Raleigh Hand Surgeon

Nerve Compression

Nerve compression syndromes refer to conditions in which one or more nerves in the arm become compressed, or squeezed, by surrounding tissues, such as bones, muscles, or tendons. This compression can cause a range of symptoms, including pain, numbness, tingling, and weakness in the affected area. There are several different types of arm nerve compression syndromes, including carpal tunnel syndrome, cubital tunnel syndrome, and radial tunnel syndrome.

Carpal Tunnel Syndrome 

Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed as it passes through the carpal tunnel in the wrist. This compression can cause a variety of symptoms, including pain, numbness, and tingling in the fingers and hand, as well as weakness in the hand. Carpal tunnel syndrome is often caused by repetitive motions, such as typing or playing musical instruments, but can also be caused by conditions such as rheumatoid arthritis, pregnancy, and obesity.

Cubital Tunnel Syndrome

 Cubital tunnel syndrome is a condition that occurs when the ulnar nerve, which runs from the elbow to the hand, becomes compressed as it passes through the cubital tunnel near the elbow. This compression can cause a variety of symptoms, including pain, numbness, and tingling in the hand and fingers, as well as weakness in the hand. Cubital tunnel syndrome is often caused by repetitive motions, such as typing or playing musical instruments, but can also be caused by conditions such as trauma or arthritis.

Radial Tunnel Syndrome 

Radial tunnel syndrome is a condition that occurs when the radial nerve, which runs from the shoulder to the hand, becomes compressed as it passes through the radial tunnel in the arm. This compression can cause a variety of symptoms, including pain, numbness, and tingling in the hand and fingers, as well as weakness in the hand. Radial tunnel syndrome is often caused by repetitive motions, such as lifting heavy objects or playing sports, but can also be caused by conditions such as trauma or arthritis.

Diagnosis 

Diagnosing arm nerve compression syndromes can be difficult, as the symptoms can be similar to those of other conditions. To diagnose an arm nerve compression syndrome, a doctor will typically perform a physical exam, including a thorough assessment of the affected area, and may also order imaging tests, such as an MRI or CT scan, to help identify the source of the compression.

Treatment

 Treatment for arm nerve compression syndromes will depend on the cause and severity of the compression. Some common treatments include:

  • Physical therapy: Physical therapy can help to relieve pressure on the affected nerve and improve mobility and strength.
  • Medications: Pain medications and anti-inflammatory drugs can help to relieve pain and reduce inflammation.
  • Corticosteroid injections: Corticosteroid injections can help to reduce inflammation and relieve pain.
  • Splints or braces: Wearing a splint or brace can help to keep the affected arm in a position that reduces pressure on the affected nerve.
  • Surgery: In severe cases of arm nerve compression syndromes, surgery may be necessary to relieve the pressure on the affected nerve.