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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. Such as activities that need duplicated fine motor movements (typing, hammering, sewing, or painting). Impingement of the median nerve is what causes the pain and numbness carpal tunnel is known for.

Dr. Miro is a leading Manhattan specialist in carpal tunnel treatment and other hand pain and wrist pain problems. Carpal tunnel responds very well to the expert, conservative care provided by Dr. Miro and his staff at Manhattan Sports Therapy. When diagnosed early, carpal tunnel is remedied through his custom approach to soft tissue damage and treatment.


Often carpal tunnel begins as a numb “pins and needles” sensation in the wrist, rather than specific pain in the hand. Weakness and loss of strength are very common. Patients even report losing their firm grip or unintentionally letting go or dropping objects. Hand pain and wrist pain often accompany carpal tunnel symptoms. The pain radiates through the fingers, palm, wrist, and forearm. Some even describe a burning or itching feeling.

Carpal Tunnel Syndrome can occur simultaneously with tennis elbow or golf elbow. As both are also similar disorders caused by repetitive movement.


Carpal tunnel accounts for the majority of hand and wrist pain. It is also one of the most common work-related injuries. Dr. Miro has significant experience in diagnosing hand pain/ wrist pain. Our holistic approach looks at the whole chain of movement in your arm, from the shoulder to the fingers. Looking at the larger picture, we can identify the root cause of your injury, how best to treat it, and how to prevent it from occurring again.

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


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 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 or 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. Our role is to make sure you can go back to work or to your leisure activities as soon as possible.


In diagnosing your hand pain and wrist problem, Dr. Miro will assess your pain symptoms, range of motion, and your hand’s grip strength. Using various diagnostic methods, he will examine the median nerve. As it runs through the arm, forearm, and wrist to determine the exact site of compression or dysfunction. Dr. Miro will also discuss the 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. Miro relieves the inflamed median nerve and restores normal function to your arm, wrist, and hand. Blending state-of-the-art therapies such as Cold-Laser Light Therapy, the Active Release Technique® (ART), and the Graston Technique®. Ensuring pain relief and restoration of movement custom to your specific disorder and pain symptoms.

Our board-certified sports medicine specialist’s accurate diagnosis and treatment of your carpal tunnel can mean the difference between conservative and timely healing, and invasive carpal tunnel surgery with a lengthy recovery. Manhattan Sports Therapy can also provide you with activity modifications to help you recover without pausing your work or leisure activities. Allowing you to heal and work at the same time.


  • 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

Posted on behalf of Manhattan Sports Therapy

635 Madison Ave, 4th Floor
New York, NY 10022

Phone: (212) 310-0100


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635 Madison Ave, 4th Floor
New York, NY 10022

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