catching, throwing, grabbing) and can protect themselves by using their hand and wrists appropriately ie combative sports and throwing sports. A patient-specific approach should be discussed with your physician to address the underlying factors that may be contributing.Īthletes with CTS may return to play when they feel comfortable and are able to perform sport specific tasks (i.e.
Reduce the use of oral pain medicationsīecause the development of CTS is multifactorial, there is no one definitive way to prevent symptoms from developing.Reduce the need for nocturnal wrist splinting.There may be a need for repeat injections as the symptoms return For some, an injection may not provide the intended relief or cause worsening of the symptoms.In individuals with darker skin, depigmentation may occur at the injection site.Bleeding (although the risk is low, you should let your physician know if you have a bleeding disorder).However, if treatment with corticosteroid injections is not effective, your physician may discuss more invasive treatment options. Repeat injections, may be performed every 3-6 months and may vary by provider. The injection works by reducing the inflammation surrounding the nerve and can provide symptomatic relief for several months (usually 1-3 months). Your provider may or may not use an ultrasound to aid in the administration the injection.
Electromyography (EMG) and nerve conduction studies are most commonly used.Ĭorticosteroid Injections for Treatment of Carpal Tunnel Syndrome: For mild to moderate CTS, a corticosteroid injection is a safe, effective, and quick office-based procedure intended to help treat the symptoms of CTS. If the diagnosis remains uncertain, further testing can be performed to determine if there is compression of the median nerve. These symptoms occur on a spectrum, starting with occasional pain or numbness, progressing to more persistent pain/numbness and ultimately can lead to weakness and wasting of the muscles controlled by the median nerve.Ī sports medicine physician will perform a physical exam and conduct simple, specific tests in the office to help make the diagnosis of CTS. Symptoms nearly always affect the palm side of the thumb, pointer (index) finger, and middle finger. It is the most common nerve entrapment seen in the general population, affecting approximately 3-6% of adults. Carpal tunnel syndrome (CTS) refers to symptoms caused by compression of the median nerve at the wrist, within the carpal tunnel.
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