Carpal tunnel syndrome is a common wrist condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed in the carpal tunnel. As a result of the nerve compression, the person experiences symptoms ranging from pain to weakness, which are felt in the hand and wrist area.
An estimated three out of 1,000 people in the United States experience symptoms consistent with carpal tunnel syndrome. Understanding what causes the condition, its symptoms, and how it is treated can help you make decisions about your health. Below, we are going to further explore carpal tunnel syndrome.
Causes of Carpal Tunnel Syndrome
Several factors may contribute to the development of carpal tunnel syndrome.
Some potential causes include:
- Repetitive hand and wrist movements
- Prolonged use of vibrating hand tools
- Wrist fractures
- Sprains
- Overuse injuries
Women are at higher risk for developing carpal tunnel syndrome, due to anatomical factors such as a smaller carpal tunnel as well as hormone and age-related changes to the hand’s inner structures.
Symptoms of Carpal Tunnel Syndrome
Carpal tunnel syndrome usually develops slowly. Individuals experiencing these symptoms may notice the following symptoms:
- Numbness and tingling sensation in the hands
- Burning or stabbing pain
- Difficulty with smaller hand movements with buttons or jewelry
- Weakness in the hand
- Difficulty gripping a mug or a pen
- Worsening symptoms at night as the hand changes from a neutral position
Recognizing these symptoms is essential for seeking timely medical intervention and appropriate treatment.
Treatment Options for Carpal Tunnel Syndrome
Carpal tunnel symptoms can be effectively managed through non-surgical methods. However, for best outcomes, carpal tunnel symptoms should be assessed by an orthopedic doctor as early as possible. Highly progressed cases may require surgical methods to relieve symptoms for the patient.
Below are some of the treatment options used in the management of carpal tunnel symptoms, which include:
- Lifestyle changes: Taking regular breaks from repetitive hand use and making ergonomic changes to your workstation.
- Ice therapy: Applying ice to the affected area or soaking the wrist in an ice bath for 10-15 minutes once or twice an hour can help numb the pain and reduce swelling.
- Wrist Splinting: Wearing a splint to keep the wrist straight and alleviate pressure on the median nerve.
- Medications: Anti-inflammatory medication and cortisone injections can help reduce inflammation and alleviate carpal tunnel syndrome pain.
- Physical Therapy: Hand stretching exercises and nerve gliding techniques can help improve symptoms and prevent further nerve damage.
Carpal Tunnel Surgery
If after six months the patient continues to experience symptoms, the orthopedic doctor may recommend carpal tunnel surgery to relieve pressure on the median nerve.
There are two techniques that an orthopedic hand surgeon can use:
Open Release Surgery
A two-to-three-inch opening is made along the palm, allowing the surgeon to access the transverse carpal ligament. Then, an incision is made in the ligament itself, which causes the wrist bones to break apart. This creates more space for the carpal tunnel and relieves pressure on the median nerve.
Endoscopic Release Surgery
Utilizes an endoscope inserted through a small wrist incision, sparing some tissue in the palm, potentially leading to faster healing and less discomfort. Can be performed under local or regional anesthesia and may involve a second incision in the palm guided by the endoscope. This is considered a minimally invasive surgery, and many patients can have less postoperative pain and a faster recovery after endoscopic release surgery.
If you are experiencing carpal tunnel symptoms, consult an orthopedic hand surgeon as soon as possible. It’s important to note that proper diagnosis and treatment can significantly alleviate the tingling and numbness associated with carpal tunnel syndrome and restore hand function.
Top Orthopedic Hand Surgeon in Miami Lakes and Plantation, FL
At The Orthopaedic Hand and Arm Center, our team specializes in the treatment of upper extremity conditions such as carpal tunnel syndrome. Our team is led by Dr. Tosca Kinchelow, a board-certified and fellowship trained hand surgeon. Dr. Kinchelow will let you know your options for treatment after a thorough assessment of your symptoms and hand condition.
We will guide you throughout your treatment and ensure you have proper support every step of the way. To schedule an appointment with Dr. Kinchelow, call our office today at (954) 635-5300 or use our convenient online form to schedule your visit.
The friendly team at The Orthopaedic Hand and Arm Center looks forward to providing you with the highest quality carpal tunnel syndrome treatments in Miami Lakes and Plantation.
