Carpal tunnel syndrome is a common compressive neuropathy that affects the hand. Patients often have symptoms of numbness and tingling which may affect the thumb, index, middle, and/or a portion of the ring finger. The discomfort associated with this condition may cause nighttime symptoms which interfere with sleep. In severe cases, weakness of muscles that move the thumb may occur. Individuals may also be unable to perform extended activities which involve repetitive wrist motion without discomfort. 

Non-surgical treatments options include splinting, cortisone injection, and activity modification. Wearing a splint at night that positions the wrist in neutral may help prevent tension on the median nerve while sleeping. This may improve symptoms. 

Surgical options include carpal tunnel release Hand Surgery. Carpal tunnel release surgery is performed in many ways. Options include making an incision in the palm of the hand to release the underlying transverse carpal ligament which is compressing the median nerve. During release, many variations in anatomy may be encountered: accessory muscles, split or bifid median nerves, and/or a persistent artery from embryonic development. Release of pressure from the transverse carpal ligament may allow for improved blood flow to the nerve and potential recovery and improvement in symptoms. Outcomes after surgery vary and risks and benefits should be discussed in detail with your treating physician. Non-operative treatment also carries risks and benefits which should be discussed with your treating physician.

Disclaimer: This information is not intended to covey, substitute or supplant any medical advice. In order to establish a treating relationship, please schedule and complete your visits with a licensed physician.

Copyright 12/9/2021 Tanay Amin, MD
Do not copy, distribute, or publish this article. Please contact Precision Hand and Orthopedic Surgery PLLC with regards to any inquiries or corrections.