Carpal Tunnel Syndrome
Carpal tunnel syndrome is the most common nerve compression condition in the body. It causes pain, numbness, and tingling in the thumb, index, and middle fingers, often worse at night.
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Treatment depends on the severity of your symptoms and the degree of functional impairment. If your carpal tunnel syndrome is related to another condition (for example hypothyroidism or rheumatoid arthritis), treating the underlying cause often relieves the symptoms.
For mild cases, we typically recommend avoiding aggravating activities, taking frequent breaks, stretching, and using cold packs to reduce swelling.
Non-surgical treatment:
• Wrist splinting to limit wrist flexion and reduce pressure in the carpal tunnel
• Anti-inflammatory medications (NSAIDs), vitamin B6, or B12
• Steroid injections into the carpal tunnel
• Physical therapy to strengthen muscles and reduce pain
Surgical treatment:
For severe cases or symptoms that don't respond to conservative care, surgery is highly effective. Two approaches are available, both performed under local anesthesia with sedation:
• Open carpal tunnel release: a small incision at the wrist exposes the transverse carpal ligament, which is cut to relieve pressure on the nerve.
• Endoscopic carpal tunnel release: one or two small incisions are used with a camera-equipped port to visualize and release the ligament.
Both techniques are safe and effective. Patients go home the same day with oral pain medication and return to clinic for follow-up within a few days.