How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 11946
Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
206912
Type Your Neurology Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

I am suffering with chronic Carpel Tunnel Syndrome in both

Customer Question

I am suffering with chronic Carpel Tunnel Syndrome in both wrists. Most of my fingers are now numb to the point its affecting my ability to work (Construction/Driver). Surgery is not an option for me. What might you prescribe otherwise to ease the pain and will I ever regain the feelings in my hands?

Thank you
Neive
Submitted: 2 years ago.
Category: Neurology
Expert:  Dr. Mark replied 2 years ago.

Hello.

 

Unfortunately, the best therapy in severe cases of carpal tunnel syndrome is surgical decompression of the nerve.

 

This can be done with small incisions and a scope, so that the incisions are small and at the wrist, instead of the whole palm area, allowing people to get back to work sooner. This is "endoscopic" carpal tunnel release, and done by some hand surgeons.

 

The best non-surgical treatment would be wrist splinting, to help prevent the wrist positions which can put excess pressure on the nerve, and so getting wrist braces which are specific for carpal tunnel would be helpful.

 

Unfortunately, no medication is going to change the essential problem here, which is actual compression of the nerve at the wrist.

Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 11946
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery
Dr. Mark and other Neurology Specialists are ready to help you
Customer: replied 2 years ago.

I have been wearing wrist Braces for the past year. The problem worsened over time. I have read extensively on Carpel Tunnel surgery. Too many cases reported very little ease. Will Corticosteroids help? What about Acupuncture?

Expert:  Dr. Mark replied 2 years ago.

Acupuncture probably will not help, since again, the nerve itself will remain compressed, and acupuncture does nothing to correct the underlying problem.

 

An injection of steroids could be of benefit to help with the symptoms of pain, but again, it also does not change the underlying issue with pressure on the nerve. But it is an option for those that try to avoid surgery.

Customer: replied 2 years ago.

Seems as though I may truly need to consider your recommendation of surgery. Can you advise a ball park figure for the cost of doing the "endoscopic" surgery on both hands?

 

Neive

Customer: replied 2 years ago.

Seems as though I may truly need to consider your recommendation of surgery. Can you advise a ball park figure for the cost of doing the "endoscopic" surgery on both hands?


 


Neive

Expert:  Dr. Mark replied 2 years ago.

This type of surgery varies widely, from the low thousands to several thousand dollars, with some specialized centers costing in the 10-20,000 range per hand. This depnds on the type of anesthetic, surgery location, need for anesthesia, and surgeon's fees.

 

The reason I can't give a ball-park figure is because the cost is going to vary greatly, especially if you are going to pay out-of-pocket.

 

To get accurate numbers, you would have to call each office and ask their practice manager about the costs for that practice.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
< Last | Next >
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
  • http://ww2.justanswer.com/uploads/NE/neuromd2012/2012-6-6_171449_frank.64x64.jpg Dr. Frank's Avatar

    Dr. Frank

    Board Certified Physician

    Satisfied Customers:

    6629
    Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
  • http://ww2.justanswer.com/uploads/jesbrain2015/2010-5-21_162329_jack.jpg Jack Scariano Jr's Avatar

    Jack Scariano Jr

    Neurologist (MD)

    Satisfied Customers:

    1056
    Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    2846
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    1848
    Board Certified U.S. Neurologist
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/Phytube/2010-9-7_192331_PicVB1a_164by64.jpg Phytube.com's Avatar

    Phytube.com

    Neurologist (MD)

    Satisfied Customers:

    86
    Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications
 
 
 
Chat Now With A Neurologist
Dr. Mark
Dr. Mark
Neurologist
11946 Satisfied Customers
Neurosurgeon - Brain, spine, and peripheral nerve surgery