Carpal Syndrome Syndrome

Carpal Tunnel Syndrome (CTS) is a common problem that affects the hand, wrist and fingers. This condition occurs when there is increased pressure on the median nerve, which travels from the forearm into the hand through a “tunnel” in the wrist – the carpal tunnel.  

CTS results when increased pressure within the carpal tunnel squeezes the median nerve, eventually affecting the function of the nerve.

Symptoms of CTS

  • Numbness and tingling in the hand at night or after use.
  • Aching or pain that may radiate up the forearm towards the shoulder.
  • A feeling of "poor circulation" in the hands.
  • Clumsiness or weakness handling objects.

Causes of CTS
Causes of CTS include anything that prompts swelling of the tendons or decreases the space in the carpal tunnel, such as, repetitive use of the hand and wrist or regular use of vibrating instruments.  Other causes may include:

  • Fractures (broken bones in the hand or wrist)
  • Arthritis
  • Thyroid disease
  • Diabetes
  • Pregnancy

Diagnosis and Treatment
A diagnosis of CTS may be confirmed following a physical examination, an x-ray and an EMG (electromyography), which tests nerve and muscle function. An NCS (nerve conduction study) may also be ordered to determine severity of the condition.

Treatment depends on the severity of the condition and may include: wearing a wrist splint to keep the wrist from bending; non-steroidal anti-inflammatory medications to decrease swelling, relieving pressure and reducing pain; small cortisone injection into the carpal tunnel to decrease inflammation.
If symptoms persist, a carpal tunnel release may be required in order to reduce the pressure on the median nerve and prevent irreversible damage.

Dr. Rosen offers patients the option of an endoscopic carpal tunnel release or a mini open carpal tunnel release. Both surgeries are performed as outpatient procedures.


© Copyright 2015 Dr. Allan Rosen MD