Carpal tunnel is essentially a pinched nerve in the wrist.
This happens when pressure builds up from swelling and puts pressure on the nerve.
Causes can include inherited anatomical differences, Repetitive hand use. Hand and wrist position, hormonal changes during Pregnancy.
Health conditions. Diabetes, rheumatoid arthritis, and thyroid gland imbalance are conditions that are associated with carpal tunnel syndrome. Studies show that women and older people are more likely to develop the condition
Symptoms can include pain, numbness, tingling, a weak grip, occasional clumsiness and a tendency to drop things. The numbness or tingling most often takes place in the thumb, index, middle and ring fingers.
Once your GP has referred you to Novus Health
You will undergo an initial assessment by a specialist clinician who will talk to you about your general health and medical history and will ask about your symptoms. The physical examination may led to further tests being required for example Nerve Conduction Studies (NCS), Ultrasound or an X-ray.
Carpal Tunnel Treatment and Surgery Services
Although it is a gradual process, for most people carpal tunnel syndrome will worsen over time without some form of treatment. In the early stages, it may be possible to slow or stop the progression of the disease.
If diagnosed and treated early, the symptoms of carpal tunnel syndrome can often be relieved without surgery. If your diagnosis is uncertain or if your symptoms are mild, your doctor will recommend nonsurgical treatment first. Nonsurgical treatments may include:
Bracing or splinting. Wearing a brace or splint at night will keep you from bending your wrist while you sleep. Keeping your wrist in a straight or neutral position reduces pressure on the nerve in the carpal tunnel. It may also help to wear a splint during the day when doing activities that aggravate your symptoms.
Nonsteroidal anti-inflammatory drugs (NSAIDs). Anti-inflammatory medications such as ibuprofen and naproxen can help relieve pain and inflammation.
Activity changes. Symptoms often occur when your hand and wrist are in the same position for too long — particularly when your wrist is flexed or extended. If your job or recreational activities aggravate your symptoms, changing or modifying these activities can help slow or stop progression of the disease. In some cases, this may involve making changes to your work site or workstation.
Nerve gliding exercises. Some patients may benefit from exercises that help the median nerve move more freely within the confines of the carpal tunnel. Specific exercises may be recommended by your doctor or therapist.
Steroid injections. Corticosteroid, or cortisone, is a powerful anti-inflammatory agent that can be injected into the carpal tunnel. These injections often relieve painful symptoms or help to calm a flare-up of symptoms.
- In patients with mild, early disease, injections may relieve symptoms in the long-term.
- In those with moderate to severe disease, the positive effects of the injection may be temporary.
If nonsurgical treatment does not relieve your symptoms or provides only temporary relief, your clinician may recommend surgery.
The decision of whether to recommend surgery is based on:
- The severity of your symptoms
- Physical exam findings
- Response to non-operative treatment
- Results of testing
In long-standing cases with constant numbness and wasting of your thumb muscles, surgery may be recommended to prevent irreversible damage. Surgery may also be recommended if you do not get relief with non-operative treatments and/or demonstrate significant nerve changes on testing.
Information for NHS Patients
We serve adult NHS patients who live in Wakefield or North Kirklees. Ask your GP to refer you to Novus Health if you would like to be treated locally by us for Adult Hearing Loss (Wakefield and North Kirklees patients) or Physiotherapy, Dermatology, Carpal Tunnel Surgery (Wakefield patients). Our NHS services are free of charge.
Information for GPs
The NHS gives you and your patients the opportunity to consider Novus Health to deliver certain treatments on behalf of the NHS. We work with health organisations to cut waiting times and increase local choice. We charge under the National Tariff pricing scheme and you can refer your patients to us via the NHS e-Referral System.