Carpal Tunnel Syndrome

This is a non-spinal cause of numbness and pain in one or both hands. When severe, it can cause the hands to become clumsy and difficult to use. It is a very common condition but, at the same time, a very often under-diagnosed condition. It is often missed since the first and most common symptom is numbness. Patients often think it is related to blood flow or the position their arm is in when they sleep since it most commonly starts at night.

The reason it starts at night is due to nerve cooling and the fact that nerves do not work as well when they are cold. In addition, if the wrists are held in an extremely bent condition either down or up, the nerve can be compressed or stretched and cause the numbness at night.


Treatment for Carpal Tunnel Syndrome really starts with an EMG Nerve Test. The reason it starts with a nerve test is because the EMG Nerve Test can not only confirm Carpal Tunnel Syndrome, but also helps “grade” the condition. Grading the condition to determine how badly the Median Nerve is damaged is the key to knowing what treatment will be helpful.

Specialized Therapy from a Certified Hand Therapist trained in Occupational Therapy (OT), or very often physical therapy, can resolve the symptoms. Other than the usual treatments provided by the therapist such as nerve glides and education, the use of iontophoresis to place special anti-inflammatories into the area of the nerve can be very helpful. Wrist braces worn primarily at night can also be part of the healing and calming of the nerve irritation.

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We treat a variety of neck, back, and spine conditions. Learn more about our practice located in Reno, NV.

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We can treat a variety of back, neck, and spine conditions.

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Serving Reno, Sparks, Spanish Springs, Carson City, Minden, Gardnerville, Golden Valley, Lemmon Valley, Stead, and Winnemucca.

“Wow Dr. Burke, you really helped me. I’m 100% pain free. I have already recommended Silver State Spinecare to many of my friends.”

Mary E.

Reno, NV