Washington’ star pitcher Stephen Strasburg missed his first start in a shortened season 2020 on Saturday evening for what was described as “nerve problems” in his throwing hand, according to multiple reports.
Strasbourg described the injury as nerve damage in his right wrist and told reporters that the state often caused his fingers and thumb numb while he slepthe also said that the state got to the point where he lost some feeling in his hand, which hampered his ability to pitch effectively. According Strasburg and Manager Dave Martinez, the pitcher was treated with cortisone injections and not miss a significant amount of time.
While the official diagnosis has still not entered the team, description of Strasbourg, its symptoms, as well as cortisone injections as a first line of therapy is a symptom of carpal tunnel syndrome.
Carpal tunnel syndrome is the area in the wrist where a nerve and tendons enter the hand; it is so called as the small carpal bones that connect the hand to the forearm form the “floor” of the tunnel. Carpal tunnel syndrome occurs when the median nerve which provides feeling and movement to the thumb, index, and middle fingers becomes irritated and compressed (i.e., fell) on the wrist; most common cause of compression is the accumulation of fluid in the carpal tunnel, which can be caused by repetitive movements, such as those made with pitching.
A few other conditions that mimic carpal tunnel syndrome, but they are unlikely to be that Strasbourg is suffering. The first is the pronator syndrome, which occurs when the median nerve is compressed in the area of the elbow muscle located in the forearm. The symptoms are often similar, however, cortisone injections are usually not a first-line treatment, with more emphasis on stretching the narrow muscles of the forearm. Another syndrome of thoracic outlet, although often involved more nerves and the symptoms are more diffuse.
The goal of treatment of carpal tunnel syndrome to relieve pressure on the median nerve. In most cases, this can be done through the administration of one or two cortisone injections, as well as fixing the joint in a neutral position, especially at night. If symptoms do not improve over time, in carpal tunnel release can be performed, which is a minimally invasive surgical procedure. Ligament, which is the “ceiling” of the tunnel cut out to make room for the nerve.
Carpal tunnel syndrome is often be treated effectively with cortisone (and other anti-inflammatory drugs), with ribs, and sometimes to stretch, although the recovery time may vary significantly; typically the progression surgery is not needed. In General, carpal tunnel syndrome is irritating but not too serious condition.