Carpal Tunnel Sydrome

Carpal tunnel syndrome is a condition where the median nerve may be compressed at is passes thorough the carpal tunnel. It is characterized by burning, tingling numbness and pain in the distribution of the median nerve (thumb, index finger, middle finger and lateral palm). Tingling and burning during the night are very common with carpal tunnel syndrome. Patients awaken with the need to shake their hands out. The pain can also radiate into the forearm, elbow and rarely shoulder. It is diagnosed via the EMG/NCV testing. Mild cases can be treated conservatively with anti-inflammatory medications and splinting. If symptoms persist despite bracing, then injection therapy with steroid helps to alleviate the pain and inflammation of the nerve. Very severe persistent cases may need a referral to a hand surgeon.