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Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. It causes numbness, tingling, and weakness in the hand and fingers. The condition affects approximately 3-6% of adults and is more common in women, people who perform repetitive hand motions, and those with certain health conditions like diabetes.

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Symptoms

  • Numbness or tingling in the thumb, index, middle, and ring fingers
  • Pain in the wrist or hand that may radiate up the arm
  • Weakness in the hand, especially when gripping
  • Dropping objects frequently
  • Symptoms worse at night or upon waking
  • Electric shock-like sensations in the fingers

When to See a Doctor

See a hand specialist if numbness or tingling persists for more than a few weeks, if you are dropping objects, or if symptoms are disrupting your sleep. Early treatment prevents permanent nerve damage.

Treatment Options

Wrist splinting

Wearing a splint at night keeps the wrist in a neutral position, reducing nerve compression. Often the first-line treatment.

Corticosteroid injection

Injection into the carpal tunnel reduces swelling and temporarily relieves pressure on the nerve. May provide weeks to months of relief.

Carpal tunnel release surgery

Outpatient procedure that cuts the ligament pressing on the median nerve. Over 90% success rate. Can be performed open or endoscopically. Recovery in 2-6 weeks.

Activity modification

Ergonomic adjustments, taking breaks from repetitive tasks, and stretching exercises can reduce symptoms.

Recovery Timeline

Splinting: improvement within 4-6 weeks. Injection: relief within days, lasting weeks to months. Surgery: most patients return to normal activities within 2-6 weeks. Grip strength returns over 2-3 months.

Frequently Asked Questions

Does carpal tunnel go away on its own?

Mild carpal tunnel may improve with rest and splinting. However, without treatment, symptoms typically progress over time. Untreated carpal tunnel can lead to permanent nerve damage and muscle wasting in the hand.

How effective is carpal tunnel surgery?

Carpal tunnel release surgery has a success rate of over 90%. Most patients experience significant improvement in numbness and tingling within weeks. Grip strength returns over 2-3 months. Recurrence after surgery is rare.

What type of doctor treats carpal tunnel syndrome?

Orthopaedic hand surgeons are the primary specialists for carpal tunnel syndrome. They can perform nerve conduction studies, recommend conservative treatment, and perform carpal tunnel release surgery if needed.

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This information is for educational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.