Carpal Tunnel Syndrome is a common nerve disorder that affects the hand and wrist, causing pain, numbness, and tingling in the thumb, index, middle, and ring fingers. The condition occurs when the median nerve, which runs from the forearm to the hand through a narrow passage called the carpal tunnel, becomes compressed or constricted due to inflammation or other factors. Carpal Tunnel Syndrome can significantly impact an individual’s quality of life and ability to perform daily tasks.

At North Florida Hand and Wrist, our esteemed hand and wrist surgeons, Dr. Richard D. Curtis and Dr. Jose Baez, are committed to diagnosing and treating Carpal Tunnel Syndrome using the latest, evidence-based techniques. Our state-of-the-art facility and dedicated team of practitioners work together to provide the highest standard of care, with the primary goal of alleviating hand or wrist discomfort and restoring functionality.

This comprehensive article will delve into the potential causes and risk factors of Carpal Tunnel Syndrome, common symptoms, and various diagnostic methods. Furthermore, we will explore the broad spectrum of treatment options available at North Florida Hand and Wrist. By understanding Carpal Tunnel Syndrome and the available treatments, patients can make well-informed decisions to maintain their hand and wrist health and improve their overall quality of life.

Uncovering Causes and Risk Factors of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome typically occurs due to compression of the median nerve. Several factors can contribute to the development and progression of this condition. These factors include:

  1. Repetitive hand use: Engaging in activities that involve repetitive hand motions, such as typing, sewing, or using hand tools, can lead to swelling or inflammation within the carpal tunnel and increase pressure on the median nerve.
  2. Hand and wrist anatomy: Some individuals may have a naturally smaller carpal tunnel, placing them at a higher risk for developing the condition.
  3. Health conditions: Conditions such as diabetes, rheumatoid arthritis, and hypothyroidism can increase the risk of Carpal Tunnel Syndrome by causing inflammation or nerve damage.
  4. Gender and age: Women are more likely to develop Carpal Tunnel Syndrome due to hormonal factors and smaller carpal tunnel size. The risk of developing the condition also increases with age.

Identifying Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome can present with various symptoms, often starting subtly and gradually worsening over time. Common symptoms include:

  1. Pain, numbness, and tingling: These sensations typically affect the thumb, index, middle, and ring fingers and can worsen during nighttime or while using the hand.
  2. Weakness: Loss of strength in the affected hand and wrist is common, making it difficult to grasp objects or perform daily tasks.
  3. Dropping objects: Weakness and loss of sensation may cause affected individuals to unintentionally drop objects or have difficulty maintaining a proper grip.
  4. Wrist pain: Pain or discomfort may radiate from the wrist up the arm or down into the hand and fingers.

Diagnosing Carpal Tunnel Syndrome

To accurately diagnose Carpal Tunnel Syndrome and recommend the most appropriate treatment, our physicians at North Florida Hand and Wrist will:

  1. Conduct a physical examination: During the examination, the doctor will evaluate the hand and wrist for signs of nerve compression, such as tenderness, swelling, or muscle atrophy.
  2. Perform nerve function tests: The physician may perform tests, such as Tinel’s sign and Phalen’s maneuver, to assess nerve function and confirm the diagnosis of Carpal Tunnel Syndrome.
  3. Utilize imaging and electrophysiological tests: In some cases, additional tests, such as X-rays, ultrasounds, nerve conduction studies, or electromyography, may be conducted to rule out other conditions and further assess the severity of the condition.

Non-Surgical Treatment Options for Carpal Tunnel Syndrome

In many cases, Carpal Tunnel Syndrome can be managed or relieved through conservative treatment methods. Some non-surgical treatment options include:

  1. Activity modification: Identifying and avoiding activities that trigger or worsen symptoms can help alleviate discomfort and prevent further nerve damage.
  2. Wrist splinting: Wearing a wrist splint, particularly at night, can help maintain a neutral wrist position and alleviate pressure on the median nerve.
  3. Anti-inflammatory medications: Over-the-counter or prescription nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and alleviate pain.
  4. Corticosteroid injections: Injecting corticosteroids into the carpal tunnel may provide temporary relief from pain and inflammation for some individuals.

Surgical Treatment Options for Carpal Tunnel Syndrome

If conservative treatments fail to provide adequate relief, or if the condition worsens, surgical intervention may become necessary. The primary surgical treatment for Carpal Tunnel Syndrome is:

  1. Carpal Tunnel Release Surgery: The procedure involves cutting the transverse carpal ligament, which forms the roof of the carpal tunnel, to alleviate pressure on the median nerve. This surgery can be performed using an open or endoscopic approach. Both methods have high success rates in providing relief from Carpal Tunnel Syndrome symptoms.

Post-operative rehabilitation, including hand therapy and occupational therapy, can help facilitate optimal recovery and regained hand function.


Carpal Tunnel Syndrome, if not adequately treated, can lead to persistent pain, loss of hand function, and ultimately impact an individual’s quality of life. Understanding the condition’s symptoms, causes, and available treatment options empowers patients to make informed decisions to maintain their hand and wrist health. 

At North Florida Hand and Wrist, our team of skilled hand and wrist surgeons, led by Dr. Richard D. Curtis and Dr. Jose Baez, is committed to providing personalized and comprehensive care for patients suffering from Carpal Tunnel Syndrome or other hand and wrist conditions. 

When you choose our expert team, you can expect the highest level of care on your journey toward pain relief and restored hand function. Contact us today for more information.