About carpal tunnel
The carpal tunnel is a narrow passage at the base of the palm, formed by the wrist bones and a tough ligament. The median nerve and nine tendons share that space. Swelling or narrowing puts pressure on the nerve, which supplies feeling to the thumb, the index and middle fingers, and part of the ring finger.
Common symptoms
- Numbness or tingling in the thumb and first three fingers
- Symptoms that wake you at night
- Shaking the hand out for relief
- Dropping things or a weak grip
- Aching in the wrist or forearm
Common causes
- Repetitive hand and wrist motion
- Long periods with the wrist bent
- Pregnancy and fluid retention
- Diabetes and thyroid conditions
- Arthritis or a past wrist injury
- Nerve irritation in the neck that adds to the problem
How we evaluate carpal tunnel
We test sensation, grip and thumb strength, and use wrist and nerve tension tests to see where the nerve is sensitive. The elbow, shoulder and neck are examined too. If your findings suggest significant nerve compression, we will recommend nerve testing and a medical opinion.
Care that may be considered
- Class IV laser therapy: Regularly used at the practice for carpal tunnel symptoms.
- Chiropractic care: Adjustments to the wrist, elbow and neck when they are involved.
- Therapeutic massage: Soft-tissue work for the forearm muscles.
- Active Isolated Stretching: Targeted stretching for the wrist and forearm.
Recommendations depend on your exam. Not every option suits every patient, and results vary.
Who provides care
Dr. Heath Lambert, DC evaluates and directs care, and Dr. Anthony Cruz, DC also provides chiropractic care. Massage and stretching are provided by Kim Frey, LMT.
What happens at an appointment
Your first visit covers your history, an exam and a plan. See what to expect at your first appointment, and see our fees.
Where we see patients
We see patients in Tampa at 4017 Henderson Blvd. on Mondays, and in Brandon at 911 S Parsons Ave, Suite A, Monday through Thursday. Call (813) 655-2829 or request an appointment online.
Frequently asked questions
Do I need surgery?
Many mild and moderate cases are managed without surgery. Severe or long-standing compression may need it, and a physician or hand surgeon makes that call.
Do wrist splints help?
A neutral wrist splint at night is a common first step. Ask your provider whether it suits you.
Could it be coming from my neck?
Sometimes. An irritated nerve root in the neck can cause similar symptoms or add to a wrist problem. That is why the neck is examined.
How many visits will I need?
It varies. You will get an estimate at your evaluation.