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Carpal Tunnel Syndrome

Dr David Stewart Carpal Tunnel Syndrome

In carpal tunnel syndrome the median nerve – one of the main nerves supplying the hand – is compressed. This causes pain, tingling and numbness in the fingers and occasionally weakness of the muscles at the base of the thumb. While there is usually no specific cause identified, there are a few conditions, such as pregnancy, which can bring on the problem

In mild and very early stages, the condition can be managed conservatively with splinting, holding the wrist in a position where the nerve is under less pressure. Carpal tunnel syndrome will often come to require surgery.

Often carpal tunnel syndrome will be obvious but in some cases nerve conduction studies or imaging such as ultrasound or MRI scans may be required to confirm the diagnosis.

The procedure involves releasing the pressure on the nerve by dividing the tight band lying above it – the transverse carpal ligament (see picture). Carpal tunnel release can be done in a standard open fashion or with keyhole endoscopic surgery. The eventual results are the same, but endoscopic surgery can have faster recovery times and less scarring.

  • The Australian Hand Surgery Society
  • Member Australian Society Of Plastic Surgeon
  • American Medical Association
  • The Childern Hospital at Westmead
  • Melanoma Institude Australia
  • Lexington  Medical Society
  • Follow Of The Royal Adminstration Of Surgeon
  • Royal College Of Surgeon
  • Royal North Shore Hospital
  • The University of Education of Edinburgh
  • The University Of Sydney