Typically caused by a nerve being crushed at the wrist (carpal tunnel syndrome).
Usually spares the little finger.
Disrupts my sleep.
Wake to shake my hand back into life.
Interferes with daily activities such as holding a phone, driving, using cutlery.
Can’t feel buttons or put in my earrings.
If not treated it can progress to persistent numbness and weakness in the hand.
An examination of the hand is usually sufficient to confirm the diagnosis although occasionally other tests are required.
Treatment can include splints to wear at night, steroid injection into the palm which is completed in the clinic, or an operation.
The operation is completed in the surgical day room with the patient awake.
An injection into the palm numbs the area to allow the operation to be completed in about 10 minutes.
Stitches are used to close the wound which is also dressed with a water resistant sealant.
Bandages are removed after 2 days and light daily activity started including showering.
The wound is checked at 2 weeks and sutures removed.
Driving can be started once the wound has healed but it can take 4 weeks for office workers and 3months for manual workers to return to work.