Carpal tunnel syndrome, also known as median nerve compression, is a condition that narrows the carpal tunnel and increases pressure on the median nerve in the wrist. This creates a tingling sensation, weakness, numbness, or pain in the hand and fingers. Some patients even describe feeling an “electrical shock” sensation in their first four fingers.
If you’re experiencing these symptoms, it may be time to pay a visit to your doctor. Ignoring or delaying treatment can lead to chronic pain, decreased grip strength, or permanent nerve damage. Carpal tunnel syndrome is a progressive condition that usually does not go away on its own, so it is important to see your primary physician or an orthopaedic specialist before it is too late.
“The importance of having a board-certified Surgeon of the Hand is that they are specially trained in the care of hand and arm. They have additional training and certifications to combine the skills of an orthopaedic surgeon, vascular surgeon, plastic surgeon, and neurosurgeon to provide comprehensive care. Additionally, they are experts in the conservative care of upper extremity problems, and work with our Certified Hand Therapists to ensure that the appropriate treatment plan is selected for each patient.
When it comes to treating hand and wrist pain, you want a medical professional who is experienced, precise, and you can trust. Trinity Orthopaedics is focused on providing you with a level of high-quality care. Our surgeons work closely with our Certified Hand Therapists to ensure that all conservative measures are taken. If surgery is recommended, you can be assured of surgical care that is safe, effective, and minimally invasive, so you experience less pain during recovery, heal faster, and minimize the chance of scarring.”
Kevin Krul, MD, FACS, FAAO – Orthopaedics, Orthopaedic Surgery, Hand Surgery, Trinity Orthopaedics
Who is most likely to develop Carpal Tunnel Syndrome?
Carpal tunnel syndrome is very common and affects people with existing health problems, differing anatomy of their wrist, and/or injuries to their hand or arm.
Other risk factors include:
- Wrist deformity
- Arthritic disease such as gout or rheumatoid arthritis
- Alcoholism
- Hypothyroidism
- Hereditary
- Diabetes
- Obesity
- Age
- A tumor in the carpal tunnel
How is it diagnosed?
Testing for carpal tunnel syndrome can be done a variety of ways. Your physician will begin with a physical exam by checking for any numbness or tingling in the hand. They will also test wrist mobility and range of motion, and grip strength.
The doctor may also order x-rays, an ultrasound, or perform a nerve conduction test, which will determine how well the nerve controls muscle movement. These additional tests help rule out any other possibilities, such as arthritis or neuropathy.
How is it treated?
Your physician will begin by offering non-surgical treatment options, such as wearing a splint or brace at night as carpal tunnel symptoms are usually present when you sleep. They may also suggest taking cortisone injections, and ibuprofen. Making changes to your workplace can also help, like using a cushioned computer mouse, or adjusting the height of your keyboard to ensure your wrist does not move up and down.
If surgery is necessary to open the carpal tunnel, it is best to have the procedure done before your hand goes numb. By then, the nerve compression is too severe and irreparable damage may occur. Carpal tunnel surgery is performed with a 90% success rate, and takes on average 10 minutes to complete.
While there are no proven methods to prevent carpal tunnel, some steps you can take to lower your chances of it are:
- Watch your form and improve your wrist posture
- Take breaks if you feel a tingling sensation
- Keep your grip relaxed
- Use a comfortable keyboard and computer mouse
- Avoid flexing and rolling your wrists
- Sleep with hands and wrists in a straight position
Schedule a Visit with Dr. Krul
Dr. Krul is a board-certified doctor who specializes in orthopaedics, orthopaedic surgery, and hand surgery. Dr. Krul sees patients at Trinity Medical locations in Williamsville and Hamburg. To schedule an appointment with Dr. Krul, call (716) 204-1101.
