Carpal Tunnel Syndrome

Erin Nance, MD -  - Orthopedic Surgeon

Nance MD Hand Surgery

Erin Nance, MD

Orthopedic Surgeon & Hand and Upper Extremity Specialist located in Midtown East, New York, NY

When numbing and tingling in your palm or fingers wakes you up at night, you may be one of the 4-10 million Americans suffering from carpal tunnel syndrome. At Nance MD Hand Surgery, board-certified orthopedic hand surgeon Dr. Erin Nance specializes in both non-operative treatments and surgical approaches to carpal tunnel syndrome. If you live in or near Midtown East, New York and think you may have carpal tunnel syndrome, call the office today or book your appointment online.

Carpal Tunnel Syndrome Q & A

What are the symptoms of carpal tunnel syndrome?

Carpal tunnel syndrome manifests in various ways, the most common of which is pain in your hand and fingers (excluding your pinky finger and part of your ring finger).

The pain may radiate to your forearm and arm, you may experience tingling and numbness -- especially at night -- and you may feel as though your hand is asleep. Your grip may weaken, and you may drop things. Your hands can feel clumsy, and you can lose some of your fine motor skills.

What causes carpal tunnel syndrome?

Carpal tunnel syndrome results when your median nerve -- which runs from your spine, through your shoulder and elbow, down your forearm, through the wrist, and into your hand -- gets pinched. This pinching occurs at the wrist’s carpal tunnel, a narrow passageway of bones, ligaments, and tendons at the base of your hand.

Multiple issues can cause an inflamed and pinched median nerve. Some of the most common causes include:

  • Tendon swelling due to overuse
  • Joint dislocation
  • Bone fractures
  • Fluid retention (often during pregnancy)
  • Arthritis

How is carpal tunnel syndrome treated?

Dr. Nance always attempts to treat your ailments in the least invasive manner possible. For carpal tunnel syndrome, she starts by discussing ergonomics and how you can reduce pressure on your wrists and median nerve.

For instance, if you spend a lot of time typing on a computer with your wrists bent, she suggests ways to reduce the strain, such as using a cushion to stop the wrists from bending.

She may also recommend wearing a wrist splint to straighten your wrist. During the early stages of carpal tunnel syndrome, wearing a splint at night may reduce your symptoms, especially if you tend to sleep with your wrists bent. Other times, you may need to wear it during the day to find relief.

If repositioning and splinting doesn’t help, Dr. Nance may opt for steroid injections. These injections reduce swelling around the nerve, eliminating carpal tunnel pain. In more severe cases, you may need an electromyogram (EMG) or nerve conduction test (NCS) to determine if surgery can improve your carpal tunnel symptoms.

When numbness and pain in your hand keep you up at night, find a solution by calling Nance MD Hand Surgery or scheduling your initial consultation online.