Carpal Tunnel Syndrome Treatment in Hyderabad
Waking up at night with numb, tingling hands. Pain in the wrist. Carpal Tunnel Syndrome is the most common nerve entrapment — and very treatable.
Carpal Tunnel Syndrome (CTS) is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. It is extremely common — especially in women, pregnant women, people with diabetes, and those who use keyboards or do repetitive hand work. NCS (Nerve Conduction Studies) at our clinic provide a definitive diagnosis, and most patients respond well to non-surgical treatment.
Key Points
- Carpal tunnel syndrome compresses the median nerve at the wrist — the most common nerve entrapment syndrome.
- Classic symptoms: numbness/tingling in the thumb, index, and middle fingers — worse at night.
- Nerve conduction study (NCS) confirms the diagnosis and grades severity accurately.
- Mild-to-moderate CTS responds well to wrist splints and steroid injections — surgery is a last resort.
- Hypothyroidism, diabetes, and pregnancy are common underlying causes — treating the cause first matters.
1 in 10
adults affected by carpal tunnel syndrome
Source: NICE / Cochrane
95%
NCS diagnostic accuracy for carpal tunnel
Source: AANEM
90%
success rate with surgical decompression
Source: BMJ / Cochrane
Recognising Carpal Tunnel Syndrome
Nocturnal Tingling in the Hand
The hallmark symptom — waking up at night with tingling, numbness or pain in the thumb, index, middle, and ring fingers. Patients often shake or hang the hand out of bed to relieve it.
Daytime Tingling with Repetitive Use
Tingling or numbness when driving, holding a phone, reading a book, or doing repetitive hand work — anything that flexes the wrist and compresses the carpal tunnel.
Weakness in Grip
In moderate to severe cases, weakness of thumb pinch and grip strength. Difficulty with buttons, keys, or fine motor tasks. Objects drop from the hand.
Symptoms in Specific Fingers Only
A key diagnostic feature — the numbness affects the thumb, index, middle, and half of the ring finger (median nerve distribution). The little finger is spared.
Thenar Muscle Wasting
In long-standing severe cases, the pad of muscle at the base of the thumb (thenar eminence) visibly wastes away — an indicator that surgical decompression is urgently needed.
Carpal Tunnel Treatment Options
NCS Confirms Diagnosis
Nerve Conduction Studies objectively confirm CTS and grade its severity (mild, moderate, severe) — which directly determines the best treatment approach. Available in-house.
Wrist Splinting at Night
Neutral wrist splints worn at night are the first-line treatment for mild to moderate CTS. They prevent wrist flexion during sleep, reducing pressure on the median nerve. Effective in 60–80% of mild cases.
Corticosteroid Injection
A corticosteroid injection into the carpal tunnel provides significant symptom relief for 4–6 months in many patients and can be repeated. A useful option before considering surgery.
Physiotherapy and Ergonomics
Nerve gliding exercises, wrist physiotherapy, and workstation ergonomics assessment (keyboard height, mouse position) reduce the compressive force on the median nerve.
Surgical Referral When Needed
For severe CTS with thenar wasting or symptoms not responding to conservative management, we provide a coordinated surgical referral for carpal tunnel release — a safe, effective day-case procedure.
Why Choose Sri Anand Hospital?
Treated by: Dr. Anand Karnam · DrNB (Neurology) · Nerve Entrapment Specialist
"Carpal tunnel syndrome is extremely common in office workers and homemakers in Hyderabad. The good news is that most cases respond very well to conservative treatment — the right wrist splint at the right time avoids surgery for the majority of patients."
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