


How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Travel time

11 minutes

Landmark

Olympus Clinic MARS sign


Address
7/1 Sadovaya-Sukharevskaya str., 129090, Moscow
Operating hours
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From the metro station "Tsvetnoy Bulvar"

1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini

From the metro station "Sukharevskaya"

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Как добраться
Address
Moscow, 125124, Chapaevsky lane, 3
Operating hours
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From Sokol metro station

The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

10-12 minutes

From the Airport metro station

The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

12-15 minutes

How to get

Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:

Как добраться