Skip to main content
14100 Parkway Commons Dr, Suite 100 · Oklahoma City, OK 73134
Facebook Twitter YouTube Patient Portal
Peripheral Nerve Compression

Carpal Tunnel Syndrome

Carpal tunnel syndrome is the most common peripheral nerve compression condition — causing hand numbness, tingling, and weakness from compression of the median nerve at the wrist. Surgical release is highly effective when conservative measures fail.

Overview

Understanding Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed as it passes through the carpal tunnel — a narrow passageway in the wrist formed by bones and ligament. The median nerve controls sensation in the thumb, index, middle, and half of the ring finger, as well as motor function to the muscles at the base of the thumb.

CTS is the most common peripheral nerve compression condition, affecting an estimated 3–6% of the adult population. It is more common in women and becomes increasingly prevalent with age. While often associated with repetitive hand use, it can also occur without a clear precipitating activity.

Common Symptoms
  • Numbness or tingling in the thumb, index, and middle fingers
  • Nighttime wrist or hand pain disrupting sleep
  • Weakness with grip or pinch activities
  • Dropping objects unexpectedly
  • Symptoms worsened by driving, phone use, or prolonged wrist flexion
  • Sensation of hand "falling asleep"
  • In advanced cases, wasting of the thenar muscles at the base of the thumb
Common Causes
  • Repetitive hand or wrist use
  • Pregnancy (fluid retention increases carpal tunnel pressure)
  • Hypothyroidism
  • Diabetes mellitus
  • Obesity
  • Inflammatory arthritis
  • Prior wrist fracture or injury
  • Idiopathic (no identifiable cause — most common)
Treatment

Treatment Pathway

Most cases are managed with a stepped approach — starting with the least invasive option and progressing only when needed. Our surgeons evaluate each patient individually to determine the most appropriate path.

1
Wrist splinting
A neutral-position wrist splint worn at night prevents the wrist flexion that increases carpal tunnel pressure during sleep. Effective for mild to moderate symptoms.
2
Activity modification
Avoiding or reducing activities that aggravate symptoms, along with ergonomic adjustments to keyboard and workstation setup.
3
Corticosteroid injection
A corticosteroid injection into the carpal tunnel reduces inflammation and provides meaningful, though often temporary, relief. Useful both therapeutically and diagnostically.
4
Carpal tunnel release surgery
Division of the transverse carpal ligament decompresses the median nerve. Highly effective with rapid recovery — most patients notice improvement within days to weeks.
Surgical Considerations

When Surgery May Help

Carpal tunnel release is one of the most commonly performed and reliably effective operations in hand and peripheral nerve surgery. It is indicated when symptoms are moderate to severe, when there is objective evidence of nerve compression on nerve conduction studies, or when adequate conservative measures have failed. The procedure is typically performed as an outpatient under local anesthesia, with most patients returning to light activity within a week and full activity within 4–6 weeks. Long-term outcomes are excellent in the majority of patients.

The information on this page is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified physician regarding your specific condition. Surgery is not appropriate for every patient, and our physicians evaluate each case individually.
Related Conditions

Other Conditions We Treat

Carpal Tunnel Release Surgery at Neuroscience Specialists  ·  All Peripheral Nerve Services
(405) 748-3300  ·   Fax: (405) 749-1671  ·  Monday – Friday 8:00 AM – 5:00 PM
Clinical References
Patient Questions

Frequently Asked Questions

What is carpal tunnel syndrome?
Carpal tunnel syndrome is compression of the median nerve as it passes through the carpal tunnel — a narrow passageway in the wrist formed by bones and ligaments. It causes numbness, tingling, and weakness in the thumb, index, middle, and half of the ring finger, and is one of the most common peripheral nerve conditions treated by neurosurgeons.
What are the symptoms of carpal tunnel syndrome?
Symptoms of carpal tunnel syndrome include numbness and tingling in the hand and fingers — particularly at night — hand weakness, dropping objects, and pain that may radiate up the forearm. Symptoms often worsen with sustained gripping, keyboard use, or driving, and may be relieved by shaking the hand.
How is carpal tunnel syndrome treated?
Mild carpal tunnel syndrome is treated with wrist splinting, anti-inflammatory medications, and activity modification. Corticosteroid injections can provide temporary relief. When conservative measures fail or when there is significant nerve damage, carpal tunnel release surgery — which divides the transverse carpal ligament to decompress the median nerve — provides reliable, lasting relief.
Is carpal tunnel surgery effective?
Carpal tunnel release is one of the most commonly performed and reliably successful procedures in hand surgery. The majority of patients experience significant improvement in numbness and tingling within weeks. Recovery of grip strength may take several months. Early treatment before significant nerve damage occurs typically leads to better outcomes.
Do Neuroscience Specialists accept workers' compensation cases for carpal tunnel?
Yes. Neuroscience Specialists has over 35 years of experience treating work-related nerve injuries under Oklahoma's workers' compensation system. Carpal tunnel syndrome is a common occupational injury, and we accept WC referrals and provide thorough documentation for case managers and adjusters.

Ready for an Evaluation?

Our fellowship-trained neurosurgeons will review your history and imaging and discuss every available option — surgical and non-surgical.

Schedule a Consultation Contact Us