Carpal tunnel syndrome
Carpal Tunnel Syndrome (CTS) commonly causes pain, numbness, and tingling in the hand and arm.
Symptoms of CTS typically start gradually and can range from mild to severe. They often include:
- Numbness, tingling, and pain in your thumb and the first three fingers of your hand. Tingly fingers can wake patients from sleep, and they find they shake their hands to try and relieve this.
- Weakness in your hand and a tendency to drop objects.
- Discomfort that may extend up your arm.
At Waterfront Private Hospital, we understand how Carpal Tunnel Syndrome can impact your quality of life. Our dedicated team offers comprehensive care, from an accurate diagnosis to personalised treatment plans, ensuring the best possible outcomes for our patients.
Overview
- TYPE OF ANAESTHETIC
Local - LENGTH OF SURGERY
30-45 minutes - HOSPITAL STAY
Walk in walkout - RECOVERY
1-4 weeks off work (depending on the nature of your work)
Understanding carpal tunnel syndrome
The condition occurs when one of the major nerves in the hand — the median nerve — is squeezed or compressed as it travels through the wrist. This nerve runs from your forearm through a passageway in your wrist (carpal tunnel) to your hand. It provides sensation to the palm side of your thumb and fingers, except the little finger.
Symptoms often develop slowly and can worsen over time, particularly if left untreated. They may be exacerbated by certain activities or at night, affecting sleep and daily activities.
The onset of Carpal Tunnel Syndrome can be due to a combination of factors. These may include genetic predispositions, repetitive hand movements, hand and wrist positions, pregnancy, and health conditions such as diabetes, rheumatoid arthritis, and thyroid gland imbalances.
It can affect people at any age.
Private treatment options for carpal tunnel syndrome
At Waterfront Private Hospital, we offer a range of treatment options for Carpal Tunnel Syndrome (CTS) tailored to meet the specific needs of each patient. We aim to relieve pain and restore function in the affected hand and wrist. Treatment plans may include:
- Conservative Management: In mild cases, treatment may begin with non-surgical methods. These can include:
- Wrist Splinting: Wearing a splint at night to keep your wrist in a neutral position helps to alleviate nighttime symptoms of tingling and numbness.
- Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.
- Lifestyle Adjustments: Guidance on modifying hand and wrist activities to reduce nerve pressure.
- Physical Therapy: Exercises to strengthen and improve flexibility in the hand and wrist.
- Interventional Treatments: For more severe cases or when conservative treatments don’t provide sufficient relief, we may recommend:
- Corticosteroid Injections: Injections into the carpal tunnel can help to decrease inflammation and swelling, improving symptoms temporarily.
- Surgical Options: When symptoms are severe or persist despite other treatments, surgery may be the best option. Our surgical treatments include:
- Carpal Tunnel Release Surgery: A minimally invasive procedure to relieve pressure on the median nerve by cutting the ligament pressing on the nerve.
Our team of experienced surgeons, physiotherapists, and support staff are dedicated to providing the highest standard of care. We use the latest techniques and technologies to ensure the most effective treatment, with an emphasis on minimally invasive methods to promote quicker recovery and optimal results.
At Waterfront Private Hospital, we understand that every patient’s journey with CTS is unique, and we are committed to providing personalized care to achieve the best possible outcomes.
Further reading:
Frequently asked questions
How do I know if I have carpal tunnel syndrome?
If you experience numbness, tingling, or pain in your thumb and first three fingers, especially at night, or have difficulty gripping objects, you may have carpal tunnel syndrome. A consultation with a specialist is the best way to confirm the diagnosis.
What happens if carpal tunnel syndrome is left untreated?
Over time, untreated CTS can lead to worsening symptoms, including persistent numbness, weakness in the hand, and even muscle wasting, making it harder to perform everyday tasks.
Is carpal tunnel syndrome permanent?
In many cases, symptoms can be managed or resolved with treatment. However, delaying treatment may lead to permanent nerve damage, so early intervention is key.
Do I always need surgery for carpal tunnel syndrome?
No, many patients find relief with non-surgical treatments like wrist splints, corticosteroid injections, or activity adjustments. Surgery is typically reserved for severe or persistent cases.
How quickly can I return to work after carpal tunnel surgery?
Recovery times vary depending on your job. Many people can return to light duties within a week or two, but jobs requiring heavy manual work may need up to 4 weeks off.
Will I need therapy after surgery?
Most patients do not require formal physical therapy, but your surgeon may recommend gentle exercises to help restore strength and flexibility in your hand.
Can carpal tunnel syndrome come back after treatment?
Recurrence is uncommon but possible, especially if the underlying causes, like repetitive strain, are not addressed. Maintaining proper hand and wrist ergonomics can help.
Is carpal tunnel syndrome related to other health conditions?
Yes, conditions like diabetes, rheumatoid arthritis, or thyroid imbalances can increase the risk of developing CTS. Your specialist will assess whether these factors play a role in your case.
Can lifestyle changes really help with carpal tunnel syndrome?
Absolutely. Adjusting activities that strain your wrist, taking breaks during repetitive tasks, and using ergonomic tools can reduce symptoms and improve hand health.
How do I get started with treatment?
Please book a consultation with our team to assess your symptoms and develop a personalised treatment plan that fits your needs. Early diagnosis and treatment can make a big difference.
Authors
Ms. Philippa Rust, GMC 4321455, is a fully accredited Hand Surgeon on the GMC Specialist Register for Orthopaedic Surgery. Since 2010, she has been a Consultant at the Plastic Surgery Unit of St John’s Hospital in Edinburgh, specialising exclusively in hand and wrist surgery. Ms Rust is among the first in the UK to hold the Diploma of Hand Surgery and is skilled in advanced techniques, including wrist arthroscopy. Dr. Omar Quaba, MBBChir, FRCS (Plast), GMC 4586300, is a Consultant Plastic Surgeon with over 20 years of experience in plastic surgery. Based at Waterfront Private Hospital in Edinburgh, he is fully accredited on the GMC Specialist Register and specialises in advanced cosmetic procedures. Full member of BAAPS.
