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Carpal Tunnel Specialist

Luke Nicholson, MD

Hand Surgeon located in Beverly Hills, CA & Downtown, Los Angeles, CA

Carpal tunnel syndrome can be both painful and disabling unless you receive expert treatment. If you're experiencing symptoms of this common wrist condition, expert hand surgeon Luke Nicholson, MD, can help. Dr. Nicholson has offices in Beverly Hills and at the Keck Medical Center in Downtown Los Angeles, California, where he offers both conservative and minimally invasive surgical solutions for patients with carpal tunnel syndrome. For superior care, call Luke Nicholson MD or schedule a consultation using the online booking form today.

Carpal Tunnel Q & A

What is the carpal tunnel?

The carpal tunnel is the narrow part of your wrist where it joins your hand and consists of several bones joined by the transverse carpal ligament.

The large median nerve travels from your shoulder, down your arm, and into your hand, passing through the carpal tunnel on its way. Sometimes the nerve comes under pressure in your carpal tunnel, which causes carpal tunnel syndrome.

What symptoms might carpal tunnel syndrome cause?

Initially, nerve compression results in tingling sensations in your hand, wrist pain, and pain in the thumb side of your hand. The hand and wrist are likely to get weaker over time and more painful. It becomes difficult to grip firmly with the affected hand as well.

Carpal tunnel syndrome symptoms are often more severe at night, as your wrist tends to bend forward, making the compression worse. You might wake to discover your hand has gone to sleep and experience unpleasant "pins and needles" sensations as it wakes up.

As your condition progresses, the pain can affect your entire arm, from the shoulder down, making it hard to sleep.

How is carpal tunnel syndrome treated?

Dr. Nicholson is likely to begin your treatment with conservative measures, which are often successful in relieving pressure on the median nerve.

Wearing a wrist splint prevents your wrist from bending and is particularly helpful when you're asleep. Physical therapy can also be beneficial.

If your carpal tunnel syndrome symptoms persist, Dr. Nicholson can inject anti-inflammatory steroids into your wrist.

Would I need surgery for carpal tunnel syndrome?

If conservative treatments aren't having an effect on your symptoms, you might need to undergo surgery. Dr. Nicholson performs a procedure called carpal tunnel release to relieve the pressure on your median nerve.

Carpal tunnel release involves making an incision in the lower part of the palm of your hand. This cut gives access to the transverse carpal ligament, from where the pressure typically arises. Dr. Nicholson cuts the ligament to relieve the pressure on your median nerve.

Dr. Nicholson can perform carpal tunnel release using minimally invasive endoscopic techniques. He makes two small incisions, one in your hand, the other in your wrist, and inserts an endoscope, which sends images to a monitor for Dr. Nicholson to view.

Anesthesia options include wide-awake local anesthetic, a peripheral nerve block, or twilight sedation. Dr. Nicholson customizes the anesthesia to your needs.

For exceptional treatment of carpal tunnel syndrome, call the office of Luke Nicholson MD or book an appointment online today.