You are reading a single comment by @bluerip00 and its replies.
Click here to read the full conversation.
London Fixed Gear and Single-Speed is a community of predominantly fixed gear and single-speed cyclists in and around London, UK.
This site is supported almost exclusively by donations. Please consider donating a small amount regularly.
@bluerip00
Your GP should be suspicious of your scaphoid bone and other carpal bones to exclude fracture or instability. CTS is generally easy to diagnose and differentiate from other causes of median nerve irritation but as pointed out above your symptoms may be referred (generally from the cervical spine) or the result of what is known as a 'double crush' syndrome which predisposes the nerve to hypersensitivity.
TRUE CTS patients usually respond well to combinations of the following: splinting, carpal bone mobilisations, acupuncture, myofascial release; stretching; neural mobilisations and activity modification. Failing this then steroid injections offers an effective anti-inflammatory solution. Options then elevate to nerve conduction testing in severe cases and surgical decompression but I would exhaust conservative options (and ensure it is true CTS) before seeking surgical management unless symptoms are severe and atrophy has occured.
Good luck with your GP - They will most likely to refer you to Physiotherapy (depending on your area and service availability) but CTS is often overly wrongly diagnosed without thorough examination.
PM if you have any queries.
Michael.
Forum Physio.