Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS), or median neuropathy at the wrist, is a medical condition in which the median nerve is compressed at the wrist, leading to paresthesia, numbness and muscle weakness in the hand. Night symptoms and waking at night is a characteristic of established carpal tunnel syndrome. They can be managed effectively with night-time wrist splinting in most patients.

Patients may note that they “drop things”. It is unclear if carpal tunnel syndrome creates problems holding things, but it does decrease sweating, which decreases friction between an object and the skin.

The carpal tunnel protects the median nerve and flexor tendons that bend the fingers and thumb.

The carpal tunnel protects the median nerve and flexor tendons that bend the fingers and thumb.


Carpal tunnel syndrome is caused by pressure on the median nerve traveling through the carpal tunnel.

Carpal tunnel syndrome is caused by pressure on the median nerve traveling through the carpal tunnel.


The ligament is cut during surgery. When it heals, there is more room for the nerve and tendons.

The ligament is cut during surgery. When it heals, there is more room for the nerve and tendons.

Symptoms Of Carpal Tunnel Syndrome

The first symptoms of CTS may appear when sleeping and typically include numbness and paresthesia (a burning and tingling sensation) in the thumb, index, and middle fingers, although some patients may experience symptoms in the palm as well. These symptoms appear at night because people tend to bend their wrists when they sleep, which further compresses the carpal tunnel.

Dequervain’s Tendinitis

DeQuervain’s Syndrome is an inflammation or a tendinosis of the sheath or tunnel that surrounds two tendons that control movement of the thumb.

Symptoms Of Dequervain’s Tendinitis

Symptoms include pain, tenderness, and swelling over the thumb side of the wrist, and difficulty gripping.

Service Providers

Henry Small, M.D.

Dr. Small is a board certified orthopedic surgeon. He has 23 years of experience.