If you’ve ever experienced the frustrating symptoms of Carpal Tunnel Syndrome (CTS), such as tingling or numbness in your hand, you know how disruptive it can be. But what happens when the discomfort isn’t just in your wrist? Some people with carpal tunnel syndrome also experience pain in their neck, which leads them to wonder if the two are connected. We spoke to our expert Dr Prashant Makhija, Neurologist, Wockhardt Hospitals, Mumbai Central, who explained their connection and management measures.
What Is Carpal Tunnel Syndrome?
“Carpal Tunnel Syndrome (CTS) is a common condition that impacts the wrist and hand. It causes symptoms like numbness, tingling, and pain due to compression of the median nerve as it passes through the carpal tunnel in the wrist,” said Dr Makhija.
According to Johns Hopkins Medicine, the carpal tunnel is a passageway in your wrist, formed by the carpal bones at the base and the transverse carpal ligament across the top. The median nerve, which controls sensation and movement in the thumb and the middle three fingers, can cause symptoms if it becomes compressed or irritated.
While these symptoms are typically localised to the wrist and hand, many people wonder whether CTS can also cause neck pain. Here’s a closer look at the possible connection.
Also Read: Wrist Pain From Your Phone? Expert Insights On Carpal Tunnel Syndrome
Link Between CTS and Neck Pain
Though CTS doesn’t directly cause neck pain, there are instances where individuals with CTS experience discomfort in the neck region. This connection is primarily due to the complex network of nerves that run from the neck down to the hand.
Dr Makhija explained, “The median nerve affected by CTS originates in the cervical spine (neck area), and any compression or irritation along this pathway can lead to symptoms that might be felt beyond the wrist.”
Nerve Pathways and Pain Radiation
“The median nerve is just one component of a larger network of nerves that extend from the neck to the hand. If there’s inflammation or compression at the wrist due to CTS, it can sometimes cause nerve irritation that may be felt along the length of the arm and into the neck,” added Dr Makhija. In this way, people with CTS might experience referred pain or increased sensitivity in the neck and shoulder area.
Poor Posture and Muscle Strain
Another way CTS can contribute to neck pain is through its impact on posture. “People with CTS might unconsciously adjust their posture or movements to avoid discomfort, leading to muscle strain in other areas, including the neck and shoulders. Sitting for extended periods or working at a computer can cause strain on both the wrist and neck, especially if ergonomic practices aren’t followed,” said Dr Makhija.
Also Read: Carpal Tunnel Syndrome: How Manual Exercises Can Help Manage The Pain
Double Crush Syndrome: A Common Overlap
In some cases, Carpal Tunnel Syndrome and neck pain can occur together due to a condition known as ‘Double Crush Syndrome.’ This happens when there is compression or irritation at multiple points along a nerve pathway. For example, the median nerve might be compressed at the wrist (CTS) and neck (cervical spine issues), leading to symptoms in both regions.
Addressing Both Issues
“If you experience both CTS and neck pain, it’s essential to seek medical advice. Treatment might involve wrist splints, physical therapy, ergonomic adjustments, and exercises to relieve nerve pressure. Addressing CTS early can help prevent further complications, including the spread of discomfort to the neck region,” highlighted Dr Makhija.
“While CTS doesn’t directly cause neck pain, nerve pathways, posture, and associated conditions can make them interlinked. Seeking timely treatment can help manage both conditions effectively,” he concluded.
[Disclaimer: This article contains information provided by an expert and is for informational purposes only. Hence, we advise you to consult your own professional if you are dealing with any health issues to avoid complications.]