Do you periodically wake up during the night with a feeling that something is wrong with your hand and instinctively try to “shake it out?” Do your primary fingers and thumb often feel numb, tingle, and sometimes burn with a strange pain that can shoot up into your forearm? Are you having difficulties with manipulating small objects in your hands—perhaps trouble with buttons or sorting pocket change—and find that you seem to be dropping things more often?
If you are experiencing any of these issues, they might be symptomatic of carpal tunnel syndrome.
Symptoms of carpal tunnel syndrome emerge slowly and tend to be noticed first at night. When these symptoms first appear they tend to come and go, but they can occur more frequently and with greater intensity over time. Other symptoms of carpal tunnel syndrome include:
Carpal tunnel syndrome is a condition caused by undue pressure on the median nerve, which directs nerve signals to and from your thumb and all fingers excepting the pinky. The median nerve is protected in the wrist by a narrow passageway made of bone and ligament tissue, but this “tunnel” can be squeezed when the wrist is inflamed due to other conditions. This in turn pinches the median nerve, which leads to carpal tunnel syndrome.
Assess Your Hand and Wrist Conditions at Naples Plastic Surgery
If you have been struggling with the symptoms indicative of carpal tunnel syndrome in Naples, FL, consider consulting with Dr. Jason Crespo, MD, a board-eligible plastic surgeon and hand surgeon at Naples Plastic Surgery. Dr. Crespo’s extensive medical training in orthopedic hand surgery and plastic surgery makes him uniquely qualified to assess and treat all issues involving hand functionality.
Carpal Tunnel Syndrome Treatment Options
Prior to suggesting any treatment options, Dr. Crespo relies on a series of diagnostic tests to help determine whether the symptoms are caused by carpal tunnel syndrome or by some other condition. Dr. Crespo relies on two different treatments to address carpal tunnel syndrome: steroid injection and carpal tunnel release surgery.
Steroid injection treatment involves an injection of corticosteroids right into the wrist and carpal tunnel. The steroid helps decrease inflammation around the tunnel with the goal of easing the compression it’s putting on the median nerve. Successful easing of the symptoms can also serve as a diagnostic tool to confirm carpal tunnel syndrome when other testing proves inconclusive. This treatment usually only provides short-term (six months to a year) relief for the condition, though this may be enough if the underlying causes—such as repetitive stress—are identified and curtailed.
Carpal tunnel release surgery typically provides a long-term, and often permanent, cure, as the surgery relieves pressure on the median nerve by cutting the ligaments on top of the carpal tunnel to create more room within. Dr. Crespo performs the outpatient procedure with the majority of his patients using what is known as “WALANT” surgery (wide-awake, local-anesthesia, with the option to perform with or without a tourniquet). This means that there is hardly any downtime and most patients can use the affected hand immediately. Some patients, such as those prone to anxiety, are not eligible for WALANT, but can have the same surgical procedure performed under a regional anesthetic and monitored IV sedation.
Patients typically notice that occurrences of nighttime waking with hand shaking stop immediately, and other symptoms ease soon after. Dr. Crespo conducts a follow-up exam about 10 to 14 days after the surgery, at which point the stitches are removed.
Naples Plastic Surgery places the same commitment to superior patient care, comfort, and individualized service on our hand surgery patients as we do for our cosmetic patients. We strive to treat you like you’re the only patient in our office each step of the way, and our staff and surgeons go above and beyond to ensure your comfort, relaxation, and that all questions or concerns are addressed.
Also, as a plastic surgeon, Dr. Crespo keeps the final aesthetic result of a procedure at the forefront of his mind alongside the functional result. Plastic surgeons are experts at minimizing the appearance of scarring and helping ensure a full cosmetic recovery after any kind of surgery, and hand surgery is no exception.
At Naples Plastic Surgery, our cosmetic services are designed to contour and enhance your body to help you achieve the body image that you desire. Known for offering among the best facial plastic surgery in Naples, our board-certified surgeons are known as much for their artistry as they are for their surgical skills. We understand that your image is the key to feeling great, so we will provide you with the most reliable advice and services to help make you look and feel your best.
The surgical team at Naples Plastic Surgery has the training and experience necessary to help you pursue your own individual cosmetic goals down to the very last detail, all in a warm, comfortable, and private environment.
Dr. Jason Crespo, MD, is a board-eligible plastic and hand surgeon who is fluent in English and Spanish. He obtained his Medical Doctorate at The University of Connecticut School of Medicine. Dr. Crespo then completed an integrated plastic surgery residency, followed by an orthopedic hand fellowship at UMass Medical School in Worcester, MA.
The plastic surgery process at Naples Plastic Surgery begins with a one-on-one, confidential consultation in which your surgeon conducts an examination to determine which procedures are likely to produce the most robust aesthetic improvements. This includes a comprehensive discussion with you to identify the benefits, risks and costs associated with each procedure. It may be possible to combine a number of surgical procedures into a single surgery if you desire and if your medical condition permits it.
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Plastic Surgeons | Paul M. Gardner, MD, FACS | Leopoldo M. Baccaro, MD | Jason Crespo, MD