Carpal Tunnel Release

We use our hands in so many of our daily activities, we can easily take for granted the many things we do with them. Our awareness changes, though, when carpal tunnel syndrome (CTS) causes pain, tingling, burning sensations, numbness, or diminishes strength in our hands. CTS is a painful condition in which the median nerve (one of the primary nerves to the hand) becomes compressed at the wrist, resulting in numbness, pain, and weakness.

Although the cause of CTS is not fully understood, studies confirm that genetic factors may predispose individuals to CTS, and that repetitive motion or acute injury may increase symptoms. In  each case, the median nerve becomes compressed where it passes through the carpal tunnel of the wrist.

It is crucial to recognize the symptoms of CTS and seek medical attention as early as possible. Symptoms may include loss of sensation in the fingers, difficulty in finger movements, weak grip, pain extending up to the elbow joint, and inability to hold objects for extended periods. Prompt and appropriate treatment options should be reviewed with your orthopedic surgeon. CTS can cause permanent nerve and muscle damage in the hand, wrist, and arm. Early diagnosis and treatment can significantly improve the prognosis and prevent long-term disability.

Physical examination and a nerve test performed in our office ensures accurate diagnose of CTS. For mild CTS cases, a non-surgical approach would include bracing, anti-inflammatory medication, or cortisone injection. For more severe CTS cases, a surgical approach to release the compressed median nerve is recommended, to prevent permanent nerve damage. This minimally invasive procedure is performed under light anesthesia involving a 1-inch incision through which the carpal tunnel is accessible, allowing your surgeon to modify the carpal tunnel to relieve pressure on the median nerve. The entire procedure takes approximately 10 minutes. Patients have full use of their hands after surgery, with some precautions for the first two weeks. 

At Nolo Ortho, Dr. Cook is committed to providing patient-centered care, taking time to listen to your concerns, answer your questions, and work with you to create a treatment plan that meets your unique needs.