Tel: (910) 893-9700 Patient Portal HOME ABOUT US SERVICES SLEEP CENTER SUBOXONE PRP INJECTIONS FORMS LOCATIONS Carpal Tunnel Syndrome Carpal tunnel syndrome: Compression and irritation of the median nerve as it passes under the transverse carpal ligament in the wrist. Abbreviated CTS. CTS can be due to trauma from repetitive work, such as that of retail checkers and cashiers, assembly line workers, meat packers, typists, writers, and accountants. Other factors that can cause CTS include obesity, pregnancy, hypothyroidism, arthritis, and diabetes. The symptoms of CTS include numbness, tingling, a 'pins and needles' feeling especially at night in the hand, particularly in the thumb, index, and middle fingers. CTS can also cause wrist pain, weakness in the grip, and a feeling of hand incoordination. In some cases the pain seems to migrate up from the wrist and into the arm, shoulder, and neck. The diagnosis is suspected based on symptoms, supported by signs on physical examination, and confirmed by nerve conduction testing. Treatment depends on the severity of symptoms and the underlying cause. Early CTS is usually treated by modification of activities, a removable wrist brace, exercises and/or manipulation (massage), and anti-inflammatory medicines. If detected early, CTS is reversible. If numbness and pain continue in the wrist and hand, cortisone injection into the carpal tunnel can help. Surgery is used only when other treatments have failed. In advanced CTS, particularly if there is profound weakness and muscle atrophy (wasting), surgery is done to avoid permanent nerve damage. Office Hours "Finding the path to better health" Contact Us Mon. - Thurs. 8am-5pm Fri. 8am-1pm

Tel: (910) 893-9700 Patient Portal HOME ABOUT US SERVICES SLEEP CENTER SUBOXONE PRP INJECTIONS FORMS LOCATIONS Injury Related Pain Injury Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors. Pain is also a term specifically used to denote a painful uterine contraction occurring in childbirth. The word "pain" comes from the Latin "poena" meaning a fine, a penalty. Office Hours "Finding the path to better health" Contact Us Mon. - Thurs. 8am-5pm Fri. 8am-1pm