Carpal tunnel syndrome, a condition affecting the hand and wrist, is a common condition, particularly among office workers and others who use their hands frequently. Carpal tunnel syndrome is characterized by sharp, piercing pain that goes from the wrist up the arm. It can cause significant pain and tends to get worse over time, but effective treatment is available.  

About Carpal Tunnel Syndrome

The median nerve runs from the forearm into the palm of the hand. It controls sensation to the palm side of the thumb and the fingers, except the little finger. It also sends nerve impulses to muscles that move the fingers and thumb. The carpal tunnel is a narrow passage of ligaments and bones at the base of the hand, and is home to the tendons and median nerve.

Carpal tunnel syndrome occurs when the median nerve is compressed or squeezed. This can occur if irritated tendons become thicker than usual, or if other swelling occurs.

Carpal tunnel syndrome symptoms include pain, weakness, and numbness in the hand, wrist, and arm. It usually develops slowly over time, beginning with burning, tingling, or itching in the palm and fingers. Symptoms may occur for longer periods of time as the condition proceeds. Eventually, it can become difficult to grasp objects or form a fist. Sensations such as feeling the difference between hot or cold objects may also diminish.

Carpal tunnel syndrome can be caused by numerous issues, and usually occurs due to a combination of different factors. Some people have a smaller carpal tunnel naturally, making the condition more likely to develop. Trauma and injury can contribute, as can conditions like rheumatoid arthritis or fluid retention. In the modern world, work stress is a frequent cause.

Treatment Options  

Carpal tunnel syndrome may be treated with a number of different methods. Only a doctor can determine which method is right for a particular patient. The decision will be made based on how serious the condition is, whether any nerve damage is present, and whether the condition has responded to past treatments.

Treatment options include:

• Home treatment – Patients wear a wrist splint, avoid activities that cause symptoms, and change their form when performing those activities if necessary. For mild cases, home treatment for 1-2 weeks often relieves symptoms.
• Medicine – Non-steroidal anti-inflammatory drugs (NSAIDs) can manage symptoms and reduce inflammation. Steroids, either oral or injections into the carpal tunnel, may also be used.
• Physical therapy – Stretching and range-of-motion exercises can restore function and reduce inflammation. Patients can often use the methods they learn in physical therapy to control symptoms at home in the long run.
• Surgery – If there is nerve damage, the condition is severe, or the condition hasn’t responded to any other treatments, the doctor may recommend surgical treatment.

Dr. Howard Marans would be happy to meet with you about your wrist health. Please click below to schedule your consultation or call us at 714.979.8981.