Skip Navigation. People with carpal tunnel syndrome have more treatment options than in the past. Our reputation for success in treating carpal tunnel syndrome brings hundreds of people to us for treatment each year. Carpal tunnel syndrome is a common condition that causes numbness, tingling, pain, or weakness in your wrist or hand, particularly in your thumb and first few fingers.
What Causes Carpal Tunnel Syndrome The carpal tunnel is a narrow passageway in your wrist where nerves and tendons pass through to your hand. If your tendons or tissues become swollen, they can compress a nerve, causing carpal tunnel syndrome. It can also occur due to a traumatic injury or following surgery.
Carpal Tunnel Treated in Baltimore by Top Orthopedic Doctors
When to Seek Treatment for Carpal Tunnel Syndrome Rest, applying cold packs, and avoiding repetitive motion can help, but if your symptoms persist or interrupt your sleep or daily activities, it may be time to see a hand and wrist specialist. Your Duke hand and wrist specialist will do a physical exam to rule out other wrist conditions with similar symptoms. He or she may also use tests such as nerve conduction studies or ultrasound to confirm your diagnosis.
Whenever possible, our hand and wrist specialists use nonsurgical treatments for carpal tunnel syndrome.
These can include a wrist brace or splint, nonsteroidal anti-inflammatory medicines NSAIDs , or steroid injections. Our hand and wrist care team includes occupational therapists who specialize in treating hand, wrist, and elbow conditions. Surgery for carpal tunnel syndrome involves cutting the ligament that forms part of the carpal tunnel. This creates a gap that eventually heals with scar tissue, providing a larger space and relieving pressure on the nerve.
Carpal Tunnel Doctor for Treatment in Buffalo NY - General Physician, P.C
Where possible, our surgeons perform minimally invasive surgery, which uses very small incisions and miniature instruments to release the carpal tunnel. These procedures are used more commonly than open surgery and result in quicker recovery, with less pain and scarring.
Many come to Duke from other parts of the country for our expert sports-injury care. We often help patients who come to us after treatment at other centers has failed. Advanced Care from Skilled Experts Our hand and wrist surgeons are skilled in the most advanced surgical techniques for repairing injuries, correcting deformities, and restoring function.
This includes wrist fusion and wrist replacement surgeries. Whenever possible, our surgeons offer minimally invasive procedures, which can reduce your healing time. Specially Trained Hand Therapists Occupational therapists who specialize in hand and wrist conditions are located right in our clinics.
Carpal Tunnel Syndrome Treatment Options
They provide customized therapy to help you recover from surgery as quickly as possible -- or avoid the need for surgery altogether. Contact Us Online. Call Us First you may notice tingling or numbness in your fingers that comes and goes.
Over time the sensations may get worse, lasting longer or even waking you up at night. Eventually the pain and numbness might even make it hard to grip things like a fork, a pen, or other objects. If you're having these symptoms, it could be carpal tunnel syndrome, which occurs when the median nerve — which runs down your arm and into your hand — is compressed by a ligament that crosses over it as it passes through a narrow space in the wrist known as the carpal tunnel.
Treating Carpal Tunnel Without Surgery
Tamara Rozental, associate professor of orthopedic surgery at Harvard Medical School and chief of hand and upper extremity surgery at Beth Israel Deaconess Medical Center. Your little finger is typically not affected because a different nerve serves it. Women tend to be more prone to carpal tunnel syndrome because of risk factors, such as pregnancy, that are specific to their sex.
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Other risk factors include. While it used to be thought that repetitive activities such as keyboarding could cause carpal tunnel syndrome, research has found that this is largely not the case, says Dr. However, regular use of heavy or vibrating equipment, such as a jackhammer, may predispose you to the condition. Your doctor can usually diagnose carpal tunnel syndrome based on your symptoms and the findings on physical examination. But in some cases, you may need additional tests to ensure that those symptoms aren't being caused by another condition, such as arthritis, a pinched nerve in your neck, or neuropathy a type of nerve damage that can be a complication of diabetes or other conditions , says Dr.
One of the tests used to confirm carpal tunnel syndrome, a nerve conduction study and electromyogram EMG , uses an electrical signal to determine how well the nerve is working. Another test uses ultrasound, which is less invasive than an EMG but requires an experienced technician and is not as widely available.