Valvekliinik – personalized care in the centre of Tallinn


Carpal tunnel syndrome is a common neurological disorder that occurs when the median nerve becomes pressed or squeezed at the wrist and therefore the following symptoms may arise: numbness, tingling sensation, weakness, and painfulness both in the wrist, but more commonly in the hand around the thumb, index finger, and middle finger. Usually the symptoms develop gradually and often appear during nighttime. Usually the dominant hand is mainly affected by this disorder; however, it may effect both hands.

Carpal tunnel syndrome is often caused by overload to the hand and may often occur in people who perform stereotypical identical movements (for example, people working on computers in offices, kitchen staff, drivers) or whose job entails physical labor. Carpal tunnel syndrome is also more common after bone fractures in the wrist area. Statistics show that the syndrome is three times more common in women than in men.

Carpal tunnel syndrome can be diagnosed by a doctor. Clinical suspicion of the disease is raised by the presence of typical complaints. Specific tests are performed during medical examination (for example, Tinel and Phanel tests). It may be necessary to also perform X-ray examinations to rule out other pathologies. Electro-diagnostic examinations may also be performed to confirm the diagnosis (ENMG – electroneuromyography). The first treatment option for a lighter carpal tunnel syndrome is to perform special exercises, reduce load on the hands, using a wrist orthosis, pain medication may also be required. Doctors can advise about exercises and the help of physical therapy may also be included.

One treatment method for the carpal tunnel syndrome is making a nerve block, i.e. hormone injection into the carpal tunnel. This method is most appropriate for medium level compression syndrome, which has lasted up to one year. The procedure is performed on an outpatient basis, a prior doctor’s consultation is required.

Hormonal injection into the carpal tunnel
from 160€