St. Joseph's Healthcare System

Carpal Tunnel Syndrome is a disease of Median Nerve and affects about 1 out of 20 people worldwide with women having a higher ratio by 2 to 3 times than men. The main symptoms are numbness and tingling in the thumb, index, long and half of the ring finger, weakness especially when gripping objects, weakness in the hand dropping objects, difficulty picking up small things, buttoning a shirt, picking up a needle, and numbness when driving. As you get older there's a higher chance of developing carpal tunnel syndrome. Carpal Tunnel Syndrome can be caused by the work environment especially work that requires high repetitive movements, prolonged flexing or extension of the wrist or exposure to vibration and cold environments. Obesity and other medical conditions such as gout, rheumatoid arthritis, genetics, trauma to the wrist, smoking and pregnancy can also cause Carpal Tunnel Syndrome.

Treatment in the beginning involves anti-inflammatory medication, wearing a brace at night while sleeping, avoiding high vibration or cold environments, stretching, exercise, and taking breaks at work. The next treatment option is surgery, open carpal tunnel release as well as endoscopic (minimally invasive carpal tunnel surgery) are both beneficial procedures. With the minimally invasive procedure there are advantages such as faster return to work, less pain after surgery, less soreness and quicker recovery time.

If you feel any of these symptoms you should bring them to the attention of your family physician immediately.