Hand and wrist pain is often mistakenly attributed solely to carpal tunnel syndrome (CTS), but there are other potential causes. One common misdiagnosis is ESS, which can lead to improper treatment. Let’s explore these conditions further.
Chronic low-grade inflammation can contribute to certain cancers and heart diseases. Tendonitis is a familiar issue in the wrist and hand, occurring when tendons, which connect muscles to bones, become inflamed. This can affect the flexor tendons, which bend the fingers, or the extensor tendons, which straighten them.
Tendonitis shares symptoms with CTS, such as pain, tenderness, and weakness, especially during repetitive wrist and hand movements. However, tendonitis pain is usually more localized to the inflamed tendon. For example, De Quervain’s tenosynovitis affects the tendons at the base of the thumb, causing pain on the thumb side of the wrist. In contrast, CTS typically causes pain and numbness in the thumb, index, middle, and half of the ring finger.
Symptoms can vary by age. CTS often causes nighttime numbness and tingling, disrupting sleep, while tendonitis pain can persist throughout the day and night.
Cervical radiculopathy, despite its complex name, involves compressed nerves in the neck affecting the arm and hand. This can result from a herniated disc or bone spurs, leading to pain, numbness, and weakness extending from the neck to the hand. Unlike CTS, this condition may also cause neck pain or stiffness and weakness in the arm or shoulder.
If hand or wrist pain is affecting daily life, it’s crucial to see a doctor for an accurate diagnosis. They will review your medical history, conduct an examination, and possibly order tests like X-rays or nerve conduction studies. This thorough evaluation ensures you receive the right treatment for your specific condition. While CTS is often suspected, a proper assessment can identify the true cause of your discomfort.
