Finding Relief from Carpal Tunnel Syndrome: A Guide to Causes, Symptoms, and Treatment
By Dr. Matthew Pina, Orthopedic Hand Surgeon
Carpal tunnel syndrome is one of the most common conditions I treat as an orthopedic hand surgeon. This condition can cause significant discomfort, disrupt daily activities, and impact sleep. Fortunately, effective treatments are available, and surgery is often not the first step.
What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed. This nerve compression leads to symptoms like:
- Numbness or tingling, especially in the thumb, index, and middle fingers.
- Weakness in the hand, making it difficult to grip objects.
- Pain that can extend from the wrist into the arm or hand.
Symptoms often worsen at night, with patients reporting frequent interruptions to their sleep.
Common Causes of Carpal Tunnel Syndrome
While carpal tunnel syndrome can affect anyone, certain factors increase the risk:
- Repetitive motions: Activities like typing, sewing, or assembly line work that require frequent wrist flexion.
- Medical conditions: Diabetes, rheumatoid arthritis, thyroid issues, or fluid retention during pregnancy can contribute to nerve compression.
- Advancing age: carpal tunnel symptoms are rare in children but become more common as we get older
Treatment: A Step-by-Step Approach
When it comes to treatment, my approach is often conservative at the outset, reserving surgery for cases where other interventions fail to provide relief. Here’s how we typically address carpal tunnel syndrome:
- Activity Modification
Adjusting how you use your hands can significantly reduce strain on the median nerve. This may include changing your workstation ergonomics or minimizing repetitive wrist movements. - Splinting
Wearing a wrist splint, particularly at night, helps keep the wrist in a neutral position, reducing pressure on the nerve. - Corticosteroid Injections
In-office corticosteroid injections can reduce inflammation and provide temporary relief of symptoms. These injections can also help predict how well surgery might work if it becomes necessary.
When is Surgery Necessary?
If conservative treatments don’t provide lasting relief, carpal tunnel release surgery may be the best option. This procedure involves relieving pressure on the median nerve by cutting the ligament that forms the top of the carpal tunnel. Most patients experience significant improvement shortly after surgery, often noticing relief the very same night.
Don’t Wait to Seek Help
Many people delay treatment for carpal tunnel syndrome, worried that seeing a hand surgeon automatically means surgery. In reality, the majority of patients can find relief through non-surgical methods. Early intervention is key to preventing long-term nerve damage and maintaining hand function.
If you’re experiencing symptoms of carpal tunnel syndrome, I encourage you to schedule an appointment. Together, we can develop a personalized treatment plan that works best for you.
About Dr. Matthew Pina
Dr. Matthew Pina is an orthopedic hand surgeon specializing in the treatment of hand, wrist, and elbow conditions. He is dedicated to providing personalized care and helping patients regain hand function and comfort. Dr. Pina sees patients in Enfield, Hartford, and South Windsor.