Carpal Tunnel Syndrome (CTS) is one of the most commonly reported occupa- tional health problems. CTS occurs when swelling pinches the median nerve, which provides sensation to the palm side of the thumb, index finger, middle finger and to the inside half of the ring finger. The result can be a combination of tingling, numbness, weakness and pain in the fingers, thumb, palm or the forearm. If the condition is not treated, permanent deterioration of muscle tissue can occur. CTS is caused by conditions or activities that put pressure on the median nerve and decrease its blood supply, most commonly due to forceful or repetitive movement of the fingers and hand, especially when the wrist is in an awkward position. The best example of this is typing.

Dr. Sanjay Desai,
Orthopedic Hand Surgeon

Treatment

We base our diagnosis on an evaluation of your medical history, physical exam and occasionally on further tests. Initial treatment can involve rest, splinting and a steroid injection. When patients are unable to get relief from their CTS symptoms by non-surgical means, tests may indicate that nerve damage and/or growths need to be removed.

The goal of surgery is to reduce pressure on the median nerve in the wrist and involves endoscopically cutting the transverse carpal ligament to relieve the pressure. The surgery is typically done under regional or general anesthetic on an outpatient basis. Link to microaire site here. (microaire.com)