Carpal tunnel is a syndrome that results from compression of the median nerve in the wrist. It can cause numbness, tingling, and pain in the thumb, index finger, and middle finger. These symptoms may be mild initially, but can worsen with time. As with some other disorders of the peripheral nervous system, management should be conservative at first. If your carpal tunnel is severe, interfering with your ability to perform everyday activities, and has not responded to medical management, a procedure called carpal tunnel release may be an option.
Chronic pain in the back or extremities is a known contributor to decreased quality of life, and this nonstop pain can make even everyday activities seem impossible. Initial efforts to treat chronic pain should include conservative measures, such as medication, rest, bracing, or physical therapy. However, some cases are so extreme or are unresponsive to treatment that spinal cord stimulation is warranted. Placement of a dorsal column stimulator is a surgical procedure that is designed to decrease pain and allow return to normal activities.
A migraine is a severe recurring headache that usually affects one side of the head. It is often accompanied by a throbbing sensation, nausea, sensitivity to light, and disturbed vision. Some migraines are caused by compression of the peripheral sensory nerves that surround the face, causing migraines so severe that they interfere with everyday activities. When these nerves are compressed, they may increase the frequency and severity of a migraine, so relieving pressure on the nerves may reduce the incidence and duration of future migraines. In such cases, Dr. Banister may recommend surgical decompression of the peripheral sensory nerves.
Ulnar Nerve Entrapment
The peripheral nerve that passes through your elbow at your “funny bone” is called the ulnar nerve. Through trauma or tumor, this nerve can become damaged or compressed, which can cause permanent numbness or tingling in that area. In serious cases, it can cause loss of function to some muscles in the hand. Some patients undergo a procedure called ulnar nerve decompression to remove pressure on the ulnar nerve.