Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. This can cause pain, tingling, numbness, and weakness in the hand and fingers, especially during wrist-related activities.
Symptoms & Complications
Carpal tunnel syndrome may start gradually, with symptoms worsening over time. Repetitive hand movements, wrist injuries, arthritis, or conditions like diabetes or thyroid disease commonly cause it.
Typical symptoms include:
- Numbness and tingling – Especially in the thumb, index, middle, and part of the ring finger
- Weakness or clumsiness
– You may notice trouble gripping objects or frequently dropping things
- Pain or discomfort
– Often in the wrist, hand, or forearm, sometimes radiating up the arm
- Stiffness – Particularly in the morning or after rest
- Difficulty with fine motor tasks, Such as fastening buttons or handling small items
Left untreated, long-term nerve compression can result in muscle wasting and permanent loss of hand function.
Surgical Treatment Option
This procedure relieves pressure on the median nerve by cutting the ligament forming the roof of the carpal tunnel. It creates more space for the nerve, reducing pain and improving function. Carpal tunnel release is usually performed as a day surgery and typically results in a quick recovery for most patients.
What to Expect at Your Consultation
During your consultation with our experienced neurosurgeon, we will:
- Review your symptoms and medical history
- Perform a physical and neurological examination of the hand and wrist
- Discuss or arrange diagnostic tests, such as nerve conduction studies, to confirm the diagnosis
Based on your diagnosis and lifestyle, we will create a tailored treatment plan which may include:
- Wrist splinting or activity modification
- Anti-inflammatory medications or corticosteroid injections
- Surgical release if symptoms persist or progress
We’ll clearly walk you through your options, so you feel confident in your care and next steps.
Frequently Asked Questions
How do you know if your carpal tunnel is severe?
Severe CTS may involve constant numbness, muscle weakness, or visible muscle wasting at the base of the thumb. These symptoms often interfere with sleep and daily tasks.
Do you feel carpal tunnel all the time?
Symptoms can be intermittent or constant, depending on the severity. Many people notice symptoms during certain activities or at night.
When should I seek treatment?
You should seek medical evaluation if you experience ongoing tingling, numbness, pain, or weakness that interferes with your daily life or sleep.
What happens if carpal tunnel goes untreated?
Untreated CTS can lead to permanent nerve damage, loss of coordination, reduced grip strength, or long-term disability. Early treatment improves outcomes.
Do I need a referral to see a neurosurgeon?
Yes. A referral from your General Practitioner (GP) is required to schedule your consultation.
