Carpal Tunnel Syndrome is compression of the median nerve at the wrist. It causes numbness and pain in your thumb, index, long and ring fingers. This wakes people up at night, hurts while driving a car or holding a phone.

The cause is only partially understood. Use of vibrating tools is a risk factor.

Treatment includes anti-inflammatories like ibuprofen and wearing a loose cockup splint at night. Occasionally, cortisone injections help. Diagnosis is made by your physician. If conservative treatment fails, surgery is a good option. I recommend endoscopic carpal tunnel release.

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Walker Wynkoop MD is a resident of Los Banos and a Board-Certified Orthopedic Surgeon with 30 years of experience. He works at Surgical Affiliates of California. Please email questions to: