Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, causing pain, numbness, and tingling. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Early diagnosis and appropriate treatment are crucial for preventing long-term damage and restoring function.

Understanding Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is caused by pressure on the median nerve as it passes through the carpal tunnel, a narrow passageway in the wrist. This pressure can result from various factors, including repetitive hand movements, wrist injuries, and certain medical conditions such as diabetes and rheumatoid arthritis.

Symptoms of Carpal Tunnel Syndrome

The symptoms of CTS typically develop gradually and may include:

• Numbness and Tingling: These sensations often occur in the thumb, index, middle, and ring fingers. They may be more pronounced at night.
• Pain: Pain in the wrist and hand, which can radiate up the arm.
• Weakness: Weakness in the hand and difficulty performing tasks that require fine motor skills, such as buttoning clothes or holding objects.

Diagnosis of Carpal Tunnel Syndrome

Diagnosing CTS involves a combination of patient history, physical examination, and diagnostic tests:

• Physical Examination: A doctor may perform specific tests, such as Tinel’s sign (tapping over the median nerve to elicit tingling) and Phalen’s maneuver (flexing the wrist to see if symptoms are reproduced).
• Electrodiagnostic Tests: Nerve conduction studies and electromyography (EMG) can help assess the severity of nerve damage and confirm the diagnosis.
• Imaging Tests: Ultrasound or MRI may be used to visualize the structures in the wrist and rule out other causes of symptoms.

Treatment Options for Carpal Tunnel Syndrome

Treatment for CTS depends on the severity of the condition and the individual’s response to initial therapies. Both non-surgical and surgical options are available.

Non-Surgical Treatments

• Wrist Splinting: Wearing a splint, especially at night, can help keep the wrist in a neutral position, reducing pressure on the median nerve.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can reduce pain and inflammation.
• Steroid Injections: Corticosteroid injections can provide temporary relief by reducing inflammation and swelling around the median nerve.
• Activity Modifications: Avoiding activities that exacerbate symptoms and incorporating ergonomic adjustments can help reduce stress on the wrist.

Surgical Treatments

When non-surgical treatments are ineffective, surgery may be necessary to relieve pressure on the median nerve. The primary surgical option is carpal tunnel release, which can be performed using different techniques:

• Open Carpal Tunnel Release: Involves making an incision in the palm to cut the transverse carpal ligament and enlarge the carpal tunnel.
• Endoscopic Carpal Tunnel Release (ECTR): A minimally invasive procedure that uses a small camera and instruments to cut the ligament through a smaller incision. ECTR offers several advantages, including a smaller incision, less postoperative pain, and quicker recovery compared to traditional open surgery.

Recovery and Prevention

Post-surgery recovery typically involves rest, physical therapy, and gradual return to activities. Preventing CTS involves maintaining good wrist posture, taking frequent breaks during repetitive activities, and using ergonomic tools to reduce strain on the hands and wrists.

Carpal Tunnel Syndrome Diagnosis & Treatment: Conclusion

Carpal Tunnel Syndrome is a treatable condition, and early diagnosis and appropriate management can prevent long-term complications. Non-surgical treatments are often effective, but surgical options like ECTR can provide lasting relief when necessary.

For personalized care and expert treatment options for this condition or others, consult with Dr. Alejandro Badia at Gramercy Surgery Center in New York City or at his flagship medical facility in Miami Florida.

Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263

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Dr. Alejandro Badia is an internationally renowned hand surgeon specializing in hand, wrist, elbow, and shoulder issues. With extensive experience worldwide and a commitment to advanced treatments, Dr. Badia is dedicated to providing effective treatments and optimal care for patients.