Carpal tunnel syndrome (CTS) is a condition that causes pain, numbness, and tingling in the hands and fingers. It occurs when the median nerve is compressed in the carpal tunnel, a narrow passageway in the wrist.
If you’re experiencing symptoms of CTS, it’s essential to see the right doctor for proper diagnosis and treatment. But which doctor should you visit first? Let’s break it down.
Primary Care Physician: Your First Point of Contact
A primary care physician (PCP) is usually the first healthcare professional to see for CTS symptoms. They can diagnose mild to moderate CTS and suggest non-surgical treatments.
How Can a Primary Care Physician Treat Carpal Tunnel Syndrome?
A PCP will ask about your symptoms, lifestyle habits, and perform a physical examination, which may include:
- Checking sensation and sensitivity in your hand
- Testing hand function and grip strength
- Looking for muscle weakness or atrophy
Treatment Options from a Primary Care Doctor
Depending on the severity of your condition, a primary care doctor may recommend:
Treatment Option | Description |
---|---|
Lifestyle Changes | Adjusting hand positions, reducing repetitive hand movements |
Wrist Splints | Wearing a brace to keep the wrist in a neutral position |
Medications | Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief |
Corticosteroid Injections | To reduce inflammation and swelling |
If symptoms persist despite these treatments, your PCP may refer you to a hand specialist for further evaluation.
Hand Specialists: Who Can Treat Advanced CTS?
Two types of specialists can treat carpal tunnel syndrome when non-surgical treatments fail:
1. Orthopedic Surgeon
- Specializes in bones, joints, and muscles.
- Provides advanced non-surgical treatments.
- Performs carpal tunnel release surgery if needed.
2. Plastic Surgeon with Hand Surgery Training
- Specializes in reconstructive and hand surgeries.
- Performs surgical procedures to relieve median nerve compression.
Tests Performed by a Hand Specialist
A hand specialist may conduct the following tests to assess the severity of CTS:
Test | Purpose |
Electromyography (EMG) | Measures muscle activity and nerve function |
Nerve Conduction Studies (NCS) | Assesses how well the median nerve transmits signals |
Ultrasound | Visualizes nerve compression |
X-ray | Identifies fractures or arthritis affecting the wrist |
MRI Scan | Provides detailed images of soft tissues and nerves |
When is Surgery Needed for Carpal Tunnel Syndrome?
If conservative treatments don’t provide relief, your doctor may recommend surgery. The two most common procedures include:
1. Open Carpal Tunnel Release Surgery
- The surgeon makes an incision in the palm.
- The transverse carpal ligament is cut to relieve pressure on the median nerve.
2. Endoscopic Carpal Tunnel Release Surgery
- A small camera (endoscope) is inserted through a tiny incision.
- The ligament is cut using a special surgical tool.
Both procedures aim to reduce nerve compression and improve symptoms over time.
Key Takeaways
- See a primary care doctor first for mild to moderate CTS.
- If symptoms persist, a PCP may refer you to a hand specialist.
- Orthopedic and plastic surgeons can diagnose and treat severe CTS.
- If necessary, carpal tunnel surgery can relieve pressure on the median nerve.
- Early treatment is crucial to avoid permanent nerve damage.
When to See a Doctor?
If you experience persistent numbness, tingling, or weakness in your hand, don’t delay seeking medical advice. Early diagnosis and treatment can prevent complications and improve your hand function.
By taking action early, you can reduce pain and regain control of your daily activities!