Carpal Tunnel Syndrome Treatment

“Nerve pain and pinched nerves can cause sharp, burning, or radiating symptoms that may affect the neck, back, arms, or legs. These conditions often develop when surrounding tissues place pressure on a nerve, leading to irritation or dysfunction. With proper evaluation and a targeted treatment plan, most cases can be managed effectively without surgery. I can help guide you toward relief, improved nerve function, and long-term recovery.”

-Dr. Anatoly Pisman, MD

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist. This narrow passageway is surrounded by bones and ligaments, and any swelling or inflammation in this area can place pressure on the nerve.

It is one of the most common forms of nerve compression and falls under the broader category of nerve pain and pinched nerves.

Prolonged device use can contribute to both wrist and upper body strain, creating a connection between carpal tunnel syndrome and posture-related conditions such as posture and tech neck syndrome. Addressing ergonomics and reducing overuse is important not only for relieving wrist symptoms but also for preventing broader musculoskeletal strain.

Common Causes

Extended periods of typing, scrolling, or holding devices in fixed positions can place repetitive stress on the wrists while also promoting poor posture in the neck and upper back.

Symptoms of Carpal Tunnel Syndrome

Symptoms typically begin gradually and may worsen without treatment. Early recognition can help prevent progression.

When to See a Doctor

Medical evaluation is recommended if symptoms persist, worsen, or begin to interfere with daily activities. Ongoing numbness, weakness, or difficulty using the hand should be assessed promptly. Early diagnosis helps prevent long-term nerve damage.

Diagnosis & Testing

Diagnosis begins with a review of symptoms and a physical examination to assess sensation, strength, and wrist function. Specific clinical tests may be performed to reproduce symptoms. In some cases, EMG/NCV testing may be recommended to evaluate nerve function and confirm the diagnosis.

Non-Surgical Treatment Options

Most cases of carpal tunnel syndrome can be treated without surgery. Treatment focuses on reducing pressure on the median nerve and improving wrist mechanics.

Non-surgical options may include wrist splinting, activity modification, ergonomic adjustments, and physical therapy. In certain cases, treatments such as trigger point injections or other targeted therapies may be used to relieve symptoms and improve function.

Carpal tunnel syndrome may also be evaluated alongside related nerve conditions such as radiculopathy or peripheral neuropathy, depending on symptom patterns.

What to Expect at Your Visit

During your visit, your symptoms, daily activities, and hand function will be carefully evaluated. A physical examination will assess nerve involvement, strength, and range of motion. Diagnostic testing may be recommended if needed. Based on your evaluation, a personalized treatment plan will be created to relieve symptoms, restore hand function, and prevent recurrence.