BENGALURU: Long hours on laptops, repetitive wrist movements and prolonged smartphone use are increasingly taking a toll, with doctors reporting more cases of Carpal tunnel syndrome (CTS). “We are seeing a marked rise in young professionals coming in with advanced nerve compression, often after ignoring early warning signs for months,” said Dr Pratham R Bysani, consultant neurosurgeon at Vasavi Hospitals.
CTS occurs when the median nerve, which passes through a narrow passage in the wrist called the carpal tunnel, becomes compressed. Patients commonly have burning pain or pins-and-needles in their hands. As compression progresses, it can cause motor weakness, loss of dexterity and wasting of the muscles at the base of the thumb.
Dr BK Madhusudhan, lead consultant in neurology at Aster RV Hospital, Bengaluru, said the condition is increasing among youngsters, particularly women working in the IT sector. Genetic and medical factors, hypothyroidism, the nature of work, weight and physical activity can contribute to the condition, he said.
The symptoms typically begin with tingling and numbness, particularly at night, affecting the thumb, index, middle and part of the ring finger. If ignored, patients can develop disturbed sleep, severe pain, difficulty holding objects, weakness and reduced grip strength.
Dr Madhusudhan said the location and pattern of numbness and pain can help doctors identify the condition. Similar symptoms can occur due to neck or other nervous issues, and people with persistent discomfort should seek medical advice rather than self-medication.
Dr Arjun Srivatsa, director, Institute of Brain and Spine, Sakra World Hospital said younger working adults spending long hours on laptops and smartphones are increasingly at risk, particularly when repetitive movements are combined with poor wrist positioning.
Regular breaks, maintaining a neutral wrist position, improving ergonomics and using wrist splints can help in mild cases, he said. Treatment depends on severity. Mild and moderate cases can initially be managed conservatively, while severe cases or those not responding to treatment may require surgery. Dr Bysani said endoscopic carpal tunnel release, performed through a small incision at the wrist, can offer working professionals a faster recovery compared to conventional open surgery.
