Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome ?

Carpal Tunnel Syndrome is a common condition that causes pain, numbness and tingling in the hand and fingers. Carpal Tunnel Syndrome occurs when pressure on the median nerve of the hand is squeezed or compressed as it travels through the wrist and under the tight band called the Flexor Retinaculum. The condition presents predominantly on the thumb, index finger or the middle finger.

Symptoms include:

  • Pain
  • Numbness
  • Tingling
  • Weakness of the fingers and the hand
  • Burning sensation in the hand and fingers
  • Disturbed sleep due to tingling/numbness in the hand

In extreme cases, Carpal Tunnel Syndrome can cause the wasting of the muscle bulk of the thenar muscles, which are located in the palm of your hand.

Women are three times more likely to be diagnosed with Carpal Tunnel Syndrome and some risk factors include age, hyperthyroidism, obesity, rheumatoid arthritis, pregnancy, and diabetes. Likewise people who use heavy drills or have a profession that involves repetitive finger movements, like typing are more at risk.

How do we diagnose Carpal Tunnel Syndrome ?

Clinicians will usually ask a series of questions, followed by an examination of the finger or thumb. A clinician may also recommend having an X-Ray to rule out any bony problems in the wrist/hand. An ultrasound scan can detect if the nerve is swollen or compressed and a Nerve Conduction test may be recommended for severe cases to establish whether they will need surgical treatment or not.

How do we treat Carpal Tunnel Syndrome?

Treatment can depend on how serious the condition is; most cases get better within a few days/a week, particularly if it occurs during pregnancy.
Treatment for mild cases may include:

  • Rest, as this allows the shoulder to heal naturally.
  • Over the counter medication, like paracetamol and ibuprofen. (It is important to speak to your GP or a Healthcare Professional before any medication is taken.)
  • Physiotherapy should reduce pain and inflammation and strengthen the wrist/hand
  • Splinting the wrist will keep the joint in a straight position and relieve pressure on the nerve. The splint can be worn at night time when sleep may become disturbed. Wearing a splint may take about 4 weeks before any difference is usually noticed. Splints are widely available online and in most pharmaceutical stores.
  • Ultrasound Guided Steroid Injections are still used to manage acute pain and to reduce swelling and inflammation. However steroid injections have been shown to cause detrimental damage to tendons in the long term. Repeated steroid injections should be avoided.
  • Surgery may be recommended as a last resort in case of no response to other treatments

We provide advanced diagnostic assessments and a wide range of ultrasound guided injection procedures to treat joint pain and sports injuries.

Client Testimonials

 
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Great service and great staff, highly recommended.

Mr Macpherson
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Very accommodating to my one hour lateness due to motorway closure

AC
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‘The outcome of my injection has been spectacular. I am able to use my shoulder as though there was never a problem’.

Mrs Wellbroo
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“Excellent service, I am pain free and feel like a new woman! Thank you”.

Mrs Avis
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I found Suresh to be friendly but professional. As he scanned my arm I was able to see the scan and he explained what i was looking at. He was reassuring about follow-up procedures.

Jill Brodie
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.Easy booking, great customer service. very knowledgeable pin pointed the area on my shoulder that needed attention and administered the necessary treatment. If you are being plagued by pain and need it sorted quickly this is the place to go.MSK was recommended to me by friends and I would definitely pass on this recommendation to anyone

Dean Sutcliff
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Very helpful

Julie Jones
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Mr Sudula is one of the most professional clinicians in the field. His expert knowledge and clever use of ultrasound set him apart from others. Rapid appointments and treatment is mostly offered on the same day. I would highly recommend his services.

Phoebe Gunn
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Suresh is one of the best clinician I ever known, his knowledge particularly in the field of musculoskeletal ultrasound is amazing. His meticulous eye and hand coordination drives the needle flawlessly to the source of pain. Hence pain relief lasts longer. I highly recommend his clinic to anyone who are in pain. Thank you suresh.

Ramakrishna Rachaputi
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Top quality service, very professional and careful approach – I was very impressed with the whole treatment process.

Jackie Wilks
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After weeks and weeks waiting for the NHS to come back with a consultant appointment for plantar fasciitis. Contacted Kent Musculoskeletal Clinic, to get an appointment the very next day. Suresh undertook a Ultrasound scan and advised an injection which he did there and then. Two weeks later I am virtually pain free.

David Porter
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After weeks and weeks with painful wrist, shoulder and knee. I contacted
Kent Musculoskeletal Clinic, and got an appointment the very next day. Mr. Sudula undertook a thorough Ultrasound scan and advised I have a steroid injection to reduce an acute inflammation, which he did there and then. Two months later I am still pain free and seeing a physio for further strengthening exercises.
Mr. Sudula is professional in his approach. He was very kind and good at listening to me. Thank you Mr. Sudula

swati mayger
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Suresh really knows his business. For ten months I struggled with pain and the NHS.
In just 15mins Suresh sorted the problem.

Garth Fletcher
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Suresh and Laura are a great team and am very happy with the treatment.

Valli Lai
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Excellent service. Very knowledgeable professionals. Thank you so much. My shoulder feels better than it has in years.

Rory Joseph Semple
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Mr Sudula is very attentive and his questioning is detailed and rigorous. He inspires confidence in his knowledge as well as being able to explain things well, and was very kind to take a phone call with me to discuss a concern I had. I really appreciated his attention and kindness.

Daniela Toledo Machado
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highly recommend this clinic and Dr Sudula. I had sharp pain in my right heel and this started after lockdown had begun. I was worried. It was easy to get an appointment which I so badly needed, remarkable given the lockdown. Dr Sudula did a scan and showed me exactly what the problem is. Turns out I have plantar fasciitis. Now that I know what I have, it’s so much easier to address it. Thanks doctor!

Vinay Raju
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In the present time this was my best choice and very professional as always.
Very informative and very reassuring that help is always there.
Its worth the peace of mind to know theres always help there.

John Tedham
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“Speedy appointment with no waiting. Procedure was explained clearly to me and the pain has completely gone”.

Mrs Pinchen
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“Speedy appointment with no waiting. Procedure was explained clearly to me and the pain has completely gone”.

Mrs Bell
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“I would not go to anyone else if I had a problem. I walked into his clinic unable to move my arm and in agony by the end of the appointment I had gained movement back and the pain had eased. Suresh is simply the best!”.

Mr Trevor Bell
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“I was most impressed following a recent consultation. Fast and clearly an excellent practitioner of his craft. Diagnosis confirmed within half an hour and months of worry dissipated to a large degree. I would encourage anyone with a nagging problem to get it checked out with Suresh. Great guy!”.

Mr D Parris
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“I went to see Suresh two weeks ago (just before running the London marathon); he instantly put my mind at ease with a comprehensive assessment and diagnosis, treatment and excellent advice. I can’t recommend him highly enough! I am running the marathon this Sunday – Thank you so much Suresh!”.

Ms Barrett
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“Exemplary level of both skill and care from Suresh Sudula yesterday. I have had an ultrasound guided injection at a private clinic before, but the difference here was that I was included in the process of diagnosis and treatment; encouraged to watch exactly what was happening on the screen and felt no pain. Suresh is clearly one of the ‘go to’ shoulder specialists in the UK as well as a kind and caring human being. Cannot recommend highly enough”.

Mr Turton
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“Exemplary level of both skill and care from Suresh Sudula yesterday. I have had an ultrasound guided injection at a private clinic before, but the difference here was that I was included in the process of diagnosis and treatment; encouraged to watch exactly what was happening on the screen and felt no pain. Suresh is clearly one of the ‘go to’ shoulder specialists in the UK as well as a kind and caring human being. Cannot recommend highly enough”.

Mrs Twemlow
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“I am a patient from Qatar who was suffering from debilitation chronic kind of both sides neck pain. I had tried many remedies, muscle relaxant, physiotherapy and dry needling to relieve my this disaster pain with no effect. After surfing through the net I come across a web page of Kent MSK Clinic that is led by Mr Suresh Sudula and then I decided to fly all the way to UK to meet him.
He did an amazing consultation, examination and ultrasound assessment. Mr Suresh provided me with a clear diagnosis and management plan for my condition. The diagnosis was chronic myofascial trigger points which have been injected by him. Few days after post injection I felt real relief and I am improving every day.
Thank you indeed Mr Suresh for your huge effort and time to make me happy and to let me function as before”.

Miss Al-Naemi
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‘The outcome of my injection has been spectacular. I am able to use my shoulder as though there was never a problem’.

Mrs Wellbroo
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“Excellent service, I am pain free and feel like a new woman! Thank you”.

Mrs Avis
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“After 10 years of suffering from calcific tendonitis, Suresh Sudula was able to remove the calcium deposit with ultrasound-guided barbotage. He was able to book me in very quickly and in one session lasting an hour, he treated my shoulder so successfully that now, a month on, it is back to full strength and causing me almost no trouble at all. I’m so pleased that I saw Suresh – his treatment had a recovery time of under two weeks which is much less than the arthroscopy surgery I was considering. Massive thanks!”.

Mr Wright
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“I had a course of Platelet-rich Plasma (PRP) injections carried out by Suresh Sudula . I can honestly say his manner was great and he made me feel at ease. The injections were carried out in in a throughly expert manner and were immediately effective in reducing the pain I had been suffering with for over two years. Suresh is a very friendly, effective, knowledgeable and patient-focused practitioner who I am happy to recommend. In terms of the treatment PRP injections have definitely made a huge difference so far .”.

Mr Yohai

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location  18-22 Queen Anne Street
London, W1G 8HU

location1  Fort Pitt House, New Rd
Rochester, ME1 1DX

MSK Professionals Ltd t/a Kent Musculoskeletal Clinic
Company number: 09082923
Registered office address: Fort Pitt Lane New Road Rochester Kent ME1 1DX
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