About Carpal Tunnel Syndrome

What is it and what are my treatment options?

Carpal Tunnel Syndrome Overview

Carpal tunnel syndrome is a common condition that affects many patients. Various causes may compress the nerve that innervates the hand and fingers and cause unpleasant symptoms. Early carpal tunnel treatment reduces symptoms and treats carpal tunnel syndrome before it gets worse. An appointment with a Board-Certified and Fellowship-Trained Carolina Orthopaedic and Neurological Associates (CONA) hand specialist should be made at the first sign of symptoms.

Symptoms & Causes

Carpal tunnel symptoms present in the thumb, index, middle and ring fingers. Symptoms include:

  • Burning
  • Difficulty gripping and holding onto objects
  • Numbness
  • Pain
  • Radiating pain
  • Tingling
  • Weakness

A combination of causes are usually responsible for carpal tunnel syndrome:

  • Medical conditions (diabetes, rheumatoid arthritis, thyroid gland imbalances)
  • Prolonged wrist flexion and extension movements
  • Pregnancy
  • Repetitive hand/wrist use
  • Sleeping with the wrist flexed

Common Treatments:

Effective nonsurgical treatment occurs if an early diagnosis is made. After a thorough evaluation, a CONA hand specialist may recommend:

  • A night splint or brace
  • Activity modification
  • Immobilization in a removable wrist brace during activities
  • Nonsteroidal anti-inflammatory medications (NSAIDs)

A corticosteroid injection may be offered for fast-acting pain relief. Surgery may be recommended to treat severe carpal tunnel syndrome that does not respond to nonsurgical treatment options. A minimally invasive or traditional procedure decompresses the pinched nerve and quickly reduces symptoms.


A CONA specialist listens carefully as patients explain their symptoms and medical history. A thorough physical examination is an important part of a carpal tunnel diagnosis. A CONA specialist:

  • Gently holds the wrist in a flexed position to see if symptoms are produced
  • Palpates the nerve, hand and fingertips
  • Tests muscle strength

A nerve conduction study may be ordered and analyzed to see nerve signal strength and frequency.


Make an Appointment
with A Hand Specialist

Please do not delay a diagnosis if you experience carpal tunnel syndrome symptoms. Make an appointment with a CONA hand specialist so you can receive an accurate diagnosis and effective treatment plan.

what Our Patients Are Saying

Read Their Success Stories

I am happy with this practice all my questions are answered within 24 hours. Dr. Hoenig is great, his bedside manner is wonderful, he is very thorough, and makes personal calls after surgery to check on patients. I would definitely recommend to family and friends!

Tori S.

Dr. Hoenig

This has been one of my most positive experiences at a Dr's office. I was treated with respect and love. They made my surgical procedure less stressful and very positive.

Mindy U.

General Practice

These are the best group of doctors that myself & my family have ever been treated by in this field of medicine. They listen to how you feel instead of telling you how you feel. Thank you all for your caring & kindness.

Lori L.

General Practice

5 Decades Of Premier Orthopaedic & NeuroSURGICAL Care

3 Convenient Locations


1330 Boiling Springs Rd, Ste 1600
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.

Directions to Spartanburg


115 Deacon Tiller Ct.
Duncan, SC 29334
Hours: 8:30 a.m. to 5:00 p.m.

Directions to Duncan

Greenville Office

220 Roper Mountain Road Ext
Greenville, SC 29615
Hours: 8:30 a.m. to 5:00 p.m.

Directions To Greenville

Call Now ButtonCall CONA Today