I have had e.m.g. testing resulting in a confirmation of carpal tunnel syndrome, but took no proper treatment. the doctor stated that it was a minor problem from testing. i am 37, take care of aging parents as well as two children; being active is a neces

Carpal : Carpal tunnel syndrome is a tricky health problem. Many of the issues you state and the activities that you must do are impaired by the wrist problem. These issues are more important than a "grading of the severity" of carpal tunnel by emg. If the severity was severe, you would be advised to have surgery immediately to preserve hand function. A milder severity allows you the luxury of timing any surgery to accomodate the other aspects of your life, such as work schedule, family care responsibilities, insurance dates etc. I suggest you get a second opinion, probably from a hand surgeon or physical medicne & rehabilitation physician. Best wishes.

You : You stated correctly that the symptomatic severity of carpal tunnel syndrome (cts) does not necessarily correlate with the severity on the ncs/emg testing. You can find a reputable hand surgeon in your area by checking the website of the american society for surgery of the hand (assh.Org). Options for treatment, in addition to the use of wrist braces at night during sleep, would include cortisone injection to the carpal tunnel or carpal tunnel release surgery. If there is any doubt about your diagnosis, then a carpal tunnel injection can be useful as a diagnositc test too. If you experience even temporary relief of symptoms after the injection, this suggests that cts is indeed present and would likely repsond well to surgery.

Splints: The first line of treatment for mild carpal tunnel is to wear neutral position wrist splints while sleeping. This reduces pressure on the nerve, and in the majority of cases is enough to eliminate symptoms and stop further progression. If this does not work, look for a neurologist who can guide you up the ladder of other treatments.