Carpal Tunnel Syndrome and Hand Pain
Like tennis elbow, Carpal Tunnel Syndrome (CTS) is usually the result of demanding, repetitive movement. Hand pain and wrist pain are very often caused by work or leisure activities that require duplicated fine motor movements such as typing, hammering, sewing, or painting. Impingement of the median nerve causes the pain and numbness
indicative of carpal tunnel.
Dr. Nemirovsky is a leading New York specialist in carpal tunnel treatment
and other hand pain and wrist pain problems. As a syndrome of repetition, carpal tunnel responds very well to the expert, conservative care provided by Dr. Nemirovsky and his staff at Manhattan Sports Therapy. When diagnosed early, carpal tunnel can be effectively remedied through his custom approach to soft tissue damage and treatment.
Carpal Tunnel and Hand Pain Symptoms
Often carpal tunnel begins as a numb “pins and needles” sensation in the wrist, rather than specific pain in the hand. Weakness and a loss of strength are very common, and patients even report losing their firm grip or unintentionally letting go or dropping objects. Hand pain and wrist pain ultimately accompany carpal tunnel symptoms, and often the pain radiates through the fingers, palm, wrist, and forearm. Some even describe a burning or itching feeling.
It is not uncommon for Carpal Tunnel Syndrome to occur simultaneously with tennis elbow or golf elbow
, as both are also similar disorders of repetitive movement.
Common Hand Injuries and Hand Problems
Carpal tunnel accounts for the majority of hand and wrist pain, and is one of the most common work-related injuries. Dr. Nemirovsky has significant experience in diagnosing hand pain and wrist pain and is highly trained in assessing the origin of your discomfort. His thorough analysis will explore a range of hand and wrist issues, including:
- Carpal Tunnel Syndrome (CTS)
- De Quervain’s Tenosynovitis
- Ganglion cysts
- Osteoarthritis or arthritis of the hand
- Peripheral neuropathy
- Raynaud’s disease
- Rheumatoid arthritis of the wrist
- Tendonitis or tendinosis of hand and wrist
- Thoracic outlet syndrome
- Trigger finger or stenosing tenosynovitis
- Wrist sprain or hand sprain
What Causes Carpal Tunnel Syndrome and Other Hand Pain?
Carpal Tunnel Syndrome is caused by compression of the median nerve that runs from the forearm through the wrist to the hand and fingers. The carpal tunnel itself is the narrow inner part of the wrist, comprised of small bones and soft tissue. When the wrist and hands are repeatedly called upon to perform the same motion, the median nerve can become inflamed and pinched in the carpal tunnel. As a result, movement of the wrist and hand becomes painful or numbing, particularly in the palm, thumb, index finger, and middle finger.
Office workers typing, construction workers hammering, and truckers driving are among the many employees at risk of developing Carpal Tunnel Syndrome. Many leisure activities can cause hand and wrist pain, as well, such as sewing, painting, and racket sports.
Carpal Tunnel Treatment and Hand Therapy
In diagnosing your hand pain and wrist problem Dr. Nemirovsky will assess your pain symptoms
, range of motion, and hand grip strength. Using various diagnostic methods, he will directly examine the median nerve as it runs through the arm, forearm, and wrist to determine the exact site of compression or dysfunction. In addition to the physical exam, Dr. Nemirovsky will discuss with you the work and leisure activities that may trigger the onset of pain or aggravate an underlying problem.
By introducing hand therapy and carpal tunnel exercises focused on soft tissue mobilization, Dr. Nemirovsky relieves the inflamed median nerve and restores normal function to your arm, wrist, and hand. Skillfully blending state-of-the-art therapies such as Cold-Laser Light Therapy
, the Active Release Technique® (ART)
, and the Graston Technique®
, he ensures wrist pain relief and restoration that is custom to your specific disorder and pain symptoms.
Dr. Nemirovsky’s accurate diagnosis and treatment of your Carpal Tunnel Syndrome can mean the difference between conservative and timely healing and invasive carpal tunnel surgery with lengthy recovery. He will also recommend activity modifications to provide further pain relief and prevent recurrence or re-injury.
Preventing Carpal Tunnel Syndrome and Hand Injury
- Concentrate on relaxing the tension of your grip during activity
- Take frequent breaks to stretch your wrist and hand in all directions
- Establish conducive workplace ergonomics
- Avoid sleeping with your hands tucked under your body
- Keep warm – cold hands are tense and less flexible
- Those with persistent pain can wear a supportive brace, wrap, or splint to lend stability during repetitive activity