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What is Carpal Tunnel Syndrome? Dr. Lewis specializes in the treatment of both primary and recurrent/failed carpal tunnel syndrome. Typical carpal tunnel syndrome causes numbness or tingling in the thumb, index, and middle fingers. Frequently it will wake you up at night with burning and pain in the hand. Late findings include dropping objects and wasting in the thumb muscles. Carpal tunnel syndrome is very common as people age. The carpal tunnel is a space in the wrist where the median nerve and 9 tendons pass. It is bound by bones on 3 sides and the transverse carpal ligament. Anything that increases swelling in the tunnel can increase pressure on the median nerve. Risk factors include age over 50 and female gender. Underlying medical issues can also be a risk factor including diabetes, hypothyroidism, rheumatoid arthritis, pregnancy, and fractures.
How is carpal tunnel syndrome treated?
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Carpal tunnel splint
Is surgery needed? Surgery involves an outpatient procedure in an operating room. Dr. Lewis performs the surgery under sedation (like colonoscopy or cataract surgery), but other options are available including straight local anesthesia. He is proficient at both mini-open and endoscopic release techniques. Both options release the transverse carpal ligament, thereby increasing the volume of the carpal tunnel and decreasing pressure on the median nerve. Results are typically very successful. |
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