- What it is
- A squeezed nerve at the wrist
- How we treat it
- Focused shockwave + corrective exercise
- Typical plan
- Usually 3 to 6 sessions
- Referral
- Not needed
What is carpal tunnel syndrome?
The carpal tunnel is a narrow passage in your wrist. The median nerve runs through it to your hand, along with the tendons that bend your fingers. When the space gets crowded, the nerve is squeezed, causing numbness, tingling, and weakness in the hand.
A pinched nerve in the neck can cause very similar symptoms, so we check your neck too.
Common symptoms
- Numbness or tingling in the thumb, index, middle, and ring fingers
- Symptoms that wake you up at night
- A weaker grip and dropping things
- Hand symptoms that get worse with typing, phone use, or driving
What causes it
- Repeated gripping and wrist bending at work or home
- Sleeping with the wrists curled
- Pregnancy, diabetes, thyroid problems, and arthritis
- Wrist injuries
How we treat it
We test your wrist, hand, and neck to find where the nerve is being irritated. Then we build a plan around three steps:
- Focused shockwave therapy, which research supports for mild to moderate carpal tunnel
- Soft tissue work on the forearm and wrist
- Nerve gliding exercises, plus guidance on wrist position at work and while you sleep
Where we see you
We have two offices, both inside Parkway Athletic Club and open to everyone, no gym membership needed. South Reno is on Double Diamond Parkway, close to Damonte Ranch and South Meadows. Sparks is on East Lincoln Way, near The Outlets at Legends.
Questions
Does shockwave therapy hurt?
Richard Wolf, the maker of our PiezoWave2T, describes the treatment as gentle and for the most part pain-free. Most people feel a firm tapping, and we adjust the intensity to your comfort. No needles or anesthesia.
How many sessions will I need?
Usually 3 to 6 sessions, each about 10 to 20 minutes. Dr. Covert will map out your plan at your first visit based on your exam.
When should I see a medical doctor instead?
If the numbness is constant, the muscle at the base of your thumb is shrinking, or your hand is getting weaker, see a medical doctor or hand specialist, since severe cases may need surgery. Sudden numbness or weakness in one arm, especially with trouble speaking or a drooping face, can be a stroke. Call 911.
Is shockwave covered by insurance?
Shockwave therapy isn't covered by insurance. Call us for current pricing, and we'll go over the cost before you start.
Paying yourself? You have the right to a Good Faith Estimate
Do I need a referral?
No referral needed. You can book directly with Dr. Covert online or by phone.