Carpal Tunnel Syndrome

Expert, Compassionate Care for Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is one of the most common nerve disorders affecting the hand and wrist. When the median nerve becomes compressed as it travels through the narrow carpal tunnel, it can lead to discomfort, numbness, weakness, and difficulty performing everyday tasks. At iMsk & Spine Group, we take a warm, patient-first approach to diagnosing and treating this condition. Our goal is to help you regain comfort, prevent long-term nerve damage, and restore your ability to use your hand with confidence.

What Is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when the median nerve — which controls sensation and movement in the thumb, index finger, middle finger, and part of the ring finger — becomes squeezed inside the wrist’s carpal tunnel. This tunnel contains both the nerve and several tendons, so any swelling or irritation in the area can increase pressure on the nerve.

While repetitive motions like typing, writing, or using tools are common triggers, symptoms can also appear at night due to wrist position during sleep. If left untreated, persistent nerve pressure can lead to muscle weakness or even atrophy.

Common Causes

Carpal Tunnel Syndrome can develop from a variety of factors, including:

  • Repetitive wrist or hand movements
  • Prolonged computer or device use
  • Wrist injuries (sprains or fractures)
  • Inflammation from arthritis
  • Hormonal changes (such as pregnancy)
  • Diabetes or thyroid disorders
  • Genetic predisposition (naturally smaller carpal tunnel)

At iMsk & Spine Group, we carefully evaluate the underlying cause to tailor the best treatment approach.

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Symptoms of Carpal Tunnel Syndrome

Symptoms often begin gradually but can worsen over time:

Early Symptoms

  • Tingling or numbness in the thumb, index, and middle fingers
  • Burning or itching sensations in the palm
  • Pain that radiates into the forearm
  • Symptoms that worsen at night

Progressive Symptoms

  • Weakness in the affected hand
  • Dropping objects
  • Difficulty gripping or pinching
  • Sensation of “electric shocks” in the fingers

Advanced Symptoms

  • Noticeable atrophy of the thumb-side hand muscles
  • Persistent numbness
  • Reduced hand coordination

How We Treat Carpal Tunnel Syndrome

At iMsk & Spine Group, we offer a full range of non-surgical, patient-focused treatment options:

Conservative Treatments

  • Wrist Splinting: Especially helpful at night to keep the wrist in a neutral position.
  • Activity Modification: Adjusting repetitive tasks that aggravate symptoms.
  • Anti-Inflammatory Treatments: To reduce swelling and irritation.
  • Physical & Occupational Therapy: Strengthening, stretching, and ergonomic training.
  • Nerve Gliding Exercises: To promote healthy movement of the median nerve.

Interventional Treatments

  • Targeted Injections: Reduce inflammation and relieve pressure on the median nerve.
  • Ultrasound-Guided Treatments: For precise, effective relief.

When Advanced Care Is Needed

If symptoms do not improve with conservative care or severe nerve compression is present, we coordinate further evaluation to explore additional treatment options. Our team will guide you every step of the way.

Carpal Tunnel Syndrome FAQ

Can Carpal Tunnel Syndrome go away on its own?

Mild cases may improve with rest and ergonomic changes, but persistent symptoms often require treatment to prevent long-term nerve damage.

Why are my symptoms worse at night?

Many people sleep with their wrists bent, increasing pressure on the median nerve. Nighttime splinting often provides significant relief.

Do I need surgery for Carpal Tunnel Syndrome?

Most patients improve with non-surgical treatments. Surgery is only considered when conservative care has not helped or when nerve damage is advanced.

What happens if I ignore my symptoms?

Long-term compression can lead to permanent nerve damage, decreased grip strength, and muscle atrophy. Early treatment improves outcomes.

Can Carpal Tunnel Syndrome affect both hands?

Yes — bilateral symptoms are common, especially when triggered by repetitive work or medical conditions like arthritis or diabetes.

Will changing my workstation help?

Absolutely. Ergonomic adjustments, such as using a wrist rest, adjusting chair height, or repositioning your keyboard, can significantly reduce symptoms.
Condition Carpal Tunnel Syndrom Img 2 Freeport