Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common and often painful condition affecting millions of people worldwide. It occurs when the median nerve becomes compressed or pinched as it travels through the wrist’s carpal tunnel, a narrow passage consisting of bones and ligaments. The pressure on the nerve can cause discomfort, tingling, numbness, or weakness in the hand and fingers, potentially interfering with daily tasks and diminishing quality of life.

At North Florida Hand and Wrist, our exceptionally trained hand and wrist surgeons, Dr. Richard D. Curtis and Dr. Jose Baez, specialize in diagnosing and treating carpal tunnel syndrome. Our state-of-the-art facility, staffed by a dedicated team of practitioners, aims to provide patients with the highest level of care to ease their hand or wrist discomfort. From conservative treatments like splinting and medication to minimally invasive surgical procedures, our team is committed to offering tailored care that meets each patient’s unique needs.

In this article, we will explore the symptoms and primary causes of carpal tunnel syndrome, diagnostic methods, and various treatment options. Understanding carpal tunnel syndrome and the approaches to managing it will empower you to make informed decisions about your hand and wrist health, paving the way for improved functionality and pain relief.

Identifying Symptoms of Carpal Tunnel Syndrome

Carpal tunnel syndrome can manifest in various symptoms, which may be experienced differently by each individual. Some common symptoms include:

  1. Numbness or tingling: These sensations often occur in the thumb, index, middle, and ring fingers and may be the first noticeable signs of carpal tunnel syndrome. Tingling can also present as a “pins and needles” feeling, sometimes extending to the forearm or elbow.
  2. Weakness: Hand weakness or clumsiness can be a result of carpal tunnel syndrome, leading to difficulty in gripping or holding objects and even causing involuntary dropping of items.
  3. Pain: Some individuals may experience mild to severe pain in the hand or wrist during periods of carpal tunnel syndrome flare-ups.

Understanding Causes and Risk Factors of Carpal Tunnel Syndrome

While the exact cause of carpal tunnel syndrome may vary, some common factors contribute to the development of this condition. These factors include:

  1. Repetitive motions: Prolonged and repetitive hand or wrist activities, such as typing or using a computer mouse, can contribute to carpal tunnel syndrome.
  2. Anatomical factors: The carpal tunnel’s size and shape may vary between individuals, and those with a narrower tunnel might be predisposed to nerve compression.
  3. Underlying health conditions: Conditions such as diabetes, rheumatoid arthritis, or thyroid disorders can increase the risk of developing carpal tunnel syndrome.
  4. Inflammation and swelling: Injuries, infections or inflammation in the wrist can cause swelling or irritation that compresses the median nerve.

Diagnosis and Evaluation of Carpal Tunnel Syndrome

Proper diagnosis and evaluation are essential for the effective treatment of carpal tunnel syndrome. At North Florida Hand and Wrist, our physicians will:

  1. Conduct a physical examination: The doctor will assess the hand, wrist, and arm for signs of stiffness, tenderness, or swelling and possible muscle atrophy.
  2. Perform nerve tests: Electromyography and nerve conduction studies may be used to evaluate nerve health and determine the severity of the condition.
  3. Review medical history: Our physicians will discuss any relevant medical history and potential contributing factors to understand the patient’s condition better.

Non-Surgical Treatment Options for Carpal Tunnel Syndrome

In many cases, conservative treatments can effectively manage or alleviate carpal tunnel syndrome symptoms. Some non-surgical treatment options include:

  1. Wrist splinting: Immobilizing the wrist, particularly during sleep, can help ease symptoms by decreasing pressure on the median nerve.
  2. Anti-inflammatory medications: Over-the-counter or prescription drugs such as nonsteroidal anti-inflammatory medications (NSAIDs) can help reduce inflammation and pain.
  3. Activity modification: Adjusting or limiting activities that exacerbate symptoms may provide relief in some cases.
  4. Corticosteroid injections: Injections of corticosteroids into the carpal tunnel can help reduce inflammation and relieve pressure on the median nerve.

Surgical Treatment Options for Carpal Tunnel Syndrome

If conservative measures fail to provide relief, or symptoms worsen over time, surgical intervention may be necessary. The primary surgical treatment for carpal tunnel syndrome is:

  1. Carpal tunnel release surgery: This procedure involves cutting the transverse carpal ligament, which forms the carpal tunnel’s roof, to relieve pressure on the median nerve. Carpal tunnel release surgery can be performed using an open or endoscopic technique, depending on the individual case.

Post-surgery, patients may receive a tailored rehabilitation plan, including occupational therapy or hand therapy, to facilitate optimal recovery and return to daily activities.


Carpal tunnel syndrome can significantly impact an individual’s quality of life if not properly managed or treated. By understanding the symptoms, causes, and available treatment options, patients can make informed decisions regarding their hand and wrist health. At North Florida Hand and Wrist, our team of skilled hand and wrist specialists, led by Dr. Richard D. Curtis and Dr. Jose Baez, is dedicated to ensuring personalized and comprehensive care for each patient suffering from carpal tunnel syndrome or other hand and wrist conditions. By seeking guidance from our experts, you can expect the highest standard of care on your journey toward improved hand function and pain relief.