Carpal Tunnel Syndrome: from diagnosis to treatment

Carpal Tunnel Syndrome (CTS) is a common condition that affects millions of people, causing pain, numbness, and weakness in the hand and wrist. If left untreated, it can significantly impact daily activities. 

Mr Andrew Rogers, Orthopaedic Hand and Wrist Surgeon here at St Joseph’s Hospital, explains the diagnosis and treatment options for Carpal Tunnel Syndrome. 

A version of this article first appeared on Top Doctors.

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when the median nerve, which runs from the forearm into the palm, becomes compressed within the carpal tunnel — a narrow passage in the wrist. This pressure on the nerve leads to symptoms such as:

•    Tingling or numbness in the thumb, index, and middle fingers

•    Weakness in the hand, making it difficult to grip objects

•    Pain that can extend up the arm, particularly at night

Causes and Risk Factors

Several factors can contribute to the development of CTS, including:

•    Repetitive hand movements, such as typing or assembly line work
•    Underlying health conditions like diabetes, arthritis, or thyroid disorders
•    Pregnancy, due to fluid retention that increases pressure in the carpal tunnel
•    Previous wrist injuries

Diagnosis of Carpal Tunnel Syndrome

If you are experiencing persistent hand or wrist discomfort, a specialist at St Joseph’s Hospital can conduct a thorough evaluation, which may include:

•    A physical examination to assess strength and sensation in the hand
•    Nerve conduction studies to measure the electrical impulses in the median nerve
•    Ultrasound or MRI scans to check for structural abnormalities

Treatment Options

Non-Surgical Treatments

In mild to moderate cases, conservative treatments may help alleviate symptoms:

•    Wrist splinting – Wearing a brace, especially at night, to keep the wrist in a neutral position
•    Medications – Anti-inflammatory drugs to reduce pain and swelling
•    Corticosteroid injections – To provide temporary relief from inflammation
•    Lifestyle modifications – Adjusting work ergonomics and reducing repetitive strain.

Surgical Treatment

For severe or persistent cases, carpal tunnel release surgery may be necessary. This procedure involves cutting the ligament pressing on the median nerve to relieve pressure. At St Joseph’s Hospital, Mr Andrew Rogers and our team of expert surgeons use minimally invasive techniques to ensure a quick recovery.

When to Seek Medical Help

If you have ongoing hand pain, numbness, or weakness that interferes with daily activities, it is essential to consult a specialist. Early diagnosis and treatment can prevent long-term nerve damage and restore function.

Get Expert Care at St Joseph’s Hospital Newport

Our team of experienced consultants at St Joseph’s Hospital is dedicated to providing personalised care for carpal tunnel syndrome. Contact us today to schedule a consultation and take the first step towards relief.