hand

Carpal Tunnel Syndrome is a common hand and wrist condition characterized by numbness, tingling, and weakness in the hand due to pressure on the median nerve. The median nerve runs from the forearm through the carpal tunnel, a narrow passageway in the wrist, and into the hand. Surrounding the median nerve are nine tendons responsible for finger movement. When the tendons within the carpal tunnel become inflamed or swell, increased pressure on the median nerve can cause the symptoms associated with Carpal Tunnel Syndrome. The condition is more common among women, those with obesity, and individuals engaged in repetitive hand and wrist activities or exposed to prolonged vibration.

At North Florida Hand and Wrist, our esteemed hand and wrist surgeons, Dr. Richard D. Curtis and Dr. Jose Baez, are dedicated to diagnosing and treating Carpal Tunnel Syndrome using cutting-edge methods and a personalized approach. We are equipped with advanced technology, and our dedicated team of practitioners is committed to alleviating hand and wrist discomfort and restoring function.

In this comprehensive article, we will examine potential causes of Carpal Tunnel Syndrome, common symptoms, and various diagnostic methods. Additionally, we will discuss both non-surgical and surgical treatment options available at North Florida Hand and Wrist. By understanding Carpal Tunnel Syndrome and the available treatments, patients can make informed decisions regarding their hand and wrist health, leading to improved outcomes and enhanced quality of life.

Decoding Causes and Risk Factors of Carpal Tunnel Syndrome

While the exact cause of Carpal Tunnel Syndrome is not entirely understood, several factors are believed to contribute to the development and progression of the condition. These factors include:

  1. Repetitive hand and wrist movements: Activities that involve prolonged or repetitive flexion and extension of the wrist, such as typing, assembly work, or using hand tools, can increase the risk of developing Carpal Tunnel Syndrome.
  2. Prolonged exposure to vibration: Frequent use of vibrating equipment, such as power tools, can cause irritation and inflammation within the carpal tunnel, putting pressure on the median nerve.
  3. Medical conditions: Certain health conditions, such as diabetes, rheumatoid arthritis, hypothyroidism, or obesity, are known to increase the risk of Carpal Tunnel Syndrome.
  4. Gender and hormonal factors: Women are more likely to develop Carpal Tunnel Syndrome than men, with hormonal fluctuations during pregnancy, menopause, or the use of oral contraceptives potentially contributing to tendon inflammation in the carpal tunnel.

Identifying Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome can present with various symptoms that may occur gradually or worsen over time. Common symptoms include:

  1. Numbness and tingling: Patients often experience numbness, tingling, or burning sensations in the thumb, index, middle, and ring fingers, as these are the digits primarily affected by the median nerve.
  2. Hand weakness: Carpal Tunnel Syndrome can lead to weakness in the hand and a decreased ability to grip objects or perform delicate tasks.
  3. Pain and discomfort: Pain may radiate from the wrist to the forearm or even up to the shoulder. Symptoms often worsen during the night or with repetitive hand motions.
  4. Decreased sensation: Some individuals may experience decreased sensitivity to touch, making it difficult to perform tasks that require fine motor skills.

Diagnosing Carpal Tunnel Syndrome

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

  1. Perform a physical examination: The doctor will assess hand and wrist function, test for areas of numbness, and evaluate muscle strength during the examination. They may also perform specific diagnostic tests, such as Tinel’s sign or Phalen’s maneuver, to elicit symptoms of Carpal Tunnel Syndrome.
  2. Review medical history: A thorough discussion of the patient’s medical history, including any pre-existing medical conditions, injuries, or risk factors, is essential for formulating an effective treatment plan.
  3. Utilize electrodiagnostic tests: In some cases, the physician may recommend nerve conduction studies and electromyography to evaluate the median nerve’s function and rule out other nerve compression syndromes.

Non-Surgical Treatment Options for Carpal Tunnel Syndrome

In many cases, conservative treatment methods can effectively manage or alleviate Carpal Tunnel Syndrome symptoms. Some non-surgical treatment options include:

  1. Activity modification: Patients may be advised to identify and avoid activities that exacerbate their symptoms and to take periodic breaks from repetitive tasks.
  2. Wrist splinting: Wearing a wrist splint, particularly during sleep, can help alleviate pressure on the median nerve by maintaining the wrist in a neutral position.
  3. Anti-inflammatory medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
  4. Physical and occupational therapy: A guided hand therapy program, including stretching exercises and nerve gliding techniques, may help relieve symptoms and improve hand function.

Surgical Treatment Options for Carpal Tunnel Syndrome

If non-surgical treatments do not provide sufficient relief or the condition worsens, surgical intervention may become necessary. The primary surgical treatment for Carpal Tunnel Syndrome is:

  1. Carpal Tunnel Release Surgery: This outpatient procedure involves dividing the transverse carpal ligament to relieve pressure on the median nerve. There are two main approaches to this surgery: open release and endoscopic release. Both techniques have high success rates in alleviating symptoms and improving hand function.

Following surgery, patients may require hand therapy or occupational therapy to ensure a successful recovery.

Conclusion

Carpal Tunnel Syndrome can significantly impact an individual’s quality of life if left untreated. Understanding the condition’s causes, symptoms, and available treatment options allows patients to make well-informed decisions about their hand and wrist health, leading to improved outcomes and an enhanced quality of life. 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. With our expert guidance, you can expect exceptional carpal tunnel syndrome treatment and support on your journey toward pain relief and restored hand function.