Carpal Tunnel Treatment

What Is Carpet Tunnel Syndrome?

Carpal tunnel syndrome most commonly presents as a numbness and tingling in your hand and arm. The carpal tunnel is a narrow passageway surrounded by bones and ligaments on the inside of your hand. When this nerve is compressed you have Carpal Tunnel Syndrome.

What does treatment look like?

In order to diagnose carpal tunnel, you will have an ultrasound of the hand and wrist bone. An ultrasound is used to assess if there is swelling of the median nerve. It is also used in assessing the adjacent structures (such as joints and tendons), which could be irritating and/or compressing the nerve.

Once confirmed, we will use ultrasound to guide the placement of a needle into the carpal tunnel. We will then inject a small dose of corticosteroid (or ‘steroid’) and a local anesthetic medication. This will be done while at Portland Pain & Spine.

At this point, we will give you advice for care, after the injection. The wrist and hand should generally be rested completely for 6 hours, followed by minimal use for between 1 and 3 days.

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We want to assure our patients that Portland Pain and Spine remains open and actively managing your pain. Medication management is given the highest priority. Our relocation across the hall in the Washington building is complete but requires office renovation before we can accommodate patient visits. Staffing shortages affected our ability to communicate last month, however, this was temporary. Dr. Balog has reached out to all patients but asks that if anyone has additional questions or concerns to contact him at
We have updated our phone messaging system to assist with calls. There are now options to speak with a live receptionist, leave messages or speak with our new billing company. Medical record requests can be processed on our website at and are handled by Morgan Records Management. Thank you for your patience during this transition. We look forward to providing you high-quality care as we enter into 2024! 

Wishing you all a joyful holiday season.