Carpal Tunnel Syndrome

Carpal tunnel syndrome is probably the most common source of wrist pain. Symptoms may include soreness, numbness or tingling, or a burning sensation. Some people who develop carpel tunnel find it difficult and painful to rotate their wrist, or move their hand up or down or from side to side.

This syndrome is caused by pressure placed on the median nerve that passes through the small bones of the wrist as it enters the hand. The reason for the pressure on the nerve can vary, but it is commonly due to repetitive strain. Repetitive strain disorders, or RSD, have become an increasing problem in today's society. With more people spending increasing hours at computer keyboards and "mousing," we have seen an increase in carpal tunnel syndrome and similar conditions. People suffering from carpal tunnel and related syndromes describe their symptoms as: pain, numbness, tingling, and sometimes loss of grip strength.

A thorough examination including orthopedic and neurological testing and X-ray or MRI studies, if necessary, will help to determine your exact diagnosis and appropriate treatment plan. The key to successful treatment is removing the inflammation surrounding the median nerve and correcting the underlying biomechanical causes including poor posture, poor ergonomic environment at work, and improper technique while exercising. Joint and soft tissue manipulation, physiotherapy, therapeutic exercise, and modifications of the home, work, and health club routines are very effective in resolving the condition and its related symptoms. Massage therapy and myofascial release techniques may also be used in conjunction with these other therapies in order to get the best results. Surgery should only be considered if conservative therapy fails. However, if after examination we conclude that your case cannot be helped with conservative care, a prompt referral will be made.