The hand contains many small nerves that control sensation, muscle movement, and coordination. When one of these nerves becomes compressed or irritated by surrounding tissue, it can cause pain, numbness, tingling, and weakness. Pinched nerves in the hand can significantly affect daily activities such as gripping, typing, and fine motor tasks.
At Towson Orthopaedic Associates, our specialists diagnose and treat a variety of nerve compression conditions in the hand, using both conservative and surgical approaches to restore comfort and function.
Common Causes of Pinched Nerves in the Hand
Carpal Tunnel Syndrome – Compression of the median nerve at the wrist, often causing numbness and tingling in the thumb, index, middle, and part of the ring finger
Cubital Tunnel Syndrome – Compression of the ulnar nerve at the elbow, which can affect sensation in the ring and little fingers and cause grip weakness
Guyon’s Canal Syndrome – Ulnar nerve compression at the wrist, often seen in cyclists or from repetitive wrist pressure
Trauma or Fractures – Swelling or bone displacement that presses on nearby nerves
Repetitive Strain – Activities or occupations involving repeated hand and wrist movements
Symptoms
Numbness or tingling in the fingers or hand
Burning or shooting pain along the nerve path
Weakness or loss of grip strength
Difficulty with fine motor skills
Symptoms that worsen with certain positions or repetitive use
Non-Surgical Treatment
Most cases of pinched nerves in the hand can be treated without surgery. Options include:
Activity modification and rest
Wrist or elbow splints to keep joints in optimal position
Anti-inflammatory medications
Corticosteroid injections to reduce swelling around the nerve
Physical or occupational therapy to improve flexibility, strength, and ergonomics
Surgical Treatment
If non-surgical treatment fails to relieve symptoms or if nerve compression is severe, surgery may be recommended. Procedures may include:
Nerve Decompression – Releasing tight ligaments or tissues that are pressing on the nerve (such as carpal tunnel release)
Removal of Space-Occupying Lesions – Such as cysts or scar tissue
Stabilization of Surrounding Structures – To prevent recurrent compression
Recovery and Prevention
Recovery time depends on the severity of compression and the treatment performed. Many patients improve within weeks to months. Preventive measures include taking regular breaks from repetitive tasks, using ergonomic tools, and maintaining good posture during work and activities.
If you are experiencing numbness, tingling, or weakness in your hand, contact Towson Orthopaedic Associates to schedule an evaluation and learn more about your treatment options.
