CSA Physio Blog

Get A Grip On Carpal Tunnel Syndrome

Posted on: November 6th, 2018 by Lloyd Tapper

Do you have numbness, burning and tingling in your hands? Is the pain worse at night? Does the loss of grip strength make it difficult to hold things? Is it getting hard for you to do your job? 
If this sounds like you, you may be suffering from carpal tunnel syndrome, or CTS.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome occurs when the median nerve that runs down the underside of the forearm becomes compressed as it passes through the wrist . If untreated, CTS often gets worse leading to chronic pain, difficulty sleeping and reduced employment opportunities.

How is Carpal Tunnel Syndrome Diagnosed?

Establishing a diagnosis of CTS requires that your care provider review your symptoms and complete a physical exam.  Based on the results, your health care provider may order an x-ray, electromyogram, and/or nerve conduction study. An ultrasound may also be helpful to identify swelling around the median nerve.

What Can Be Done To Improve The Symptoms?

The early symptoms of carpal tunnel syndrome are often treated conservatively. Patients maybe prescribed a combination of oral anti-inflammatory medications along with splinting and physiotherapy. Activity modifications designed to reduce symptoms are also recommended. Additional treatment options may include steroid injections and surgery.

New Treatment Option Now Available

In my work as a regenerative medicine specialist, I often see clients who struggle with carpal tunnel syndrome despite conservative treatment. While surgery is the right choice for some, it may not be right for others.

Thankfully, a new minimally invasive treatment is now available.

Hydrodissection For The Management of CTS

Hydrodissection is a minimally invasive, ultrasound guided, in-office procedure that involves injecting a solution made of dextrose and water into the space around the nerve. When injected, the solution expands the tissue and relieves pressure on the nerve (as seen below). Lidocaine is added to the solution to ensure that the procedure is pain free.

Patients experience immediate relief from their symptoms without any downtime. Many return to work the very same day.


Current research has identified that hydrodissection is a safe and effective treatment for the management of CTS, works better than cortisone injections, and is better than physiotherapy alone.
If you have CTS and are unsure about surgery, take a closer look at hydrodissection. It maybe right for you.
Your partner in health,
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