Hand and Wrist

Carpal Tunnel Syndrome This condition is a painful compression of a nerve in the wrist that can interfere with a person’s ability to use the wrist and the hand. Carpal tunnel syndrome is a progressive condition that can worsen without proper care.

Carpal Tunnel Syndrome Overview – What is Carpal Tunnel Syndrome?

This condition is a painful compression of a nerve in the wrist that can interfere with a person’s ability to use the wrist and the hand. Carpal tunnel syndrome is a progressive condition that can worsen without proper care.

Anatomy

The carpal tunnel is a passageway in the wrist formed by the carpal ligament and the bones of the hand. This passageway protects the hand’s main nerve (called the median nerve). Branches of the median nerve travel to the thumb, index, middle and ring fingers. Along with the median nerve, the carpal tunnel also houses the tendons that control the bending of the fingers.

Compressed Nerve

Carpal tunnel syndrome occurs when the median nerve is compressed within the carpal tunnel. This compression can be caused by any of the structures that surround the nerve, including bones and soft tissues. In many cases, no single cause can be identified

Risk Factors

A variety of factors can increase a person’s risk for carpal tunnel syndrome. It is believed to be more common in people who have smaller carpal tunnels. It is more common in women than in men. The condition may be caused by a fracture or dislocation of the wrist. It may belinked to conditions such as diabetes orrheumatoid arthritis. It can also be triggered by conditions that cause the body to retain fluid,including pregnancy. Repetitive motions of thehand and fingers, especially extensive keyboard use, are often discussed as a possible cause. However, evidence for such a link is conflicting.

Doctors

Douglas Boler, MD

Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

Dr. Douglas Boler is a board-certified anesthesiologist and pain management physician. He graduated from Southern Illinois University School of Medicine, interned at Texas Tech University Health Sciences Center, and he completed a subsequent residency in anesthesiology at St. Louis University School of Medicine. A U.S. Air Force Veteran, Dr. Boler specializes in interventional pain management, […]

    Kisha Thomas, MD

    Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

    Dr. Kisha Thomas went to college at Grand Valley State University in Michigan, where she completed her pre med studies. She earned her medical degree from the University of Wisconsin School of Medicine and Public Health and then completed her residency and fellowship training at the Medical College of Wisconsin. She is a American Society […]

      Francisco Judilla, MD

      Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

      Dr. Judilla is a board-eligible anesthesiologist with nearly five decades of experience. He graduated from Cebu Institute of Medicine at Velez College in the Philippines. He completed an internship at Saint Vincent Health Center in Erie, PA and subsequently completed his residency in anesthesiology at Newark Beth Israel Regional Medical Center in Newark, NJ. Dr. […]

        Kimberly Clayton, MSN, ARNP-C

        Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

        Kimberly Clayton MSN ARNP-C has over 20 years of experience in healthcare. Kimberly medical background includes sub-acute care, Long-term care, case management, nursing clinical director, and wound care management.  Kimberly completed her Bachelor of Science in Nursing from Chipola College. Kimberly completed her Master of Science in Nursing from South University and is board certified as an Advanced Practice […]

          Chelsea Bugg

          Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

          Chelsea is a NCCPA board certified Physician Assistant and is licensed by the Florida Board of Medicine. She completed her Bachelors of Science at Palm Beach Atlantic University and later her Masters of Medical Science in Physician Assistant in 2016. Prior to working at Riverside Pain Physicians, she worked in physical injury and addiction psychiatry.  […]

            Cheryl Knight, PA-C

            Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

            Cheryl Knight is nationally board certified and a member of the American Academy of Physician Assistants. She moved from West Palm Beach, Florida to Pittsburgh, Pennsylvania to attend Duquesne University for her undergraduate degree. In 2004 she graduated from Chatham College with a Master’s in Physician Assistant Studies and moved back to the Sunshine state. […]

              Chris Garrett

              Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

              Chris is a board certified Physician Assistant. His healthcare career began in emergency medicine as an EMT in Atlanta Georgia. After five years practicing medicine on the ambulance as well as in the ER, he decided to advance his medical training and pursue a career as a Physician Assistant. He completed his undergraduate degree at […]

                Daryl English, MSN, ARNP

                Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

                Daryl  received his Bachelor of Science in Nursing at the University of North Florida.  His Master’s Degree in Nursing at University of Florida.  I have 9 years in pain management experience and one year  in neurosurgery.  I am credentialed pain practitioner with the American Academy of Pain Management.  Currently, I’m completing a doctoral degree at […]

                  Brittany Blalock, MSN, FNP-BC, ARNP

                  Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

                  Brittany Blalock is an Advanced Registered Nurse Practitioner credentialed through the American Nurses Credentialing Center. Brittany received her bachelors of Science in nursing in 2007 from Jacksonville University. She held certification in Critical Care Nursing for 4 years before returning to JU to continue her education. She received her Master of Science in Nursing with […]

                    Andy Wilson, MSN, ARNP

                    Shoulder - Hip, Leg and Knee - Head, Neck and Spine Pain Treatments - Hand and Wrist - General Body - Foot and Ankle - Elbow

                    Andy Wilson is a board certified Advanced Registered Nurse Practitioner. He received his Bachelor of Science in Nursing and Master of Science in Nursing from University of North Florida. Prior to working at Riverside Pain Physicians, Andy worked at Emed Multispecialty Group in the field of primary care and interventional pain management. He also worked […]

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