Carpal tunnel syndrome (CTS) is a condition characterized by numbness, pain, and tingling in the hand and arm. It develops when the median nerve, which extends from the forearm into the palm, becomes compressed or pressured at the wrist.
Recovery from CTS, whether through surgical or non-surgical means, involves a series of steps aimed at reducing symptoms and improving hand function. Here is a general roadmap for recovery.
Understanding Carpal Tunnel Syndrome
At the base of your hand, you can find a narrow and inflexible passage composed of bones and ligaments called the carpal tunnel. It provides support for the median nerve and tendons.
In some cases, when tendons in your wrist get irritated and swell up, they can squeeze the median nerve in the carpal tunnel. This is what leads to carpal tunnel syndrome. Keep in mind that the severity of symptoms can differ. They may change or even get worse if you don’t get treatment.
Common symptoms of CTS include:
- Numbness, Tingling, and Pain: Most commonly in the thumb, index, middle, and ring fingers. The sensation is often described as pins-and-needles or an electric shock, particularly noticeable at night or upon waking in the morning.
- Weakness in the Hand: Struggling to grip objects, being clumsy, and frequently dropping things are symptoms of weakened pinching muscles in the thumb, which are controlled by the median nerve.
- Burning Sensation: This can occur in the hand and sometimes extend up to the arm.
- Decreased Grip Strength: Difficulty in forming a fist, gripping small objects, or performing manual tasks.
- Sensation of Swelling: Even if no visible swelling is present, individuals may feel as if their fingers are swollen.
- Wrist Pain: Pain or discomfort in the wrist may radiate up to the arm or down into the hand.
- Changes in Hand Sensation: Altered sensations or clumsiness, making fine finger movements like typing or buttoning a shirt, more challenging.
Initial Treatment Methods
Initial treatment methods are non-surgical and aim to alleviate pain and discomfort. These approaches are appropriate for the early stages of carpal tunnel syndrome.
Rest
Avoid activities that aggravate symptoms. Take frequent breaks when engaging in repetitive tasks.
Wrist Splints
Wearing a splint, particularly at night, aids in maintaining the wrist in a neutral position, thereby alleviating pressure on the median nerve. Splints vary from rigid to flexible; your healthcare provider can recommend the best type for your situation.
Medications
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen or naproxen reduce inflammation and pain. In some cases, an orthopedic specialist may recommend oral corticosteroids to reduce swelling and inflammation.
Lifestyle Changes
Ergonomic adjustments; like using ergonomic keyboards, mouse pads, and tools; can help alleviate some symptoms. Posture is also important, so keeping wrists straight and not flexed downward during repetitive activities also helps. Your orthopedist may also recommend some specific hand and wrist stretches to improve flexibility and blood flow.
Physical Therapy
Your orthopedic specialist or a physical therapist will also likely recommend guided exercises to help you maintain strength and flexibility in your wrist. You may also receive a massage or ultrasound therapy for pain management and to reduce inflammation.
Surgical Intervention
Surgical intervention is the best course of action for severe cases of carpal tunnel syndrome, or in cases where the symptoms are severe. Here is the process for what surgical intervention looks like:
Consultation with a Specialist and Preparation
An orthopedist will evaluate your symptoms and explain the benefits and risks of surgery. If your overall health is suitable for surgery and surgery is necessary, they may ask you to adjust any medications you are taking. You will also have to plan for post-surgery care and take time off work.
The Surgery
The surgery for carpal tunnel syndrome involves cutting the band of tissue around the wrist to reduce pressure on the median nerve. This surgery, called a “carpal tunnel release”, can be done in less than an hour under local anesthesia.
Post-Operative Care
After surgery, your orthopedic surgeon will close the wound and prescribe pain relief medication as needed. You will receive instructions on how to take care of your surgical wound and may need to come in for physical therapy after a few weeks.
You will also need to return to your orthopedic clinic, so that your doctor can assess how well you are healing and assist you with rehabilitation.
Long-Term Management of Carpal Tunnel Syndrome
Long-term management typically involves a combination of self-care practices and regular medical check-ups. Some things to consider doing include:
- Adjust your workplace to be more ergonomic and minimize wrist strain.
- Regular wrist physical therapy and exercises to help maintain flexibility and strength in your wrist.
- Monitor your wrist for any recurring symptoms.
Recovering from Carpal Tunnel Syndrome in Naples, FL
Recovery from carpal tunnel syndrome is a journey that requires patience, persistence, and a proactive approach to rehabilitation and long-term management. It is also important to remember that every person’s path to recovery will be slightly different, so it is a good idea to keep in contact with your orthopedic doctor even if you have a roadmap.
If you are experiencing any symptoms of carpal tunnel syndrome, or if you are concerned about your hand and wrist health, do not hesitate to take action. Contact the Joint Replacement Institute today. Our surgeons and healthcare providers are board-certified and fellowship-trained to ensure that you receive the best healthcare for your orthopedic concerns.
Call us today at (239) 261-2663 or request an appointment online. Our team is eager to meet you and assist you on your journey to better hand and wrist health.
