Carpal Tunnel Syndrome

What is carpal tunnel syndrome and who is at risk?

Carpal Tunnel Syndrome

What is carpal tunnel syndrome and who is at risk?

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CARPAL TUNNEL SYDROME

Carpal tunnel syndrome is a prevalent nerve disorder and one of the primary causes of hand pain and numbness. This condition occurs when the median nerve, a major nerve to the hand, is compressed as it passes through the wrist.

Key Facts About Carpal Tunnel Syndrome:

  • It is more commonly diagnosed in females than males.
  • The likelihood of developing carpal tunnel syndrome increases with age, being more common in middle-aged to older adults compared to children.
  • Fortunately, carpal tunnel syndrome typically responds well to treatment, offering effective relief for those affected.
Advancing Carpal Tunnel Treatment

Alexander Palmer, fellowship-trained hand surgeon, specializes in ultrasound-guided carpal tunnel release using wide-awake local anesthesia without a tourniquet (WALANT). This modern technique, performed in a procedure room setting, is both safe and effective, minimizing patient discomfort and recovery time. MRI results confirm successful decompression, allowing patients a quicker return to daily activities with less intervention.

WHO IS AT RISK FOR CARPAL TUNNEL?

Carpal tunnel syndrome can affect anyone. However, certain factors do put someone more at risk.  These include:

  • Pregnancy
  • Genetics
  • Job and activities can place people at higher risk, especially those that include high force or extreme wrist motions
  • Diabetes
  • Older age
  • Gender

Women are more likely than men to get carpal tunnel. Most pregnancy-related cases of carpal tunnel are resolved after the birth of the child. Generally speaking, most cases of carpal tunnel syndrome are caused by a combination of factors.

CARPAL TUNNEL SYNDROME TREATMENT OPTIONS

When diagnosed early, symptoms can be relieved with simple conservative treatments.  However, carpal tunnel tends to progress over time.

If surgery is recommended, carpal tunnel surgery can be performed, which takes pressure off the nerve and relieves symptoms.  Carpal tunnel release surgeries are usually performed on an out-patient basis or even in-office and are highly successful.

TYPES OF CARPAL TUNNEL SURGERY

Mini-Open Carpal Tunnel Release and Endoscopic Carpal Tunnel Release are the two main types of surgery performed. Ultrasound-Guided Carpal Tunnel Release is the newest procedure, which can be performed in the office setting.

During Ultrasound-Guided Carpal Tunnel Release, the surgeon uses commonly available ultrasound equipment to place a cutting tool into the carpal tunnel and cut the transverse carpal ligament. The surgeon uses ultrasound to visualize the contents of the carpal tunnel and makes a very small incision to perform the procedure. With a smaller incision and without general anesthesia, this procedure is typically performed in the office setting. The early data is showing this technique to have the fastest recovery.

This procedure utilizes one or two small incisions (1 to 1.5 cm) at the wrist or at the wrist and palm. An endoscope is inserted through one incision allows the surgeon to see the transverse carpal ligament during transverse carpal ligament transection. Endoscopic Carpal Tunnel Release is less invasive than a Mini-Open Carpal Tunnel Release as it requires smaller incisions. General anesthesia is typically used, and it is an outpatient procedure performed in a hospital or ambulatory surgery center. It may result in a faster postoperative recovery for patients as compared to the Mini-Open.

A Mini-Open Carpal Tunnel Release is the traditional form of surgical treatment performed by most surgeons in the hospital and ambulatory surgery center. During a Mini-Open Carpal Tunnel Release, a surgeon typically makes a 1- to 3-centimeter incision at the base of the palm to expose and transect the transverse carpal ligament. General anesthesia is typically used; the operative incision is closed with sutures that produce a small scar visible in the natural crease of the palm.

ACGME-accredited Orthopedic Sano-SANTI Sports Medicine Fellowship

ACGME-accredited Orthopedic Sano-SANTI Sports Medicine Fellowship

This sports fellowship program trains orthopedic surgeons to lead in sports medicine through clinical experience, advanced surgical training, academic partnerships, and research opportunities.

Meet Our CARPAL TUNNEL PROVIDERs

Learn more about our board-certified, fellowship-trained hand surgeons.

Dr. Palmer
Dr. Palmer
Dr. Colyer
Dr. Colyer
DR. Beutel

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