Carpal tunnel syndrome (CTS) is a common nerve entrapment disorder. The symptoms of carpal tunnel syndrome include numbness, tingling, and occasionally pain in the hand, especially if confined to the median nerve distribution. The symptoms are often worse at night but can also be present in the daytime in the worker with a provocative job. Symptoms are often worse with driving or holding a book, newspaper, or telephone.
Appropriate treatment can interrupt the progression of this disorder and avoid the development of permanent disability. Conservative therapy may be sufficient, although many patients require surgery. Surgical treatment may involve open or endoscopic technique. The goal of either approach is to decrease pressure upon the median nerve at the wrist by dividing the transverse carpal ligament and antebrachial fascia.