Symptoms and evaluation
Common symptoms include nighttime numbness, tingling in the thumb, index and middle fingers, dropping objects and loss of grip or pinch strength. Symptoms may worsen while driving, holding a phone or sleeping. Examination focuses on sensation, strength and signs of median-nerve compression.
Treatment options
Treatment is individualized to symptom severity and nerve function. Options may include nighttime wrist splinting, activity modification and corticosteroid injection. Persistent, progressive or severe compression may be treated with carpal tunnel release to create more room for the median nerve.
Recovery and return to activity
Recovery varies with the procedure, severity of nerve compression and the demands placed on the hand. Finger motion is generally encouraged early, while return to heavier gripping and lifting is advanced as healing allows.
When to seek evaluation
Persistent pain, numbness, weakness, loss of motion, deformity or symptoms that interfere with sleep, work or daily activities are reasonable reasons to seek an orthopedic evaluation. Urgent injuries with severe deformity, open wounds or compromised circulation require prompt medical attention.
Common questions
Carpal tunnel syndrome is a compression neuropathy of the median nerve at the wrist. Not every patient needs surgery; the appropriate treatment depends on symptoms, examination findings and, when indicated, nerve testing.
Specialized upper-extremity care
Dr. Devin W. Collins is a board-certified orthopedic surgeon with fellowship training in hand, upper-extremity and microvascular surgery. Treatment recommendations are individualized to the diagnosis, severity, goals and needs of each patient.