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Carpal Tunnel Syndrome (CTS) is a common condition that affects millions of people, often causing discomfort and impacting daily activities. At Ozark Orthopaedics, we regularly diagnose and treat patients dealing with this condition. In this blog, we’ll explain what carpal tunnel syndrome is, outline the symptoms to watch for, and discuss the most effective treatment options.

What Is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when the median nerve, which runs from your forearm into your hand, becomes compressed or pinched at the wrist. The median nerve travels through a narrow passageway in the wrist called the carpal tunnel, along with tendons that help move your fingers. When this tunnel becomes narrowed or when tissues surrounding the tendons swell, pressure on the median nerve can result.

CTS is most commonly caused by repetitive hand or wrist movements, prolonged use of vibrating hand tools, or underlying conditions such as arthritis, diabetes, or hypothyroidism. Women and people over the age of 40 are more frequently affected.

Common Symptoms of Carpal Tunnel Syndrome

Symptoms of CTS typically begin gradually and may come and go at first. Over time, they can become more constant and severe. Common symptoms include:

• Numbness or tingling in the thumb, index, middle, and half of the ring finger
• Pain or discomfort in the hand or wrist that may extend up the forearm
• Weakness in the hand, making it difficult to grasp objects
• A “pins and needles” sensation that often worsens at night
• Dropping objects due to loss of grip strength

If left untreated, carpal tunnel syndrome can lead to permanent nerve damage and loss of hand function.

Diagnosis and Evaluation

At Ozark Orthopaedics, diagnosing CTS begins with a thorough evaluation of your symptoms and medical history. A physical exam may include specific tests to assess wrist and finger sensation and strength. In some cases, nerve conduction studies or electromyography (EMG) may be ordered to confirm the diagnosis and assess the severity of the condition.

Treatment Options for Carpal Tunnel Syndrome

The good news is that carpal tunnel syndrome is highly treatable, especially when caught early. Treatment options range from non-invasive methods to surgical intervention, depending on the severity of symptoms.

1. Lifestyle Modifications and Activity Changes
   For mild symptoms, taking frequent breaks from repetitive tasks, using ergonomic tools, and modifying wrist positioning can help relieve pressure on the median nerve.
2. Wrist Splinting
   Wearing a wrist splint, especially at night, can keep the wrist in a neutral position, reducing pressure on the nerve and alleviating nighttime symptoms.
3. Medications
   Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help reduce swelling and ease discomfort.
4. Corticosteroid Injections
   In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary symptom relief.
5. Physical or Occupational Therapy
   Guided exercises and therapy can improve flexibility, strengthen the wrist and hand, and educate patients on joint protection strategies.
6. Surgical Treatment
   If conservative treatments fail and symptoms persist or worsen, a surgical procedure called carpal tunnel release may be necessary. This outpatient surgery involves cutting the ligament pressing on the median nerve to relieve pressure.

Expert Orthopaedic Care in Northwest Arkansas

If you’re experiencing symptoms of carpal tunnel syndrome, early evaluation and treatment are key to preventing long-term damage. At Ozark Orthopaedics, our skilled hand and wrist specialists provide personalized care tailored to your needs.

Schedule a consultation today and take the first step toward relief and recovery.