Carpal Tunnel Syndrome

What does carpal tunnel syndrome feel like?

Carpal tunnel syndrome may start as tingling or numbness in the fingers and thumb when you wake up in the morning, going away after a few shakes of the wrist.

Over time, the sensation may last longer or occur at other times of the day, for example, when your hands are on the steering wheel or you’re typing on the computer. Your grip may also weaken, making it hard to turn a doorknob or grasp a coffee cup.

These symptoms result from pinching or compression of the median nerve as it passes through the carpal tunnel in the wrist. Without treatment, carpal tunnel syndrome may damage the nerve, causing permanent numbness in the fingers and weakness in the thumb. 

What causes carpal tunnel syndrome?

Any condition or injury affecting the space in the carpal tunnel may compress or pinch the nerve, such as a wrist injury or arthritis. Certain health conditions are also risk factors for carpal tunnel syndrome, like diabetes and pregnancy.

Repetitive wrist or hand movements may cause swelling and inflammation in the wrist, affecting the space in the carpal tunnel where the nerve passes through. Assembly line work, carpentry, and golf are activities linked to carpal tunnel syndrome. 

Researchers continue to investigate whether long-term typing on a computer causes carpal tunnel syndrome.

Sometimes, the underlying cause is unknown. 

What are some treatments for carpal tunnel syndrome?

The team at Advanced Regional Center for Orthopedics & Podiatry conducts a thorough evaluation when you come in with carpal tunnel syndrome symptoms. Your provider wants to confirm a diagnosis and evaluate the severity of your condition.

Treatment for carpal tunnel syndrome starts with conservative care, such as:

• Wearing a wrist brace when sleeping
• Physical therapy
• Activity modification
• Nonsteroidal anti-inflammatory drugs (NSAIDs)

The team may also recommend steroid injections to reduce inflammation and pain. 

When would I need surgery for carpal tunnel syndrome?

You may need surgery for CTS if conservative care fails to provide long-term relief from your symptoms. Your surgeon at Advanced Regional Center for Orthopedics & Podiatry performs a carpal tunnel release procedure to relieve pressure on the nerve.

Most patients experience improvements in their symptoms following surgery.