Some of the first symptoms of Carpal Tunnel Syndrome are exiguous bits of dullness in the thumb and or first two fingers. People worry about this but go on with their lives and general daily activities. When the dullness gets worse they go see their doctor who warns them of the danger of permanent nerve damage.
Is this true?
Carpal Tunnel
To resolve if this is true we need to rejoinder two questions. Is there assuredly damage to the nerve, and what exactly does permanent mean?
Does Carpal Tunnel Syndrome assuredly damage the nerve?
Three factors happen for the general person that uses their hands a lot and starts to get Carpal Tunnel symptoms of dullness and pins and needles
1. Muscles get tight and pull on their tendons constantly.
2. Over time connective tissue shrink wraps and compresses.
3. Inflammation happens, which traps fluid in the area.
These three factors compress the nerve from a range of directions. This cuts off nerve flow. You get dullness and/or pins and needles.This does not mean that there is damage. It means that the nerve is being pressed on.
Theoretically if the nerve was compressed for long enough there could be damage, but I have worked on population who have had dullness for years, even a decade, and when we took the compression off the nerve full feeling came back, nearly instantly.
If you step on a water hose, it slows or stops the nerve flow. What happens when you take your foot off? If you step on a hose, does that mean that the hose is damaged? Permanently?
What exactly do doctors mean when they say permanent nerve damage?
Doctors mean exactly what they say. They fear that you will have permanent nerve damage. It is my expert plan that they are very wrong.
It is my impression that doctors believe that dullness in the thumb and fingers is a serious issue. It is also my impression that they think that this dullness can come to be permanent due to damage. I'm not sure why exactly this is.
One think is because it seems that doctors don't know how to reverse the question that is causing the numbness. The usual methods don't work, so the last resort is surgery. Which technically does give the nerve more space. Temporarily.
What doctors should be saying is that you are in danger of permanent pressure on the nerve that causes numbness.
And it's true, it can come to be permanent, if you don't do the Right things to reverse the dynamic that is causing all the compression of the nerve. (And it's not all at the wrist.)
Numbness from compression does not cause damage. Certainly severe cases of extreme compression can, but that is not the case for the vast majority of everyday population with general carpal tunnel.
Numbness comes from compression. And, it's only permanent as long as there is compression. ReMove the compression, and nerve flow returns.
I mean, have you ever stepped on a water hose and had person utter "That water hose needs surgical operation or it will have permanent damage!"
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