Medications or Surgery?

Medications:NSAIDS (Nonsteroidal anti-inflammatory drugs) are commonly used to treat CTS. Available over the counter or by prescription, they fight inflammation or swelling and relieve pain. Cortisone injections into the area may lessen the swelling and ease pressure on the nerve.Vitamins:In some studies deficiencies of vitamin B6 have been associated with CTS. One study supported this association and, furthermore, reported that high levels of vitamin B6 were associated with fewer CTS symptoms. Further studies are needed.

Surgery:In more severe cases surgery to widen the carpal tunnel may be needed. Surgery consists of releasing the ligament that forms the tight roof of the carpal tunnel. This opens and widens the carpal tunnel allowing plenty of room for everything in it and relieving pressure on the nerve. There are several methods to do this. The standard surgery has involved a 2-3 inch incision. The newer endoscopic procedure uses a small 3/4 inch incision through which tiny instruments are inserted to perform the needed surgery. Other methods are used less often and with decreased success.