electromyography CTS hand xray

Carpal Tunnel Syndrome 5 years later by Marcus Kett, woodworking since 1989

This blog is my experience of being diagnosed with Carpal Tunnel Syndrome. Like anyone who is in flicked I did my research and googled the hell out of it. But there is a lot of conflicting information out there. So I write here about my experience from the first diagnosis to the operation in 2014 and how I feel 5 years later.

My authority in this subject is only my personal experience

Please note this blog is not a medical journal by my experience having been diagnosed with CTS. This is not a medical journal and if you believe you have symptoms be sure to see your own practitioner. 

When did I realise I had an RSI?

Carpal tunnel syndrome has been a part of my life which I have had to deal with. For several years since the early 21st century, I have progressively lived with these problematic sensations. 

My CTS Symptoms

There were a few instances that proved to be unbearable from mowing the lawn or riding the bike. My fingers would lock and seize with severe ‘Pins and Needles’ 

Where there are symptoms there is a cause

I found that some discomfort could be avoided by just not participating with those strenuous exercises. Anything which put a prolonged strain on the hands and wrists. I  delegated those tasks to my wife, she was so happy. 

Let’s get straight to the point and open up and tell you what I have been suffering with for some while. Started with just numbness in the hands but soon I found myself to have a degree of pain. I was diagnosed with Carpal Tunnel Syndrome but there are other conditions that are related to the nerve conditions such as Cubital Tunnel Syndrome is a condition.

Artisans are at risk of Carpal Tunnel Syndrome

Woodworking is not the best career I have pursued as I believe it has contributed to my condition. Over the years I have taken risks that have damaged my hands. My discomfort while working starts when using tools that require my constant grip. Tools like a plane or saw is a problem for me. I found that I must release that ‘Death Grip’ which helps reduce the effects of my median nerve damage!

Woodworkers are at risk of Carpal Tunnel

I now understand the risk and how certain woodworking processes

Bare with me I will get to the Woodworkers CTS

Carpal tunnel  symptoms at night

This is where the wife complains for all the unexciting reasons! Carpal tunnel is notorious for causing sleepless nights.  The tingling sensation would start when asleep and then progress to a point which I need to try and shake it out. I would lay there with my hands dangling out of the bed for some relief.

Seeking Diagnosis for Pins and Needles

As an Englishman, I decided to take the journey to the doctor’s surgery to ask what the problem could be. 

In 2009 I first experienced the effects of the new Tory government cutting funds to the NHS. I went for a doctors consultation then got referred then after several visits the hospital lost my file! I was emigrating anyway to France so I thought I should suffer a bit longer and seek treatment in France once Patronised. 

What is Carpal Tunnel?

Carpal tunnel is the space in the wrist where the Median Nerve passes through along with the tendons. 

“It’s caused by pressure on your median nerve, which runs the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. The median controls the movement and feeling of your thumb, and also the movement of all your fingers except your pinky”. Source  WebMD

My symptoms  caused by Carpal Tunnel Syndrome

The tingling you and I feel is the Median nerve being squeezed and compressed in the carpal tunnel usually caused by the swelling of the tendons. My Doctor told me that the tendons swell during the nightly healing process. Like the muscles in your body which are constantly healing when they have been pushed causing tissue damage. 

First I had an Xray of my wrists

My doctor first sent me to be Xray’d to explore if I was suffering from a form of osteoarthritis or another possible cause. Once this was explored and nothing to see apart from bones I was booked in for an electromyogram. 

I got tested for Carpal Tunnel Syndrome with an Electromyogram

This was not so bad as I expected and I brought my French friend for support but she told me afterwards that she found watching me having electrical currents put through my muscles strangely satisfying!

“Electromyography (EMG) is an electrodiagnostic medicine technique for evaluating and recording the electrical activity produced by skeletal muscles”. From Wikipedia

2014 electromyogram 2019 CTS test result. This was my first test and was an experience. The test was a mix of needles and pads.

My recent retest for Carpal Tunnel was a result of increased symptoms. This test of the nerve and mucle response is the official method of diagnosing Tunnel Carpien

My Operation for CTS

Pre-op procedure in Saint Junien Hospital, France for CTS was in the order of

  1. Consultation and operation diary entry by the surgeon
  2. The week before operation consultation with the anaesthetist
  3. Shower with iodine soap
  4. Looking a bit orange!!
  5. Prepped in the joint room
  6. Taken to the pre-op ward
  7. Anaesthetist applied the blocks for local pain control
  8. Trollied of to the surgery 
  9. Felt a bit anxious but the nurses were nice
  10. Under 30 minutes and all was scrapped and gorged
  11. Now all stitched up and bandaged like a boxing glove
  12. Back in pre-op or is it post-op?
  13. All checked and happy 
  14. Now transferred to my room 
  15. Waited for consultation before discharge
  16. Discharged with a letter for the Doctor
  17. Back home with a bunch of pain killers

Post carpal tunnel surgery consultation with the surgeon

My Surgeon Was very informative when I returned to the hospital for my post-op consultation. The surgeon explains to me the situation he found when he operated.  He said it was a typical repetitive strain injury from excess scar tissue build up. 

He removed any excess tissue does that was restricting the median nerve. He also believed that the median nerve had become compressed but that it should return to normal. 

Early treatment for CTS best

I left it too late before seeking a diagnosis of my CTS.  So my recommendation to you if you are experiencing the symptoms of carpal tunnel syndrome go see your doctor. 

There were treatments other than surgery

My CTS was too severe because I am arrogant and did not see the doc in time. I was told it was possible that there are a few treatments that provide relief.

  • Cortisone injection in the wrist helps reduce swelling and can last weeks to months
  • NSAIDs
  • Wearing a wrist splint
  • Stop doing work that aggravates CTS 

Leaving it too long can cause permanent damage to the Median Nerve

Bandages off

Well Now that I’ve got my bandages off and have a full range of movement.  I can already feel that there is a vast improvement. My right hand is the biggest success. 

First, there was one operation but then there was two

I did not have both hands operated on at the same time. My left hand is also good but time will tell.  l do believe after living with them, that there is something not quite right with my left hand. My middle fingers don’t quite feel that they belong.

My post-op  conclusion

A few months in, living with my new hands has been remarkable but not without fault. Yes, the pins and needles associated with median nerve trauma have stopped. My left hand has issues but I can live with that.

2019, 5 years post carpal tunnel operation

Since the operation, my hands have deteriorated and after another scan and Electromyogram, it looks like I will be having the operation again.

Using Wrist Splints before CTS surgery

Well, I got my new wrist splints. As you can imagine I am so excited! The wrist splint holds the hand straight. When our wrists bend the nerve and adjacent tendon is put under strain causing them to press against the surrounding carpal tunnel reducing the space available for them. 

Do I have to wear Carpal Tunnel Syndrome wrist splints all the time?

I was told by my consultant that the tendons swell at night as a part of their healing process. When the tunnel is tighter than it should be it doesn’t take much for the median nerve to become squeezed. When the nerve is squeezed or pinched I found that I would get an attack of pins and needles or severe numbness. 

When should I wear my wrist splints?

Although my love life suffered or that is what I blamed it on! I wore my wrist splints in bed while I slept or just to add another excuse to my repertoire instead of “I’m washing my hair” or that recurring headache! 

Did wrist splints cure my CTS

Frankly not but they did relieve the symptoms of C.T.S. These wrist splints have bought me more time before a second operation to be needed 

The wrist splints you see me wearing while fashioning my Chewbacca Onesie were provided to me via a medical prescription. I understand that not everyone wants to go through their health care or just want to test the effectiveness of a hand splint themselves.

CTS Wrist Splints are handed! If you order Splints be sure to get the correct one for your Right or Left hand.

These ProCare Quick-Fit Wrist II are good too and not too much money. I know this because a woodworking buddy of mine has a pair of these. He first recommended the ProCare Quick-Fit Wrist II but fortunately, my healthcare plan covered the cost of mine. “As an Amazon Associate, I earn a commission from qualifying purchases.” I hope you can help support my blog.

Right-Hand Splint – ProCare Quick-Fit Wrist II

Left-hand Splint – ProCare Quick-Fit Wrist II

What I believe that I could have done to prevent CTS

I do believe that some people are prone to carpal tunnel syndrome and is known to be hereditary although not completely.  working in the construction industry for years and predominantly Woodworking. I have continuously worked my hands To The Bone or should I say the median nerve. 

Bad practices that contributed to my carpal tunnel

I’ll get to the task at hand with my death grip securing my tools and plane away.  I have learnt that they are are a few causes for damage to the carpal tunnel. 

  1. gripping too hard AKA ‘The Death Grip’
  2. maintaining a tight grip for too long
  3. using tools without any kind of anti-vibration
  4. using tools which have handles that do not fit our hands
  5. not using ergonomic tools
  6. levering forces such as chisel work, allow the tool to do the work for you
  7. practices that can Damage the carpal tunnel causing excessive scar tissue and compression of the median nerve. 
  8. Not taking enough breaks
  9. Crushing walnuts with my hands! 

Machines not likely to cause carpal tunnel

  1. table saw
  2. band saw
  3. radial arm saw
  4. spindle moulder
  5. Thicknesser

Machines that  aggravated my carpal tunnel

  1. electric drill
  2. hand circular saw
  3. square chisel mortiser
  4. pillar drill
  5. woodturning  lathe
  6.  electric plane
  7.  Festool domino 
  8.  4 1/2 inch angle grinder
  9.  surface planer or Jointer

Obviously some of the above tools weren’t too bad and probably didn’t necessarily cause carpal tunnel syndrome but I’m confident in my case that they were a contributing factor. 

My conclusion on my experience with suffering carpal tunnel syndrome

it’s like many things in this life,  stuff is sent to try us and test us.  I’m now waiting for my second operation which I expect to be probably early  2020. If the truth is to be known I have not respected my first operation and probably did too much too soon.  if I could roll back the clock 5 years I would probably take a lot more care and appreciate the work that the surgeon did.  but my own arrogance and stupidity have led me back to the same place I was before my operation. As a result, I am to go through the operation again.

My recommendation to you would be after you’ve had your operation listen to your consultant and take precautions as not to put additional pressure on your carpal tunnel or the nerves and tendons of your hands.  Use anti-vibration tools and where possible with padded gloves. I often use either weightlifter’s gloves or mountain biking gloves the ones without fingers. These gloves tend to have padded Palms which can reduce the load on those areas remembering that just below that pad is the carpal tunnel.


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