Conditions We Treat
Carpal Tunnel Syndrome
What Is It?
Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel, a narrow passageway on the palm side of the wrist.
Compression is typically caused by repetitive hand use, inflammation of surrounding tendons, fluid retention, or anatomical narrowing.
Symptoms
- Numbness or tingling in the thumb, index, middle, and half of the ring finger
- Symptoms that worsen at night or with repetitive hand use
- Hand weakness or dropping objects
- Pain that may radiate into the forearm
Diagnosis
- Physical exam with Phalen’s test, Tinel’s sign, or compression testing
- Nerve conduction studies and EMG to confirm median nerve compression
- Ultrasound or MRI in atypical or complex cases
Treatment
Conservative Options:
- Wrist splinting, especially at night
- NSAIDs for inflammation and discomfort
- Activity modification and ergonomic adjustments
Interventional Options:
- Corticosteroid injection into the carpal tunnel
Surgical Options:
- Carpal tunnel release if symptoms persist or worsen
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