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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
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Conditions Treated Hand & Wrist Carpal Tunnel

Carpal Tunnel

Carpal tunnel syndrome (CTS) is a common condition characterized by compression of the median nerve as it passes through the carpal tunnel in the wrist. This compression leads to symptoms such as pain, numbness, tingling, and weakness in the hand and fingers, particularly the thumb, index, and middle fingers. Contributing factors may include repetitive hand movements, wrist injury, or underlying medical conditions. Diagnosis involves clinical examination and possibly nerve conduction studies.

Management strategies focus on alleviating symptoms and may include rest, wrist splinting, ergonomic adjustments, and occasionally, medications or injections. Severe cases may require surgical intervention to relieve pressure on the nerve.

FAQs About Carpal Tunnel

CTS syndrome occurs when the median nerve becomes compressed as it travels through the carpal tunnel in the wrist. This compression can result from various factors, including repetitive hand motions, wrist injury, pregnancy, or underlying health conditions such as arthritis or diabetes.

What causes carpal tunnel syndrome?

Carpal tunnel syndrome occurs when the median nerve becomes compressed as it travels through the carpal tunnel in the wrist. This compression can result from various factors, including repetitive hand motions, wrist injury, pregnancy, or underlying health conditions such as arthritis or diabetes.

What are the symptoms of carpal tunnel syndrome?

Symptoms of carpal tunnel syndrome often include numbness, tingling, and weakness in the hand and fingers, particularly the thumb, index, and middle fingers. Individuals may also experience pain or discomfort that radiates up the arm, especially at night or during activities that involve wrist flexion.

How is carpal tunnel syndrome diagnosed?

Diagnosis of carpal tunnel syndrome involves a thorough evaluation by a healthcare professional, including a physical examination to assess symptoms, hand strength, and sensation. Nerve conduction studies or electromyography may be ordered to confirm the diagnosis and assess nerve function.

What are the treatment options for carpal tunnel syndrome?

Treatment options for carpal tunnel syndrome range from conservative measures to surgical intervention, depending on the severity of symptoms and individual circumstances. Conservative treatments may include wrist splinting, activity modification, anti-inflammatory medications, corticosteroid injections, or physical therapy. In severe cases or if conservative measures fail to provide relief, surgery to release the carpal tunnel may be necessary.

Can carpal tunnel syndrome go away on its own?

While mild cases of carpal tunnel syndrome may improve with conservative treatments and activity modification, more severe or persistent symptoms often require medical intervention to alleviate discomfort and prevent further nerve damage.

Do all cases of carpal tunnel syndrome require surgery?

Surgery is not always necessary for carpal tunnel syndrome and is typically reserved for cases where conservative treatments have been ineffective or symptoms are severe and impacting daily activities.

How long does it take to recover from carpal tunnel syndrome treatment?

Recovery from carpal tunnel syndrome treatment varies depending on the chosen approach and individual factors. Following surgery, patients may require several weeks to months to fully recover and regain hand function. Rehabilitation exercises and activity modification may be recommended to support recovery.

Are there any complications associated with carpal tunnel syndrome?

Complications associated with carpal tunnel syndrome treatment are rare but may include infection, nerve damage, or incomplete symptom relief following surgery. Prompt medical attention and adherence to postoperative instructions can help minimize the risk of complications.

What activities should be avoided with carpal tunnel syndrome?

Individuals with carpal tunnel syndrome should avoid activities that exacerbate symptoms, such as repetitive wrist movements, forceful gripping, or prolonged hand and wrist flexion. Using ergonomic tools, taking frequent breaks, and maintaining proper wrist posture can help alleviate strain on the affected area.

Can carpal tunnel syndrome lead to long-term issues with hand function?

Untreated or poorly managed carpal tunnel syndrome can lead to long-term issues with hand function, including persistent numbness, weakness, and loss of dexterity. Seeking early medical intervention and adhering to recommended treatments are essential for minimizing the risk of long-term complications and achieving optimal outcomes.

 

  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Carpal Tunnel Treatment in Montgomery County, Maryland

Uncover specialized treatment for carpal tunnel syndrome at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Count on our skilled team to offer personalized care crafted to suit your individual needs. Connect with us at (301) 515-0900 or schedule your appointment today to begin your journey toward relief and recovery from CTS syndrome.

Woman in a blue blazer wrapping a patient's wrist in bandages to manage their CTS syndrome.

Other Hand & Wrist Conditions

  • Hand & Wrist Arthritis
  • Hand & Wrist Tendonitis
  • Hand & Wrist Fractures
  • Forearm Fractures
  • Hand Dislocation
  • Hand & Wrist Tendon Laceration
  • Dupuytren's Contracture
  • Trigger Finger
  • Mucous Cyst
  • Retinacular Cyst
  • Skier’s Thumb
  • Mallet Finger
  • Carpal Tunnel
  • De Quervain’s Tenosynovitis
  • Scaphoid Fracture
  • TFCC Injury 
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

  • Elbow

    Elbow

  • Shoulder

    Shoulder

  • Spine

    Spine

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    Hip

  • Knee

    Knee

  • Foot & Ankle

    Foot & Ankle

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Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

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1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.