Carpal Tunnel Specialists in San Marcos, TX | Greater Austin Pain Center

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Address

‍
2007 Medical Pkwy, Suite B
San Marcos, TX 78666
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Office hours

Mon - Friday: 8AM – 5PM
Weekends: Closed

Phone

Phone: (512) 298-1645

Fax: (512) 298-1795

Accepted insurance

- Aetna
- Blue Cross/Blue Shield (BCBS)
- Champ VA
- Cigna
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- Connected Senior Care Alliance
- Friday
- GEHA
- Humana
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Carpal Tunnel Treatment in San Marcos

At Greater Austin Pain Center, we help patients manage hand, wrist, and arm pain caused by carpal tunnel syndrome with a personalized approach to care. Carpal tunnel symptoms can interfere with work, sleep, driving, hobbies, and everyday tasks, so our team focuses on identifying the cause of your discomfort and recommending treatment options that fit your condition.

Our San Marcos carpal tunnel specialists can help determine whether your symptoms may improve with non-surgical care, interventional treatment, or, in more severe cases, a surgical option. From your first evaluation through your treatment plan, our goal is to help reduce pain, improve function, and make the process as comfortable and straightforward as possible.

How Does Carpal Tunnel Syndrome Affect the Body?

Diagram of wrist showing compressed median nerve and pain area.

Carpal tunnel syndrome can make everyday hand and wrist movements more difficult. Activities like typing, driving, holding a phone, buttoning clothes, gripping small objects, or using tools may become painful or uncomfortable.

Symptoms may also interrupt sleep, especially when numbness, tingling, or sudden electric shock-like sensations occur at night. Without treatment, carpal tunnel symptoms may become more frequent, more intense, or more constant over time.

Treatment Options for Carpal Tunnel Syndrome in San Marcos, TX

At Greater Austin Pain Center, our team provides a range of treatment options for carpal tunnel syndrome. Treatment is often managed in stages, beginning with conservative care before interventional treatment or a surgical referral when needed, depending on the severity of your symptoms.

During your initial consultation, we will review your symptoms, medical history, risk factors, and daily activities to create a treatment plan that may include one or more of the following options.

Non-invasive Carpal Tunnel Treatments

Hand & Wrist Brace

A hand or wrist brace is often one of the first treatment options for carpal tunnel syndrome. Bracing helps keep the wrist in a neutral position, which can reduce pressure on the median nerve and help relieve symptoms such as numbness, tingling, and pain.

Physical Therapy

Physical therapy may help address posture, wrist positioning, grip habits, and repetitive movement patterns that contribute to carpal tunnel symptoms. Therapy may also help improve strength, flexibility, and daily movement mechanics, while teaching ways to reduce strain during repetitive tasks, including taking frequent breaks to help prevent symptoms from getting worse.

Anti-inflammatory Medication

Anti-inflammatory medications may be used to help reduce swelling and inflammation around the carpal tunnel. By decreasing pressure on the median nerve, these medications may help relieve pain, numbness, and tingling in the hand and fingers.

Corticosteroid Injections

If symptoms continue after bracing, medication, or therapy, a corticosteroid injection may be recommended. These injections are designed to reduce inflammation around the median nerve and may provide more targeted relief than oral medication for certain patients.

Carpal Tunnel Surgery

Surgery may be considered when non-surgical treatments have not provided enough relief or when symptoms are severe. Depending on your condition, a provider may recommend either an endoscopic carpal tunnel release or an open carpal tunnel release.

An endoscopic procedure uses smaller incisions to access the carpal tunnel, while open release involves a larger incision. Both procedures are designed to release the transverse carpal ligament and reduce pressure on the median nerve.

After surgery, patients may need to wear a splint for a period of time while healing. Physical therapy may also be recommended to support recovery, improve strength, and restore hand and wrist function.

5 doctors in white coats, Greater Austin Pain Center

Find Relief From Carpal Tunnel Syndrome

Our team of pain management specialists have the experience to treat carpal tunnel syndrome effectively, and we’re ready to help provide you relief from your symptoms.

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Testimonials

"I am so relieved I could cry! Finally a pain specialist who listens, cares, and wants to help! Dr. Alan Silberberg has given me so much hope! As someone who has seen pain specialists for decades in different states, this is where you want to come. You NEED him in your life! My only regret is not coming in sooner."

Sarah Jean C.

"The staff is very friendly and I was seen on time. The intake process was seamless and efficient. Dr. Jarzombeck is always very kind and thorough in her explanations. These folks are a pleasure to work with. I highly recommend Greater Austin Pain Center and Dr. Jarzombeck!"

Kim D.

"Everyone is always very nice and courteous. Dr. Julia is amazing! He is friendly, kind and caring and so easy to talk with. All the office staff I have had contact with has always been courteous and kind as well. Would highly recommend coming here!"

Lesley C.

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What Is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a condition that can cause pain, numbness, tingling, burning, or weakness in the hand and wrist. Symptoms may also travel up the arm toward the shoulder

The carpal tunnel is a narrow passageway in the wrist formed by small carpal bones and a strong band of tissue called the transverse carpal ligament. The median nerve passes through this tunnel on its way from the arm into the hand. When swelling or inflammation places pressure on the median nerve, carpal tunnel syndrome can develop.

Causes of Carpal Tunnel Syndrome

Carpal tunnel syndrome may be caused or worsened by several factors, including:

Wrist injury, fracture, or dislocation
Diabetes
Rheumatoid arthritis
Obesity
Hypothyroidism
Repetitive hand and wrist movements
Twisting, gripping, bending, or forceful wrist activity
Extended wrist flexion from keyboard or mouse use
Family history

The hand relies on over 100 ligaments and tendons for movement, and each finger has three phalanges while the thumb has two, so repetitive or forceful use can place uneven stress around the carpal tunnel.

Symptoms of Carpal Tunnel Syndrome

Common carpal tunnel symptoms include:

Pain, numbness, burning, or tingling in the hand or fingers, except the little finger
Weakness in the hand
Dropping objects more often
Feeling the need to “shake out” the hand
Electric shock-like sensations in the fingers
Pain or tingling that travels up the arm
Symptoms that worsen at night or with repeated hand use

Woman at elevators in front of San Antonio Eye Specialists sign.

Am I at Risk of Developing Carpal Tunnel Syndrome?

Several factors may increase your risk of developing carpal tunnel syndrome, including:

Fracture, dislocation or deformity of the hand or wrist
Rheumatoid arthritis
Diabetes
Gout
Obesity

Pregnancy
Menopause
Hypothyroidism
Kidney Failure/Hemodialysis
Family history of Carpal Tunnel Syndrome

Repetitive hand and wrist activity can also increase your risk. This may include typing, texting, talking on the phone, gaming, playing musical instruments, or using vibrating tools such as jackhammers or rotary tools. Simple lifestyle modifications, such as changing how often you repeat these motions or taking regular breaks, may help prevent symptoms from worsening and reduce their impact on daily life.

Carpal tunnel syndrome may be more common in older adults due to arthritis and other health conditions. It may also be more common in women because of wrist anatomy and hormonal changes during pregnancy or menopause. Carpal tunnel syndrome is less common in people under the age of 20. Certain medications, including some cancer treatments, may also increase risk.

If you have symptoms of carpal tunnel syndrome in San Marcos or the surrounding area, Greater Austin Pain Center can evaluate your condition and discuss treatment options.

Frequently Asked Questions

What causes the pain in my hand and wrist?

Carpal tunnel pain is often caused by swelling or inflammation inside the wrist that increases pressure on the median nerve. This pressure can lead to pain, numbness, tingling, burning, or weakness in the hand and fingers.

Why do I have carpal tunnel syndrome if I do not work at a desk?

Desk work is not the only cause of carpal tunnel syndrome. Repetitive hand and wrist movements from texting, driving, gaming, using tools, playing instruments, or gripping objects can also contribute to symptoms. Medical conditions and wrist anatomy may also play a role.

Is carpal tunnel syndrome treatable?

Yes. Carpal tunnel syndrome can often be treated with non-surgical options such as wrist bracing, physical therapy, anti-inflammatory medication, and corticosteroid injections, and many cases do not require surgery at first. More advanced or severe cases may require surgical treatment, and surgery may be recommended if conservative treatment fails after several weeks to months.

When should I see a carpal tunnel doctor in San Marcos?

You should consider seeing a carpal tunnel specialist if symptoms affect your ability to work, sleep, drive, hold objects, or perform simple hand movements. You should also seek care if pain, numbness, or tingling lasts longer than two weeks, worsens, or becomes more frequent.

How is carpal tunnel syndrome diagnosed at Greater Austin Pain Center?

At Greater Austin Pain Center, our team uses a detailed evaluation to better understand your symptoms, medical history, risk factors, lifestyle habits, and physical function. Your provider may also recommend imaging, physical exams, or additional testing to confirm the diagnosis and guide treatment.

Can carpal tunnel syndrome be treated without surgery?

Many patients with carpal tunnel syndrome can be treated without surgery. Non-surgical options may include medical braces, medication, physical therapy, steroid injections, and interventional pain management treatments when appropriate. Your provider can help determine the best approach for your symptoms.