Symptoms: These include numbness, tingling and pain in the hand, which might awaken you at night; a shocking feeling in the fingers or hand; strange sensations and pain that might travel up the arm toward the shoulder; and a feeling of weakness or clumsiness.
Causes: A 2001 Mayo Clinic study ruled out heavy computer use. The National Institute of Neurological Disorders and Stroke says carpal tunnel syndrome is most likely due to a congenital predisposition — the carpal tunnel is simply smaller in some people than in others. Risk factors include a wrist sprain or fracture, hypothyroidism, rheumatoid arthritis and work stress. Many people have no identifiable causes.
Treatment: In early stages, shaking the hand will ease pressure on the median nerve. A physician will likely prescribe rest and a splint to immobilize the wrist. Heat treatments and massage also may alleviate symptoms. In some cases, surgery may be necessary.
Rare case: The Journal of Bone & Joint Surgery reported in 1972 that a 37-year-old man was stung on the left hand by an unidentified insect in 1970. He experienced immediate pain and swelling, and a doctor prescribed analgesics, Benadryl and oral enzymes. The man’s hand continued to swell. Five days later, he experienced a decreased sensation and weakness in his thumb. A surgeon operated, released the median nerve and administered a short course of oral corticosteroids. The swelling reduced and sensation improved. It was concluded that the insect sting caused carpal tunnel syndrome.
Source: McClatchy Newspapers

