Carpal tunnel syndrome is one of the most common conditions treated in hand and upper extremity surgery. Patients in Northeast Georgia often notice pain, tingling, or numbness in the wrist and fingers that interfere with work, sleep, and daily activities. When conservative care no longer provides relief, carpal tunnel surgery may be the best option to restore comfort and function.
Understanding Carpal Tunnel Syndrome
The carpal tunnel is a narrow passageway in the wrist formed by bones, ligaments, and surrounding tissues. Through this tunnel run the median nerve, flexor tendons, blood vessels, and supporting structures. When swelling or inflammation develops, the tunnel becomes too tight and pressure builds on the median nerve. Carpal tunnel syndrome occurs when this nerve is compressed, producing pain, weakness, and numbness in the thumb, index, and middle fingers.
Causes and Risk Factors
Carpal tunnel syndrome can be triggered by many factors. Repetitive hand use, fractures or injury to the wrist, rheumatoid arthritis, and medical conditions such as diabetes or thyroid disease may contribute. Pregnancy can cause temporary swelling that increases pressure in the tunnel. Scar tissue, inflammation, or thickening of the transverse carpal ligament may also narrow the space and compress the nerve. Recognizing these risk factors helps patients understand why symptoms may develop over time.
Symptoms to Watch For
Patients often describe numbness, tingling, or burning sensations in the thumb, index, and middle fingers. Pain may radiate up the arm or worsen at night, sometimes waking patients from sleep. Weakness in grip strength or difficulty holding objects is another warning sign. In severe cases, patients may notice muscle loss around the base of the thumb or a persistent loss of sensation. These symptoms should not be ignored, especially when they interfere with everyday function.
Diagnosis and Evaluation
A thorough diagnosis includes a detailed medical history, physical examination, and sometimes nerve testing to measure electrical activity. A doctor may evaluate wrist and hand function, looking for weakness, stiffness, and signs of pressure on the median nerve. Imaging studies may be recommended if fractures or other injuries are suspected. Early diagnosis is important to prevent permanent nerve damage.
Non-Surgical Treatment Options
For many patients in Northeast Georgia, initial treatment options may help reduce swelling and relieve symptoms. A wrist brace or splint worn at night can keep the wrist in a neutral position. Medication, including anti-inflammatory drugs, may decrease pain and inflammation. Physical therapy and stretching exercises are useful to promote healing and maintain flexibility. Steroid injections can provide temporary relief by reducing inflammation around the nerve. These conservative treatments may be effective for mild to moderate cases.
Role of Orthopaedic Surgery in Carpal Tunnel Care
Orthopaedic surgery plays a central role in the treatment of carpal tunnel syndrome. Specialists in hand surgery evaluate both the wrist and surrounding joints to identify the most effective treatment plan. By combining medical knowledge, advanced diagnostic tools, and surgical expertise, orthopaedic surgery provides lasting solutions for patients whose symptoms do not improve with conservative care.
When Surgery Becomes Necessary
If symptoms persist despite non-surgical care, carpal tunnel surgery may be recommended. Ongoing numbness, weakness, or pain that limits quality of life are clear signs that a surgical procedure is needed. Surgery provides long-term relief by addressing the underlying problem: pressure on the median nerve caused by the tight transverse carpal ligament.
Carpal Tunnel Release Surgery
Carpal tunnel release is the most common surgical treatment. This procedure involves making a small incision in the palm side of the wrist. The surgeon carefully divides the transverse carpal ligament, creating more space for the nerve and flexor tendons. By relieving pressure within the tunnel, symptoms improve and healing begins.
The procedure is performed in an outpatient operating room setting, typically under local anesthesia. In some cases, this outpatient procedure can be performed with a tiny incision using endoscopic techniques. Most patients go home the same day with a light dressing and instructions to begin gentle exercises.
What to Expect After Surgery
Recovery is usually straightforward. Patients may notice immediate improvement in sensation, though full healing can take several weeks. Some stiffness and swelling are normal but improve with hand exercises and physical therapy. Using the hand for light activities is encouraged soon after surgery to promote healing and prevent scar tissue buildup. Most patients in Northeast Georgia return to daily function within a few weeks, though full strength may take several months.
Everyday Life After Treatment
Successful carpal tunnel surgery can provide lasting relief and restore hand function. Patients often report better sleep, less pain, and improved grip strength. Stretching exercises, maintaining wrist flexibility, and avoiding repetitive strain help protect long-term results. By reducing pressure on the nerve, surgery helps patients regain sensation and avoid further damage.
Joint and Hand Health in the Long Term
Because the wrist is a major joint for daily use, keeping it healthy is important even after surgery. Patients are encouraged to continue stretching exercises, maintain proper posture at work, and take breaks from repetitive tasks. Attention to overall hand health reduces the risk of reinjury or symptoms returning. Addressing arthritis, inflammation, or other medical conditions early also helps protect long-term joint function.
Other Related Conditions Treated
In addition to carpal tunnel syndrome, patients in Northeast Georgia may seek care for trigger finger, de Quervain’s tendonitis, wrist fractures, arthritis of the hand and wrist, or cubital tunnel syndrome at the elbow. Comprehensive hand surgery services are available for a wide range of injuries and medical conditions.
Why Choose Dr. Neustein in Northeast Georgia
Dr. Thomas Neustein is a fellowship-trained, board-certified orthopedic surgeon specializing in hand and upper extremity surgery. He offers advanced treatment options, from conservative care to outpatient procedures such as carpal tunnel release. Patients throughout Northeast Georgia trust his expertise, precision, and personalized care to provide relief and restore function. His focus on hand surgery ensures patients receive targeted, expert care for their condition.
Schedule Your Appointment Today
If you are experiencing pain, numbness, or tingling from carpal tunnel syndrome, do not wait for symptoms to become severe. Contact one of our Northeast Georgia offices today to request a consultation and learn more about treatment options, including carpal tunnel surgery. Relief is possible, and we are here to help you regain comfort, strength, and joint health.
