Hand

Carpal Tunnel Syndrome

Overview (Carpal Tunnel)

Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.

Causes

Any crowding of the median nerve can cause this problem. Wrist injuries, diabetes and rheumatoid arthritis are causes. Pregnancy and conditions that cause your body to hold onto fluid may also cause it. Carpal tunnel syndrome is more common in women. You have a higher risk if your carpal tunnels are smaller than normal. Some think it’s caused by repeated motions of the hand and fingers, especially a lot of typing at the computer. But evidence for that link is not clear.

Treatments

Treatment options may involve emergency care to prevent further damage to your brain. You may need surgical procedures to correct damage to your skull and soft tissues. You may be placed in a coma temporarily so these injuries can be treated. You may need medications to control fluid and prevent seizures. As you recover from a TBI, you may benefit from therapies to help you relearn skills and daily activities. Your healthcare provider can create a care plan that is right for your needs.

Cubital Tunnel Syndrome

Overview

This condition, also called “ulnar nerve entrapment,” happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It’s the nerve that makes the jolt you feel when you bump your “funny bone.” With this condition, your ulnar nerve is compressed, stretched, or irritated.

Causes

This problem is linked to a tight space in your elbow called the “cubital tunnel.” Your nerve passes through this tunnel. Inside there is very little soft tissue to protect the nerve, and your nerve can be pressed, pinched, or stretched. Cubital tunnel syndrome can develop if you tend to lean on your elbow a lot. It can happen if you sleep with your elbows bent. It can develop because of a problem with the anatomy of your elbow. And in many cases, your nerve becomes irritated, and we aren’t sure why.

Symptoms

Symptoms include numbness and tingling in your ring finger and little finger. When you bend your elbow for a long time, you may feel “pins and needles” in these fingers. Your hand may feel weak and clumsy.

Treatments

Treatment options include medications, a brace or splint, and therapy. If these aren’t helpful, you may need surgery. Your healthcare provider can create a plan that’s right for you.

Carpal Tunnel Syndrome
Cubital Tunnel Syndrome​
Carpal Tunnel Release (Open Technique)
Electromyography (EMG)
Nerve Conduction Study (NCS)
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Cubital Tunnel Release (Open Technique)

Overview

This surgical procedure treats the pain of carpal tunnel syndrome. It relieves pressure on a nerve that travels through your wrist. This nerve is called the “median” nerve.

Causes

In preparation for the procedure, your wrist and hand are anesthetized. The surgeon makes a small incision in your skin at the base of your palm. This exposes a band of tissue called the “transverse carpal ligament.” This ligament spans across the carpal bones of the hand. It forms the space called the “carpal tunnel.”

Relieving the Pressure

The surgeon carefully divides this ligament. This creates more space within the carpal tunnel. It relieves pressure on the median nerve.

Treatments

When the procedure is complete, the incision is closed. Your wrist and hand are bandaged and may be placed in a splint. You will be monitored for a brief time and then allowed to go home. As you heal, you will begin physical therapy. Your healthcare provider will give you instructions to help your recovery.

Cubital Tunnel Release

This surgery treats cubital tunnel syndrome. That’s a compression or irritation of the ulnar nerve at the elbow. During this surgery, the nerve is given more room.

Symptoms

Freeing the Nerve

Your ulnar nerve travels through a passageway called the “cubital tunnel.” The surgeon carefully releases tissue to open this tunnel and create more room for your nerve. This is called “decompression.” It will keep your nerve from being pinched or irritated when you bend your elbow. Your surgeon may also decide to move the nerve out of the tunnel and reposition it. That’s called “transposition.”

Treatments

When the surgery is finished, the incision is closed. Your arm is bandaged, and you may wear a sling. Your healthcare provider will give you tips to help your recovery.
Care and Management:
Cubital Tunnel Release (Open Technique)​