What is Carpal Tunnel Syndrome (CTS)?
The Carpal Tunnel is a narrow, tunnel like structure at the base of the hand. The bottom of the tunnel is made up of the wrist bones, and the top of the tunnel is covered by the transverse carpal ligament. The tunnel houses nine tendons and the median nerve as they run from the forearm to the hand. The median nerve is an extremely important nerve that controls sensation to the palm side of the hand and supports movement of the fingers and thumb. Sometimes, due to injury, repetitive motion or disease, the tendons within the carpal tunnel can become inflamed and swell. This swelling will then place pressure on the median nerve and cause the symptoms of carpal tunnel syndrome.
Symptoms of CTS
Symptoms are often first noticed at night, and relief may come from shaking the hand. Most often symptoms appear in the thumb, index finger, middle finger, and ring finger. Symptoms appearing in these fingers but not in the little finger may be a sign of carpal tunnel, as a different nerve runs to the little finger.
- Tingling, numbness, weakness, or pain in the fingers or hand.
- Pain in the arm between the hand and elbow, or sensations traveling up the arm towards the shoulder.
- Decreased grip strength
If caught early non-surgical treatment may be enough. This can include bracing, medications, exercise and physical therapy. If these options fail, surgery is generally recommended. Carpal Tunnel surgery is one of the most common surgical procedures. During the procedure the transverse carpal ligament is cut, which creates more space in the carpal tunnel, relieving pressure on the median nerve.
Minimally Invasive CTS Release
Unlike the traditional cortisone injections that many pain doctors use to reduce the pain associated with CTS, Dr. Magaziner uses a series of injections under imaging guidance to help release the nerve from entrapment with the goal of avoiding the more invasive surgical procedure. With minimally invasive carpal tunnel release, Dr. Magaziner can release the nerve from the ligament under live ultrasound imaging and cut the carpal ligament with a sharp cutting needle to safely release the pressure on the nerve. Dr. Magaziner studied under the guidance of the pioneers of this procedure. This has provided many patients immediate relief, fast recovery with long-term benefits without surgery.
Individual results may vary from patient to patient. For more information on Carpal Tunnel Release procedures, please contact our office.