Carpal Tunnel Syndrome – Carrollton TX
Dr Charles Neagle is a board certified orthopedic hand surgeon specializing in treating disorders of the hand and wrist. He treats a wide range of wrist conditions including Carpal Tunnel surgery, wrist fractures, wrist pain and sports injuries.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a common disorder that often results due to repetitive use of hand and wrist. It is a common occupational injury and is also known as Median nerve dysfunction. Carpal tunnel syndrome is defined as the compression of the median nerve, which is located in the wrist and transmits sensations to all parts of the hand.  The carpal tunnel is a space in the palm, which is supported by bones and the roof of the tunnel is a thick carpal ligament. Due to swelling of tendons and thickening of ligaments, the space in the tunnel decreases and this increases the pressure inside which further restricts the flow of the blood to the nerve. This pressure buildup leads to weakness, tingling, numbness in the fingers and hands, and disability of the hand.

Causes of Carpal Tunnel Syndrome

  • Any condition or illness that leads to increase in the pressure in the carpel tunnel and reduces the blood supply to the hand causes the syndrome. Some of the conditions include obesity, gout, diabetes, rheumatoid, lupus, arthritis, hypothyroidism, etc.
  • Repeated hand and wrist movements
  • Bone spurs
  • Dislocated bones
  • Broken wrist bones
  • Tumor or cyst in the wrist
  • Work-related conditions

Symptoms of Carpal Tunnel Syndrome

  • Pain in hand, arm, and shoulder that worsens at night
  • Numbness in hand
  • Tingling in thumb, index fingers
  • Swelling in hand
  • Hand weakness
  • Difficulty in feeling and handling objects
  • Problems with finger movement

Diagnosis of Carpal Tunnel Syndrome

The doctor reviews the medical history of the patient and physically examines the hand and wrist for the symptoms of carpal tunnel syndrome. He/she looks for sensitivity, sensation, and strength of the hand to diagnose the disorder. A test which is often conducted is nerve conduction velocity, which measures nerve’s potential to send electrical impulses to the muscle to confirm carpal tunnel syndrome. The physician may also recommend X-rays and Electromyogram, etc.

Treatment for Carpal Tunnel Syndrome

The patients often wear splints to get relief from the symptoms. The physicians often prescribe painkillers and anti-inflammatory medicines to the patient. Sometimes direct injections of steroids are administered to provide relief. In severe cases, orthopedic surgeons recommend surgery, which takes pressure off the nerve at the wrist.  

Prevention of Carpal Tunnel Syndrome

The patients are advised to use tools that reduce the risk of wrist injury. To prevent the carpal tunnel syndrome, it is good to use ergonomic aids such as typing pads, wrist braces and split keyboards. The patients should take frequent breaks when typing and stop when they feel pain or tingling sensation. Regular exercising, maintaining proper weight, and avoiding smoking prevent CTS.

To know more about carpal tunnel syndrome and its treatment, or to request an appointment with the hand and wrist surgeon in Carrollton TX – Dr Neagle, call at (972) 492 – 1334.