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Carpal Tunnel Syndrome
Three nerves—the median, ulnar and radial nerves—create sensation and help the hand move. The median nerve passes though the wrist in a tunnel known as the carpal tunnel. Carpal tunnel syndrome is thickening of the ligament that runs across the base of the hand that causes the median nerve to be compressed.
Carpal Tunnel Syndrome Symptoms:
Carpal tunnel syndrome symptoms primarily affect the hand and finger. Typically, the characteristic burning or tingling feelings happen in the thumb, index finger and middle finger. However, pain may radiate throughout the arm. Common carpal tunnel syndrome symptoms include:
- Tingling or “pins and needles” in the fingers or hand
- Pain that may get worse at night
- Sensory loss
- Burning sensation
- Pain that radiates up the arm
- Difficulty with fine motor movements
- Decrease in muscle mass of the hand
To diagnose carpal tunnel syndrome, a physical examination is needed. Electromyography (EMG) and nerve conduction studies (NCS) are also done to confirm the diagnosis.
Carpal Tunnel Syndrome Treatment:
Initial treatment for carpal tunnel syndrome includes anti-inflammatory medication and wrist splints. In many cases, this will significantly decrease symptoms. However, steroid injections may also be helpful.
Surgery may be needed if symptoms worsen or do not improve with medication. The most common surgery for carpal tunnel syndrome is surgical decompression. During the outpatient procedure, a neurosurgeon makes a small incision in the palm and makes a small cut in the ligament. This relieves pressure on the medial nerve.
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We specialize in Carpal Tunnel Syndrome Treatment.
At Nashville Neurosurgery Associates, we are proud to be one of the region’s leading neurosurgical centers. Our team of board-certified surgeons provide expert care and treatment of carpal tunnel syndrome.
