Carpal Tunnel Syndrome (CTS) is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. This nerve passes through the carpal tunnel, a narrow passageway in the wrist, and controls sensation in the thumb, index, middle, and part of the ring finger. When the tunnel becomes narrowed or swollen, it puts pressure on the median nerve, leading to symptoms.

Symptoms of Carpal Tunnel Syndrome:

• Numbness, tingling, or burning sensation in the thumb, index, middle, or ring fingers (not the pinky)
• Hand weakness or difficulty gripping objects
• Pain or discomfort in the wrist or forearm, which may worsen at night
• A sensation of swelling in the fingers, even if no swelling is visible.

Causes and Risk Factors:

• Repetitive hand and wrist movements (such as typing or assembly line work)
• Prolonged wrist flexion or poor ergonomics
• Medical conditions such as diabetes, rheumatoid arthritis, or thyroid disorders
• Pregnancy-related fluid retention
• Wrist injuries or fractures

Diagnosis:

Your surgeon may diagnose CTS based on symptoms, physical examination, and tests such as nerve conduction studies or electromyography (EMG) to assess nerve function.

Treatment Options:

Non-Surgical Treatments:

• Wrist splinting, especially at night, to reduce pressure on the nerve
• Activity modifications to reduce repetitive strain
• Anti-inflammatory medications to manage pain and swelling
• Corticosteroid injections to relieve inflammation
• Physical therapy and nerve gliding exercises

Surgical Treatment:

• If symptoms persist or worsen, carpal tunnel release surgery may be recommended to relieve pressure on the median nerve.

If you are experiencing symptoms of Carpal Tunnel Syndrome, schedule a consultation with us to discuss the best treatment options for you.