Carpal Tunnel Syndrome: Causes, Myths, and Treatments

The Myths Behind Carpal Tunnel Syndrome

Since Carpal Tunnel Syndrome has been studied since the 1980s, much of the original research is still relevant today. However, several misconceptions persist. One major myth is that CTS is caused solely by repetitive movements or occupational stress. While activities like typing or heavy lifting can aggravate the condition, research from UC San Diego in 1981 and subsequent global studies have shown that CTS is primarily a result of pressure within the carpal tunnel itself.

Another myth is that wrist splints, cortisone injections, and acupuncture provide long-term relief. While they may offer temporary relief, these carpal tunnel treatments do not address the root cause of the pressure on the median nerve. In fact, anti-inflammatory medications and wrist braces offer minimal help during the day, and cortisone injections may only provide short-term relief for specific cases.

The Importance of Proper Diagnosis

An accurate diagnosis is key to treating Carpal Tunnel Syndrome. Often, CTS is misdiagnosed as tendinitis, arthritis, or even ulnar nerve compression. While these conditions have similar symptoms, the proper diagnosis requires a thorough evaluation, including a nerve conduction study and clinical examination. Many people with CTS also suffer from cubital tunnel syndrome, a condition involving pressure on the ulnar nerve at the elbow, which can be mistaken for recurring carpal tunnel symptoms. Identifying both conditions is essential for an effective treatment plan.

What Treatments Actually Work?

To address the root cause of Carpal Tunnel Syndrome, the pressure on the median nerve needs to be reduced. Endoscopic carpal tunnel release is a proven surgical procedure that lowers the pressure inside the carpal tunnel by releasing the deepest layers of tissue. This treatment has been shown to increase the size of the carpal tunnel by 24%, significantly reducing pressure and alleviating symptoms for the majority of patients.

Many patients are concerned that their symptoms might return after surgery. However, in our experience, the recurrence of CTS symptoms is often linked to untreated cubital tunnel syndrome, not a failure of the carpal tunnel release. For these patients, addressing ulnar nerve issues alongside the carpal tunnel release can prevent recurrence.

Why Endoscopic Surgery is the Best Option

Endoscopic carpal tunnel release is a minimally invasive procedure that effectively lowers pressure on the median nerve and resolves CTS symptoms in the majority of cases. Unlike traditional open surgery, this technique involves smaller incisions, shorter recovery times, and minimal scarring. This procedure is highly effective and predictable when performed with the right diagnosis.

When it comes to Carpal Tunnel Syndrome, understanding the pathology is essential for effective treatment. It’s not about the job you do, the splint you wear, or the supplements you take—it’s about reducing pressure on the median nerve. At Nebraska Hand & Shoulder, we emphasize comprehensive diagnosis and provide definitive treatments, like endoscopic carpal tunnel release, to ensure lasting relief.

If you’re experiencing symptoms like hand pain, numbness, or tingling, especially at night, don't wait. Contact us for a thorough evaluation and the right diagnosis to guide your treatment. Whether it’s CTS, cubital tunnel syndrome, or both, we’re here to help you find lasting relief and get back to the activities you love. Schedule your consultation today!