Carpal Tunnel Specialist

Enhance Center

Ayman Tarabishy, MD

Interventional Pain Management located in Livonia, MI

When persistent wrist pain or numbness interferes with your job or favorite activities, you should schedule an evaluation for carpal tunnel. At Enhance Center - serving the Southeast Michigan area, Northville, Canton, Plymouth, Novi, and Livonia - Ayman Tarabishy, MD, offers both comprehensive diagnostics and effective treatment options to alleviate the pain of carpal tunnel and restore your functionality. He creates a custom treatment just for you, focusing on nonsurgical options to address carpal tunnel pain. Learn more about treating and preventing carpal tunnel by calling the office now or book an appointment conveniently online.

Carpal Tunnel

What is carpal tunnel?

Carpal tunnel is a syndrome that causes tingling, numbness, and pain in the hand and arm due to a compression of the median nerve. This nerve runs through the carpal tunnel, traveling through the wrist and into your hand.

Pressure on the median nerve is often due to repetitive movements or to specific activities, such as typing, that compress the nerve. In many cases, repeated pressure can lead to permanent nerve damage and a worsening of your symptoms.

What are the symptoms of carpal tunnel?

In addition to numbness, tingling, and pain, carpal tunnel may also cause electric shock-like sensations that travel through your wrist and into your fingers. You may also lose some of your hand strength and find it hard to grip objections.

Wrist numbness and pain typically develops over time. As symptoms worsen, it may become more difficult to use your hand normally.

How is carpal tunnel diagnosed?

Dr. Tarabishy starts your evaluation by discussing your job and activities to determine if you’re at risk for carpal tunnel. He also performs a physical exam, moving your wrist and fingers to identify areas of pain.

Imaging tests may help identify areas where the nerve is compressed. These tests may include an X-ray or MRI.

You may also benefit from a nerve conduction study, which measures the signals that travel through the median nerve.

One of the keys of diagnosis is to distinguish if the problem involves the median nerve by itself, other nerves, brachial plexus or its branches, a problem at the cervical spine (neck) or a combination of problems (double crush phenomenon).

What treatments are available for carpal tunnel?

At the first signs of wrist tingling or pain, Dr. Tarabishy may initially recommend rest and the use of a brace device. Anti-inflammatory medications can reduce inflammation that may be adding pressure to your median nerve, and over-the-counter pain relievers help keep you comfortable.

When your carpal tunnel symptoms become worse and interfere with your job and personal activities, you may benefit from steroid injections that address pain and inflammation quickly.

In some cases, severe carpal tunnel requires surgery to release pressure on the nerve and alleviate your symptoms.

For failed carpal tunnel surgery, severed nerves, phantom pain, nerve scars, CRPS and neuromas,  treatments like pulsed peripheral nerve radiofrequency ablation and peripheral nerve stimulators can offer great results to otherwise intractable incurable conditions

Dr. Tarabishy can determine the best course of treatment based on the severity of your symptoms and your overall goal of treatment.

Find out more about treating and preventing carpal tunnel by calling the office or book an appointment online.