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Doctor Q&A for Dr. Todd Siff

A 42-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Numbness and tinglin: Generally, numbness and tingling affecting the thumb, index and middle fingers are telltale signs. This is usually worse at nighttime. This can be painful or not.
A 37-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Median nerve compres: Carpal tunnel syndrome is a condition where the median nerve in the wrist becomes compressed. This is due to an increase in pressure below the transverse carpal ligament in the wrist. With the increase in pressure in this compartment, the median nerve suffers. People can develop numbness and tingling affecting the thumb, index, middle and part of ring finger.
A 39-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
No: Tendonitis is not a symptom of CTS.
A 33-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Brace: This depends on the EMG-NCV findings. Mild carpal tunnel syndrome can be treated with a brace and an injection. If this is not successful and in more advanced cases, surgery is an option.
A 32-year-old male asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Numbness and tinglin: Generally, numbness and tingling affecting the thumb, index and middle fingers are telltale signs. This is usually worse at nighttime. This can be painful or not.
A 47-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Depends: For most people, carpal tunnel syndrome is not painful. But, it certainly can be very painful for other people. We are not sure why some people experience pain with this condition compared to others. Do not judge the severity of carpal tunnel syndrome based on the pain level - this can be misleading.
A 22-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
5%: It is the most common peripheral entrapment neuropathy, and will affect approximately 5% of the population at some point in their lifetime.
A 20-year-old female asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Median nerve compres: Carpal tunnel syndrome is a condition where the median nerve in the wrist becomes compressed. This is due to an increase in pressure below the transverse carpal ligament in the wrist. With the increase in pressure in this compartment, the median nerve suffers. People can develop numbness and tingling affecting the thumb, index, middle and part of ring finger.
A 21-year-old member asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Unlikely: Carpal tunnel syndrome does a recurrence rate. It is not common for it to come back. Typically, the younger you are when it develops, the higher the chance for it to come back. Diabetes and kidney disease put you at a greater risk for recurrence.
A 48-year-old female asked:
Dr. Todd Siff
Hand Surgery 27 years experience
Splint or surgery: For mild carpal tunnel syndrome, we treat with a night splint. Sometimes a cortisone shot can be helpful. Surgery is the definitive treatment.
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