Carpal Tunnel Syndrome Treatment Options
Is surgery always necessary for carpal tunnel syndrome?
Located at the base of the hand is a narrow tunnel, made up of bone and ligament, that houses the median nerve and a series of tendons, known as the flexor tendons. The median nerve is responsible for the feeling that is experienced by the thumb and all fingers except the pinkie. The tendons are what allow for all of the movement capabilities of the fingers and thumb. This passageway that provides protection for the median nerve and the flexor tendons is the carpal tunnel.
Most of us are aware of the existence of the carpal tunnel, because there has been so much reported about carpal tunnel syndrome, a condition that develops when something causes the carpal tunnel to become constricted, resulting in some level of compression of the median nerve. When this happens, symptoms, such as tingling, numbness, weakness, burning or itching in the fingers and palm of the hand are likely to develop gradually.
Type and pattern of symptoms vary, although many people report that symptoms seem to intensify at night. Women are more susceptible to developing carpal tunnel syndrome than men, possibly due to the carpal tunnel itself being smaller to begin with.
What Causes Carpal Tunnel Syndrome?
While most people assume that carpal tunnel syndrome is caused by the type of repetitive motion that is part of the job description of anyone who spends a good part of their day at a computer keyboard, the truth is that there are a wide variety of possible causes and contributors to this condition. Some of these include:
Work-related activities, such as:
- Repetitive or forceful hand movements
- Vibrations from machinery or some other source affecting the hands or arms for extended or recurring periods of time
- The hand or wrist being maintained in an unnatural position for long periods of time, especially without the opportunity to rest or relax frequently
- Some type of injury to the wrist
- Glandular issues, particularly involving the pituitary and thyroid glands
- Rheumatoid arthritis
- Diabetes
- Pregnancy
- Menopause
- Tumor or cyst developing in the tunnel
Treating Carpal Tunnel Syndrome
With carpal tunnel syndrome it is important to catch it early and modify any contributing factors. When this is effective, suggested treatment will likely include some combination of the following non-surgical methods:
- Splinting – wearing a wrist splint at night can reduce the inflammation
- Nonsteroidal anti-inflammatory drugs (NSAIDs) – for pain management and to help reduce swelling
- Ultrasound-guided corticosteroid injections – these types of injections have proven effective in counteracting the inflammation or swelling in the median nerve and tendons
- Alternative therapies – yoga and acupuncture, in particular, are being successfully used in reducing symptoms
When non-surgical means do not provide sufficient relief, the most common types of surgical procedures for carpal tunnel syndrome are:
- Open release surgery – this involves an incision being made in the palm of the hand, cutting through the ligament that is putting the pressure on the nerve.
- Endoscopic surgery – in this procedure, the surgeon is guided by a tiny camera (endoscope), inserted through one small incision, while repairs are made through a second small incision. This approach is believed to result in less trauma to the wrist and hand and requires a shorter recovery period.
If you have questions about carpal tunnel syndrome or any other orthopedic concerns, the physicians and staff of South Island Orthopedics of Long Island are very experienced in a wide range of orthopedic conditions and are committed to providing personalized care in a state-of-the-art facility.
How to Prevent Carpal Tunnel Syndrome
Carpal tunnel syndrome cannot always be prevented, especially when it is related to anatomy or certain health conditions. Some daily habits may help reduce wrist strain and may lower the chance of symptoms starting or getting worse.
Prevention strategies and exercises may include:
- Keep your wrist in a neutral, straight position while typing, using a mouse, or doing repeated hand tasks.
- Take short breaks during repetitive activities to give your hands and wrists time to rest.
- Use ergonomic tools or a workstation setup that helps keep your wrist in a more comfortable position.
- Do gentle hand, finger, and wrist stretches to support flexibility and comfort. The American Academy of Orthopaedic Surgeons offers a list of suggestions.
- Build light hand and wrist strength over time, as tolerated, without pushing into pain.
- Avoid long periods of tight gripping when possible, and loosen your grip on tools and devices when you can.
- Manage health conditions like diabetes, arthritis, or thyroid disorders, since they can be linked to nerve irritation.
- Pay attention to early symptoms and adjust activities if tingling, numbness, or weakness starts.
Frequently Asked Questions about Carpal Tunnel Syndrome
How to relieve carpal tunnel pain?
Carpal tunnel pain may improve with rest, a wrist splint at night, and changing activities that irritate the wrist. Some people also use anti-inflammatory medicine, and some may benefit from an injection.
Is carpal tunnel genetic?
Carpal tunnel syndrome is not usually passed down directly, but some people may be born with a smaller carpal tunnel. A smaller tunnel can make it easier for the nerve to get squeezed.
Can carpal tunnel cause shoulder pain?
Carpal tunnel usually causes symptoms in the hand and wrist, but discomfort can sometimes travel up the arm. Shoulder pain can also be a sign of a different problem, so it helps to get checked.
How long is recovery from carpal tunnel surgery?
Recovery time can be different for each person. Many people can use their hand for light activities within a few weeks, but full healing can take a few months.
Can carpal tunnel come back?
Carpal tunnel symptoms can come back in some cases. This is more likely if the same activities or health issues that caused symptoms are still present.
How to sleep with carpal tunnel?
Sleeping with a wrist splint may help because it keeps the wrist straight. It can also help to avoid sleeping in positions that bend the wrist.
About South Island Orthopedics
South Island Orthopedics provides orthopedic care for a wide range of musculoskeletal conditions affecting the bones, joints, muscles, and nerves. With locations in Cedarhurst and Rockville Centre, the practice offers evaluation and treatment options for both acute injuries and ongoing orthopedic concerns. Care plans are developed based on individual needs and may include non-surgical and surgical approaches when appropriate. The team focuses on patient education, clear communication, and access to modern diagnostic and treatment resources.
Posted in: Hand & Wrist