carpal tunnel and shaky right hand

[summerluvr]

I have pain in wrists and episodes of numbness,(both hands) but things improved some wiht my new memory foam mattress, i don't wake up with numb hands at nigth much anymore.  My right hand (i'm right handed) has a constant shake to it, noticeable if i'm holding something, sometimes when i'm eating (ie peas on a fork falling). Some days worse then others.  I drink 1 cup of coffee a day, and don't smoke. Is this likely due to Carpal tunnel? Im sheduled to get tested for this in a month.

[summerluvr]

I had the Carpal Tunnel test today  and it turns out I do not have carpal tunnel syndrome.  I told her about my shaking right hand (well its obvious anyways) left is ok. She said something about essential tremor that is often hereditary.  She will send a report to my family dr.

My family Dr. wants me to see a Neurologist for a complete check up because when I showed her the shaking in my hand she said it was pronounced, and I only noticed any of these symptoms of painful hands, pins and needles etc since Christmas time.  I have some other vague symptoms in tne last few years, more so the last year, that have been shrugged off as insgnificant but they are adding up (aura visiuals at night, bladder issues, IBS, hives etc). It hard to keep getting told there is nothing wrong with you when you feel all these symptoms

Thanks for your imput

[JainMD]

Hi,
Carpal Tunnel Syndrome is a neuropathy caused by compression of the median nerve within the carpal tunnel. 9 long flexors of the wrist and fingers and 1 nerve (median) run within this spatially limited and relatively rigid tunnel.
Thus, any increase in pressure within the tunnel compresses the injury-prone median nerve.
Risk factors include Repetitive hand work, Endocrine imbalance, History of neuropathy, associated conditions, Rheumatoid arthritis and Pregnancy.
Any factor that increases the pressure within the tunnel compresses the median nerve and leads to CTS.
The most common causes include flexor tenosynovitis; trauma to the carpal bones; ganglion, fibroma, or lipoma within the tunnel; rheumatoid cyst; gout; and diabetic neuropathy.
CTS can be diagnosed accurately by careful history and physical examination, inspection for thenar atrophy, and detection of sensory disturbance via light touch or a pinwheel.
I think you should be consulting an orthopaedician at earliest and get imaging study done.
Alternatively this constant shake could be due abnormalities in cerebellum which is center in the brain for co-ordination.
You should also get evaluated by a neurologist.
Keep me posted with your thoughts.
Bye.