Understanding and Managing Carpal Tunnel Syndrome

At Horizon Spine & Pain of Utah, we understand how Carpal Tunnel Syndrome (CTS) can interfere with your daily life, from work tasks to recreational activities. Early diagnosis and advanced treatment are essential to prevent permanent nerve damage. Our team specializes in non-surgical and minimally invasive solutions to restore hand strength, reduce pain, and improve overall function.

Carpal Tunnel Syndrome is a common nerve compression disorder where the median nerve, which runs from the forearm into the palm, becomes compressed at the wrist. This compression leads to numbness, tingling, weakness, and pain in the hand and fingers, especially the thumb, index, and middle fingers.

CTS can range from mild discomfort to disabling symptoms that limit daily activities and work performance.

Common causes include:

• Repetitive hand use (typing, assembly work, gripping tools)
• Wrist injuries, such as fractures or sprains
• Inflammatory conditions like rheumatoid arthritis
• Fluid retention during pregnancy or menopause
• Anatomical factors, such as smaller carpal tunnels

Certain medical conditions, such as diabetes or hypothyroidism, can also increase the risk of median nerve compression.

You may be at a higher risk for developing carpal tunnel syndrome if you:

• Perform repetitive hand or wrist motions
• Have conditions that cause nerve damage, like diabetes
• Are female (women are three times more likely to develop CTS)
• Have a family history of carpal tunnel syndrome
• Are over 40 years old
• Are pregnant or experiencing hormonal changes

Addressing modifiable risk factors early can help prevent the progression of CTS.

Symptoms typically develop gradually and may include:

• Numbness or tingling in the thumb, index, middle, and ring fingers
• Pain that may radiate up the arm
• Weakness in the hand, especially with gripping or pinching
• Dropping objects more frequently
• Symptoms worsening at night, often disturbing sleep

Without treatment, symptoms can become persistent and cause permanent hand dysfunction.

At Horizon Spine & Pain of Utah, we utilize a thorough diagnostic process:

• Detailed medical history and symptom discussion
• Physical examination, including Tinel's sign and Phalen's maneuver
• Nerve conduction studies (NCS) and electromyography (EMG) to assess median nerve function
• Ultrasound imaging to visualize swelling of the median nerve

Accurate diagnosis is key to choosing the right treatment plan.

Early-stage carpal tunnel syndrome is often effectively managed with non-surgical methods:

Wrist splinting:

• Wearing a brace, especially at night, to keep the wrist in a neutral position

Medications:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling

Activity modification:

• Reducing repetitive wrist motions and taking regular breaks

Physical and occupational therapy:

• Stretching and strengthening exercises for the hand and wrist

Lifestyle changes, including ergonomic adjustments at work, can also make a significant difference.

For more severe or persistent cases, we offer advanced interventional treatments:

• Corticosteroid injections:
  • Injected directly into the carpal tunnel to reduce inflammation and pressure on the median nerve
• Ultrasound-guided injections:
  • For precise placement of medication and enhanced relief

Injections can provide significant temporary relief, allowing time for rehabilitation or further evaluation.

Surgery may be recommended if:

• Symptoms are severe, and non-surgical treatments have failed
• There is persistent numbness, muscle wasting, or loss of hand function

Carpal Tunnel Release Surgery involves cutting the ligament that is pressing on the median nerve to relieve pressure. Minimally invasive or endoscopic techniques can often reduce recovery time and minimize scarring.

At Horizon Spine & Pain of Utah, we collaborate closely with leading hand surgeons to ensure optimal surgical outcomes when needed.

Patients choose Horizon Spine & Pain of Utah because we provide:

• Board-certified specialists in pain management and nerve disorders
• Advanced diagnostic tools and nerve studies for accurate assessments
• Non-surgical and minimally invasive treatment options
• Personalized, comprehensive care plans

Our mission is to help you regain hand strength, function, and comfort, using the least invasive methods possible.