Conditions We Treat

Carpal Tunnel Syndrome Diagnosis and Treatment in Manassas, VA

Carpal tunnel syndrome diagnosis in Manassas, VA can be confirmed in our office with EMG and nerve conduction testing and ultrasound. Our clinicians identify how much the median nerve is affected, look for related conditions such as rheumatoid arthritis, and recommend treatment to relieve numbness and protect hand function.

EMG testing on site

Ultrasound of the median nerve

What Is Carpal Tunnel Syndrome?

Carpal tunnel syndrome happens when the median nerve is squeezed as it passes through a narrow passage in the wrist called the carpal tunnel. Pressure on the nerve causes numbness, tingling, and weakness in the hand.

Common Symptoms

  • Numbness or tingling in the thumb, index, middle, and part of the ring finger
  • Symptoms that wake you at night
  • Hand weakness or dropping objects
  • Shaking the hand to relieve tingling
  • Wrist or forearm discomfort

Causes and Risk Factors

Repetitive hand and wrist use, wrist anatomy, pregnancy, diabetes, thyroid disease, obesity, and inflammatory conditions such as rheumatoid arthritis can all increase pressure in the carpal tunnel.

How We Diagnose Carpal Tunnel Syndrome

Your clinician reviews your symptoms and performs hand and wrist tests. EMG and nerve conduction studies measure how well the median nerve is working and help rule out a pinched nerve in the neck or peripheral neuropathy. Ultrasound can show swelling of the nerve and inflammation of nearby tendons.

Treatment Options

  • Wrist splinting, especially at night
  • Activity and workstation changes
  • Anti-inflammatory medication when appropriate
  • A corticosteroid injection into the carpal tunnel
  • Treating related conditions such as inflammatory arthritis or diabetes
  • Referral for surgical release when symptoms are severe or nerve damage is present

When to Seek Care

See a clinician if numbness or tingling lasts more than a few weeks, wakes you at night, or if you notice weakness or muscle loss at the base of the thumb. Early treatment helps prevent lasting nerve damage.

How We Help

Services Used to Evaluate and Treat Carpal Tunnel Syndrome

These in-office services may be part of your evaluation or treatment plan.

Nerve and muscle testing that helps evaluate numbness, tingling, weakness, and nerve compression.

Radiation-free, real-time imaging of joints, tendons, and soft tissue to look for inflammation.

Corticosteroid, hyaluronic acid, and PRP joint injections as one part of a broader treatment plan.

Your Care Team

Rheumatology Clinicians Who Treat Carpal Tunnel Syndrome

Our board-certified rheumatologists and nurse practitioners care for patients with carpal tunnel syndrome at our Manassas office.

Board-certified rheumatologist

Rheumatologist and Founder

Board-certified rheumatologist

Rheumatologist

Board-certified rheumatologist

Rheumatologist

Certified nurse practitioner

Nurse Practitioner

Nurse practitioner

Certified Registered Nurse Practitioner

FAQs

Carpal Tunnel Syndrome Questions

Answers to common questions from patients in Manassas and across Northern Virginia.

Do I need an EMG for carpal tunnel?

An EMG and nerve conduction study can confirm the diagnosis, show how severe it is, and rule out other nerve problems. Learn about EMG testing.

Mild cases sometimes improve with splinting and activity changes. Persistent or worsening symptoms should be evaluated.

It can be. Inflammation from rheumatoid arthritis can increase pressure in the wrist, which is one reason a rheumatology evaluation can help.

Many patients improve without surgery. If nerve testing shows significant compression or symptoms do not improve, we can refer you to a hand surgeon.

Related Conditions

Related Conditions We Treat

Many rheumatic conditions share symptoms or occur together. Learn about related conditions.

Peripheral Neuropathy

Nerve-related numbness and weakness

Rheumatoid Arthritis

Inflammatory joint pain, swelling, and stiffness

Bursitis & Tendinitis

Soft tissue pain and inflammation

Osteoarthritis

Joint pain and stiffness from cartilage wear

Arthritis & Osteoporosis Center of Northern Virginia logo

Request an Appointment

Schedule a Visit for Carpal Tunnel Syndrome

Request an appointment online or call (703) 361-3255 to be evaluated at our Manassas office.

Older man raising his arms outdoors, feeling active and mobile
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