Carpal Tunnel Syndrome (CTS) is one of the most common wrist and hand conditions, caused by pressure on the median nerve as it travels through the narrow carpal tunnel in the wrist. This nerve controls sensation and movement in parts of the hand, and compression can result in pain, tingling, numbness, and weakness.
At Dr. Burke Orthopedics, we help patients across Pearland, Houston, Friendswood, and Southeast Texas restore comfort, coordination, and grip strength through advanced orthopedic evaluation and personalized treatment.
The carpal tunnel is formed by small wrist bones and a strong ligament that acts as its roof. When swelling or inflammation develops within this confined space, the median nerve is compressed, disrupting normal signal transmission to the fingers.
Common causes and risk factors include:
- Repetitive hand or wrist motions (typing, assembly work, tool use)
- Previous wrist fractures or dislocations
- Arthritis or inflammatory disorders
- Hormonal changes during pregnancy or menopause
- Diabetes or thyroid conditions affecting nerve health
- Genetic predisposition to narrow carpal tunnels
Over time, ongoing compression can cause permanent nerve damage without treatment.
Symptoms often develop gradually and may worsen at night or during repetitive activities.
Typical indicators include:
- Numbness or tingling in the thumb, index, middle, and ring fingers
- Pain radiating from wrist to forearm
- Weakness in grip strength or dropping objects
- “Pins and needles” sensation when writing or typing
- Burning or aching discomfort that wakes you from sleep
In advanced stages, muscle wasting (thenar atrophy) may appear at the base of the thumb.
Accurate diagnosis ensures targeted care.
Dr. Robert L. Burke, a board-certified orthopedic surgeon, performs a detailed assessment that includes:
- Physical examination: Evaluating strength, sensation, and reflexes.
- Tinel’s and Phalen’s tests: To confirm nerve irritation.
- Nerve conduction studies and EMG: To measure electrical activity and identify nerve damage.
- Ultrasound or MRI: When structural abnormalities or inflammation are suspected.
Dr. Burke’s experience in orthopedic trauma and reconstructive surgery ensures precise identification and customized treatment for every patient.
Non-Surgical Treatments
Most cases respond well to early, conservative care. Dr. Burke designs customized plans that may include:
- Wrist splinting: Especially at night to maintain neutral positioning.
- Activity modification: Avoiding repetitive strain.
- To strengthen supporting muscles and improve nerve mobility.
- Ergonomic corrections: Adjusting workstation or hand posture.
Surgical Treatments
For persistent or advanced nerve compression, Carpal Tunnel Release Surgery is performed.
This minimally invasive procedure releases the ligament over the carpal tunnel, relieving nerve pressure and restoring normal function.
Recovery and Prevention
Recovery timeline:
- Non-surgical care: 4–6 weeks
- Surgical recovery: 6–8 weeks, with progressive return to work and activity
Prevention tips:
- Keep wrists in neutral positions while typing or using tools.
- Take short breaks during repetitive tasks.
- Perform gentle wrist and forearm stretches daily.
- Manage chronic conditions that contribute to inflammation.
Early diagnosis and consistent care lead to excellent outcomes and long-term symptom control.
You should contact Dr. Burke Orthopedics if:
- Numbness or tingling persists beyond two weeks.
- Pain interrupts sleep or hand function.
- Weakness or clumsiness develops in the fingers.
Prompt treatment helps prevent permanent nerve injury and restores hand strength.
Serving Our Community
Dr. Burke Orthopedics proudly serves Pearland, Houston, Friendswood, and Southeast Texas, helping patients restore full hand and wrist function.
We specialize in diagnosing and treating nerve compression syndromes with evidence-based, compassionate care.
