Compression of the median nerve at the wrist. Frequently confused with a neck problem, and the distinction changes the treatment entirely.
What it is
The median nerve passes through a tight tunnel at the wrist. Swelling in that tunnel compresses it.
Associated with repetitive work, pregnancy, thyroid disease and diabetes.
EMG and nerve conduction study distinguishes it reliably from cervical radiculopathy.
How it usually presents
- Numbness and tingling in the thumb, index, middle and half the ring finger — not the little finger.
- Worse at night; people shake the hand to relieve it.
- Dropping things, and weakness of thumb grip.
- Symptoms with driving or holding a phone.
How we treat it
- Nerve conduction testing to confirm and grade severity.
- Night splinting, which is more effective than most people expect.
- Corticosteroid injection into the tunnel.
- Surgical referral for severe or progressive cases with muscle wasting.
To be assessed, call (314) 310-5577 or request an appointment. If this began with a crash or a fall, see accident and injury care.
Common questions
Why did my neck get scanned for a hand problem?
Because neck and wrist nerve compression can look similar. EMG separates them, which is why we test rather than assume.
Hurt in an accident? Start here.
You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.
Or text (314) 886-5902 · Monday–Friday, 8:00 a.m. – 4:00 p.m.