Carpal Tunnel Syndrome

Carpal tunnel syndrome is a progressive condition that occurs when pressure is put on the median nerve in the wrist, causing numbness in the hand and fingers.

Carpal Tunnel causes include increased pressure inside the tunnel of the median nerve leading to the nerve becoming pinched, resulting in pain and numbness and if left untreated, can cause nerve damage.

Carpal tunnel symptoms include pain, burning, or numbness in the thumb, index, middle, and ring fingers of the affected hand. Especially at night, your hand or fingers can feel swollen. As the condition worsens, you can lose fine hand control or grip strength and begin to drop things more easily. If your condition is advanced, you can completely lose the feeling in your hand or fingers.

Carpal Tunnel relief can be found in both non-surgical and surgical ways. To relieve your symptoms, your physician can suggest that you wear a splint on the wrist, take anti-inflammatory medicines, or he or she can prescribe an injection of anti-inflammatory medicine into the carpal tunnel. Except for the most severe or advanced cases, nonsurgical treatment for carpal tunnel syndrome is usually tried first. However, sometimes these treatments will not relieve your symptoms and surgery is needed to correct the problem.

During surgery, the ligament on top of the carpal tunnel is released to relieve pressure on the median nerve. A small incision, often only 2 cm (1 inch) in length, encourages rapid recovery and less postoperative pain. Often, the surgery can be done with local anesthesia on an outpatient basis, which means you do not have to spend the night in the hospital. After surgery, you may wear a splint on the operated wrist for 1 to 2 weeks. The time needed for the symptoms of carpal tunnel syndrome to go away and the hand and wrist to return to normal differs for each person. Surgery is usually successful at relieving symptoms of numbness and tingling as well as nighttime pain.

  • David C Rehak, MD
    David C Rehak, MD
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  • David H. MacDonald, DO, FAOAO
    David H. MacDonald, DO, FAOAO
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  • Garland K. Gudger, MD
    Garland K. Gudger, MD
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  • Jesse L. Pace, DO
    Jesse L. Pace, DO
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  • Matthew Sarb, DO, MPH
    Matthew Sarb, DO, MPH
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  • Paul Abbey, MD
    Paul Abbey, MD
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  • Steven G. McLaughlin, MD
    Steven G. McLaughlin, MD
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  • Steve G. Salyers, MD
    Steve G. Salyers, MD
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  • Fred Flandry, MD, FACS
    Fred Flandry, MD, FACS
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  • Morgan Lorio, MD, FACS
    Morgan Lorio, MD, FACS
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  • Todd A. Rubin, MD
    Todd A. Rubin, MD
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  • Paul C. Baldwin III, MD
    Paul C. Baldwin III, MD
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MacDonald, David Rendering Provider

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