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Carpal Tunnel Syndrome

Physical Medicine Institute

B. Sam Tabibian, MD, QME

Interventional Orthopedic & Physical Medicine located in Sherman Oaks, CA

As many as 10 million people in the United States experience the shock-like pain of carpal tunnel syndrome. To relieve your pain and increase flexibility in your wrist and hand, B. Sam Tabibian, MD, QME, offers customized, interventional treatments at Physical Medicine Institute in Sherman Oaks, California. Dr. Tabibian uses state-of-the-art technologies to confirm your diagnosis and ensure interventional injections are successful. To find out more about available treatment options for carpal tunnel syndrome, call Physical Medicine Institute or request an appointment through the online booking system today.

Carpal Tunnel Syndrome Q & A

What is carpal tunnel syndrome?

Carpal tunnel syndrome is a condition that affects your arm, wrist, and hand. Generally, you develop carpal tunnel syndrome over time due to persistent pressure on the median nerve, a major nerve that travels through your wrist.

The pressure on your median nerve typically originates from a narrowing of the carpal tunnel in your wrist due to aging or chronic inflammation. You may be at increased risk for developing carpal tunnel syndrome because of:

  • Heredity
  • Diabetes
  • Pregnancy
  • Rheumatoid arthritis

If your job or other activities require repetitive hand motions, you’re also more likely to develop carpal tunnel syndrome because of overuse.

What are the symptoms of carpal tunnel syndrome?

Pressure on your median nerve leads to symptoms associated with carpal tunnel syndrome. You may experience symptoms that affect your wrist, forearm, hand, and fingers that include:

  • Pain
  • Numbness
  • Weakness
  • Pins and needles sensation

As your condition worsens, you may feel electric shock-like sensations that travel up your arm and down into your fingers with certain movements.

You should seek a diagnostic evaluation for carpal tunnel syndrome pain and other symptoms if you can’t treat them effectively at home or if they interfere with your job or your ability to get quality sleep.

How is carpal tunnel syndrome diagnosed?

During your diagnostic evaluation, Dr. Tabibian reviews your personal and family medical history and discusses your symptoms. As part of your physical exam, he may ask you to make certain movements with your hand and wrist. He also checks the area for swelling and tenderness.

To identify inflammation and other causes of nerve compression, Dr. Tabibian uses in-office ultrasound technology. 

He also offers electrodiagnostic technologies to evaluate the function of your median nerve. A nerve conduction study measures the nerve signals that travel through the median nerve and can detect areas of dysfunction.

How is carpal tunnel syndrome treated?

Initially, you may benefit from bracing your wrist to immobilize it and prevent nerve compression. If this isn’t enough to relieve carpal tunnel syndrome pain, Dr. Tabibian may recommend interventional injections of an anesthetic to treat pain and a steroid to reduce inflammation.

You can also receive injections of platelet-rich plasma (PRP), a substance in your blood that contains growth factors to reduce inflammation and heal your nerve.

To ensure injections are precisely located around your median nerve, Dr. Tabibian uses ultrasound guidance.

Following the injection, you may need to limit your activities for a time to allow your wrist to heal. As inflammation decreases, you should experience relief of your pain and other carpal tunnel syndrome symptoms.

If you can’t move your wrist without pain, schedule a diagnostic evaluation for carpal tunnel syndrome by calling Physical Medicine Institute, or request an appointment online today.