Carpal Tunnel Syndrome causes hand numbness, tingling and pain. Learn about diagnosis and treatment options, including carpal tunnel release surgery in Karachi.
Carpal Tunnel Syndrome is a common condition caused by compression of the median nerve at the wrist. It can cause hand numbness, tingling, burning pain, weakness and difficulty gripping objects. Dr. Vikash Singh provides assessment and treatment of carpal tunnel syndrome in Karachi, including conservative treatment and carpal tunnel release surgery when required.
What Is Carpal Tunnel Syndrome?
The carpal tunnel is a narrow passageway at the wrist through which the median nerve and tendons pass.
When pressure develops on the median nerve, symptoms can occur in the hand and fingers.
Symptoms
Common symptoms include:
Numbness or tingling in the thumb, index and middle fingers
Pain or burning in the hand
Symptoms that are worse at night
Weakness or difficulty gripping objects
Dropping objects
Reduced hand sensation
Pain that may sometimes extend toward the forearm
Symptoms may affect one or both hands.
Common carpal tunnel symptoms include numbness in the fingers, tingling in the hand, hand pain at night, burning sensation, weak grip and difficulty holding or dropping objects.
Persistent numbness, tingling or burning in the thumb, index and middle fingers, particularly when symptoms are worse at night, may be caused by carpal tunnel syndrome. However, similar symptoms can occur with other nerve conditions, so proper clinical assessment is important.
Why Does Carpal Tunnel Syndrome Occur?
There may be several contributing factors. In some patients, there is no single identifiable cause.
Possible associations include:
Repetitive hand or wrist activities
Wrist trauma or previous fracture
Conditions causing swelling around the wrist
Diabetes
Pregnancy
Certain inflammatory conditions
Diagnosis
Diagnosis is based on the patient's symptoms and clinical examination.
In selected patients, nerve conduction studies and electromyography (EMG/NCS) may be recommended to assess the function of the median nerve and determine the severity of nerve compression.
Treatment
Treatment depends on the severity and duration of symptoms.
Non-Surgical Treatment
For appropriate patients, treatment may include:
Activity modification
Wrist splinting, particularly at night
Treatment of contributing conditions
Medication where appropriate
Other conservative measures based on the clinical assessment
Surgery may be considered when:
Symptoms persist despite appropriate non-operative treatment
There is significant nerve compression
There is persistent numbness
There is weakness of the hand
Nerve testing demonstrates significant compression
There is concern about ongoing nerve damage
Carpal tunnel release is performed to relieve pressure on the median nerve by releasing the ligament forming the roof of the carpal tunnel.
The exact surgical approach depends on the individual patient and the surgeon's assessment.
The aim is to relieve nerve compression and prevent further nerve damage. Recovery varies depending on the severity and duration of nerve compression and the individual patient's healing.
When Should You See an Orthopaedic Surgeon?
You should consider an assessment if you have persistent:
Hand numbness
Night-time tingling
Hand weakness
Difficulty gripping objects
Loss of sensation
Symptoms that are progressively worsening
Early assessment can help determine whether the symptoms are caused by Carpal Tunnel Syndrome or another nerve or musculoskeletal condition.
Frequently Asked Questions
Is Carpal Tunnel Syndrome curable?
Many patients improve with appropriate treatment. The best treatment depends on the severity and duration of nerve compression.
Does Carpal Tunnel Syndrome always require surgery?
No. Mild or early cases may respond to non-operative treatment. Surgery may be recommended for persistent, severe or progressive nerve compression.
Which fingers are affected by Carpal Tunnel Syndrome?
The median nerve typically supplies sensation to the thumb, index finger, middle finger and part of the ring finger.
Can Carpal Tunnel Syndrome cause weakness?
Yes. More advanced nerve compression can cause weakness of the hand and difficulty with gripping or thumb movements.
Where can I get carpal tunnel surgery in Karachi?
Dr. Vikash Singh provides assessment and treatment of carpal tunnel syndrome in Karachi. Depending on the severity of nerve compression and symptoms, treatment may include conservative management or carpal tunnel release surgery.
Carpal Tunnel Syndrome Surgeon in Karachi – Dr. Vikash Singh
Dr. Vikash Singh is an Orthopaedic Surgeon in Karachi providing assessment and treatment of a wide range of orthopaedic conditions, including trauma, joint replacement, deformity correction, sports injuries and upper-limb conditions.
If you have persistent hand numbness, tingling or weakness, an orthopaedic assessment can help determine the cause and appropriate treatment options.
Contact Dr. Vikash Singh for consultation in Karachi.
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Dr. Vikash Singh
FCPS (Orthopaedic Surgery) | MRCS (Edinburgh) | CHPE (DUHS)
Fellowships & Advanced Training
AO-Spine Fellowship – Germany
Foot & Ankle Fellowship – Germany
Ilizarov ASAMI Fellowship – Italy
AO-Trauma Fellowship – UK
Arthroplasty Fellowship – Karachi
All pictures and videos displayed on this website represent cases treated and operated by Dr Vikash Singh.
Website content is for educational purposes only.
