Carpal tunnel syndrome is a prevalent condition that affects up to 5% of adults — causing discomfort, pain, and restricted movement in the hands and wrists. This common nerve disorder can significantly impact daily life, interfering with both work-related tasks and hobbies. From typing on a keyboard to playing a musical instrument, the persistent tingling, numbness, and weakness associated with carpal tunnel syndrome can make even simple activities challenging.
As the condition progresses, it may lead to decreased productivity in the workplace and diminished enjoyment of leisure activities. Fortunately, several non-surgical treatment options are available for those suffering from carpal tunnel syndrome. However, recognizing the symptoms and obtaining an accurate diagnosis can be tricky, especially for individuals unfamiliar with the telltale signs of this condition.
Continue reading to get answers to the top questions about carpal tunnel, including what symptoms to watch for, how to get properly diagnosed, and where to find the best neurologist for carpal tunnel syndrome in Los Angeles.
1. What is Carpal Tunnel Syndrome?
The carpal tunnel is a narrow passageway on the palm side of the wrist, made up of bones and ligaments. Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed or squeezed at the wrist. When the tissues in this tunnel swell or the tunnel narrows for other reasons, it puts pressure on the median nerve. Carpal tunnel syndrome can affect one or both hands and is often associated with repetitive hand movements, such as:
- Playing musical instruments
- Playing sports that involve repetitive motions, like golf or tennis
- Working a job that requires long hours of typing or handwriting
- Crafts that use repetitive motions like sewing, knitting, or crochet
Additionally, certain medical conditions, such as obesity or hormone conditions, can raise your risk of developing carpal tunnel.
2. What Are the Symptoms of Carpal Tunnel Syndrome?
The symptoms of carpal tunnel syndrome typically develop gradually and can include numbness, tingling, and pain in the thumb, index, middle, and ring fingers. Additionally, many people experience a pins-and-needles sensation or a feeling of electric shock in their fingers.
As the condition progresses, individuals may notice weakness in the hand and have difficulty gripping objects or performing fine motor tasks. Some people report a sensation of swelling in their fingers, even when no visible swelling is present. Symptoms often worsen at night or during activities that involve wrist flexion, such as driving or holding a phone. In severe cases, the muscles at the base of the thumb may degenerate, leading to a visible change in hand appearance.
Recognizing these early signs of carpal tunnel syndrome is crucial for seeking timely treatment and preventing carpal tunnel syndrome from worsening.
3. How is Carpal Tunnel Syndrome Diagnosed?
Diagnosing carpal tunnel syndrome typically involves a combination of methods, including physical examination, review of medical history, assessment of risk factors, and testing of the strength and sensation in the affected hand. A neurologist may also perform specific tests, such as the Tinel's sign test or the Phalen's maneuver, to induce symptoms.
Modern neurologists prefer electromyography/Nerve Conduction Velocity (EMG/NCV) testing for a definitive diagnosis. This procedure involves placing small electrodes on the skin to measure the electrical activity in muscles and nerves. It can determine the severity of nerve compression in carpal tunnel syndrome and help rule out other conditions with similar symptoms, such as peripheral neuropathy or cervical radiculopathy. The test provides objective data on nerve function, which is important for proper treatment planning and monitoring progress.
4. Modern Treatments for Carpal Tunnel Syndrome
Treatment for carpal tunnel syndrome often begins with conservative approaches, including:
- Wrist splinting, especially at night, to keep the wrist in a neutral position and relieve pressure on the median nerve
- Non-steroidal anti-inflammatory medications to reduce pain and inflammation
- Corticosteroid injections into the carpal tunnel to provide temporary relief
- Lifestyle modifications, such as ergonomic adjustments to workstations and tools
- Physical therapy and specific exercises to improve wrist strength and flexibility
Additionally, some patients find relief through alternative therapies for carpal tunnel syndrome, like yoga or acupuncture. For more advanced cases, however, newer treatments such as ultrasound-guided hydro-dissection, which uses fluid injection to separate the nerve from surrounding tissue, or platelet-rich plasma (PRP) injections to promote healing may be recommended. These modern approaches aim to provide relief while avoiding or delaying the need for surgery.
5. When is Surgery Necessary for Carpal Tunnel?
Surgery for carpal tunnel syndrome is typically considered when conservative treatments have failed to provide adequate relief or if there's evidence of severe nerve compression causing persistent symptoms or muscle weakness. The most common procedure is carpal tunnel release surgery, which can be performed as an open surgery or endoscopically.
In open surgery, a larger incision is made in the palm to cut the ligament and relieve pressure on the nerve. Endoscopic surgery uses smaller incisions and a tiny camera, potentially resulting in faster recovery. The decision to undergo surgery should be made in consultation with a specialist, considering factors such as symptom severity, duration, impact on daily activities, and overall health status. While surgery is generally effective, it's important to note that recovery can take several weeks to months, and in some cases, symptoms may not completely resolve.
Where to Find the Best Neurologist for Carpal Tunnel Syndrome Treatment in Los Angeles
If you believe you are experiencing symptoms of carpal tunnel syndrome, such as numbness, tingling, or weakness in your hand and wrist, Dr. Danny Benmoshe and the team at Los Angeles Neurology are here to provide expert care and diagnosis. We prioritize patient-centered care, combining compassion with cutting-edge neurological expertise.
Dr. Benmoshe's commitment to staying current with the latest advancements in neurology ensures that our patients receive the most up-to-date and effective diagnostic procedures and treatments. Our modern approach to neurology means we listen carefully to each patient's concerns, provide thorough evaluations using state-of-the-art EMG/NCV testing, and develop personalized treatment plans to improve quality of life and effectively manage carpal tunnel syndrome.
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