Median Nerve Entrapment – Carrollton, TX
Dr. Christopher D. Allmon is a renowned orthopedic surgeon providing treatment for various hand and wrist conditions. The surgeon specializes in performing advanced surgical procedures to help patients find relief from conditions causing hand pain. He offers treatment for hand fractures, Carpal Tunnel Syndrome, Median Nerve Entrapment etc.  

Median Nerve Entrapment

The median nerve is one of the important nerves that run through the forearm and hand. It originates from the brachial plexus and governs the motor as well as sensory functions of the hand. A pressure exerted on the nerve may cause entrapment or decompression which results in significant disability and various other symptoms. The median nerve is prone to such compressions which can occur in the elbow, forearm or the wrist. Median Nerve Entrapment can be classified into three types which are mentioned below.
 
  • Carpal Tunnel Syndrome- This involves compression of the median nerve in the carpal tunnel. The condition affects people in the age group of 35-60 years and is more prevalent in women. The nerve is compressed at the wrist joint in this case.
  • Pronator Teres Syndrome- It is as a rare entrapment syndrome affecting women above 40 years of age. The nerve is compressed in the forearm.
  • Anterior Inerosseous Nerve Syndrome- This is the most rarely occurring problem which entails entrapment of one of the motor branches of the median nerve in the forearm region.

Causes Of Median Nerve Entrapment

  • Thickening of the ligaments and tendons around the nerve
  • Forearm fracture
  • Tumor
  • Development of bony spurs
  • Reduction in size of the carpal tunnel
  • Congenital anatomical abnormalities can increase the chances of entrapment
  • Excessive manual exertion of the upper limb or overuse

Symptoms Of Median Nerve Entrapment

  • Weakness of the hand and fingers
  • Inability to form a firm grip or hold objects
  • Pain in the arm, wrist or hand
  • Numbness or tingling sensation in the arm
  • Loss of function in the arm and hand
  • Pain occurs at night which begins at the wrist and may radiate to the other parts of the limb
  • Difficulty in flexing the fingers
  • The patient tends to drop things due to loss of strength

Diagnosis Of Median Nerve Entrapment

  • MRI or ultrasound may be conducted to diagnose and investigate the condition
  • Analysis of the patient’s medical history, past injuries and the existing symptoms
  • Nerve conduction tests may be done

Treatment For Median Nerve Entrapment

  • Use of a splint to hold the wrist in a particular position. This may help to relieve the symptoms in most cases
  • Corticosteroids may be injected into the hand for instant relief
  • The doctor may recommend avoiding overuse, weight bearing and use of vibrating equipment.
  • Pain killers and anti-inflammatory drugs may be prescribed
  • Ice pack application may be helpful
  • The arm needs to be rested adequately
  • Surgical decompression of the median nerve
  • Surgical removal of lesions and other bony growths that cause entrapment
  • Physical therapy may be recommended post-surgery to improve joint flexibility

For complete treatment for Median Nerve Entrapment and other wrist conditions, consult Dr. Allmon. To schedule an appointment with the orthopedic hand surgeon in Carrollton, call at (972) 492 - 1334.