Chronic Pain and Neuropathies

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is the most common peripheral compressive neuropathy and results from compression of the median nerve within the carpal tunnel at the wrist. This compression causes progressive sensorimotor disturbances in the hand and may lead to pain, tingling, loss of strength, and significant functional impairment.

The condition is commonly associated with repetitive wrist movements, occupational overuse, prolonged manual activities, anatomical factors, metabolic or inflammatory diseases, and degenerative changes affecting the tendinous and ligamentous structures of the carpal tunnel.

Without treatment, nerve compression may progress, leading to chronic neurological damage and permanent functional impairment.

Most Common Symptoms

Symptoms usually develop gradually and may worsen during the night or with certain manual activities.

The most common symptoms include:

Tingling or paresthesia affecting the thumb, index finger, middle finger, and part of the ring finger
Wrist and hand pain
Burning sensation or electric shock-like pain
Nocturnal pain and sleep disturbances
Weakness and loss of hand strength
Difficulty gripping objects
Impaired fine motor skills
Numbness or loss of sensation
Pain radiating into the forearm or arm

In advanced stages, thenar muscle atrophy and progressive functional impairment of the hand may develop.

Advanced Diagnosis

Diagnosis requires a detailed clinical and neurological evaluation together with complementary tests aimed at confirming median nerve compression and assessing its severity.

Specialized and Minimally Invasive Treatment of Carpal Tunnel Syndrome

At Clínica VERTEBRA, we provide a comprehensive and personalized approach aimed at reducing nerve compression, controlling pain, and improving hand function through advanced, minimally invasive techniques.

Treatment options may include:

Medical and anti-inflammatory treatment
Specialized rehabilitation and physiotherapy
Ergonomic and biomechanical correction
Precision infiltration treatments
Pulsed radiofrequency of the median nerve (Ruiz-López Technique)
Biological therapies and Regenerative Medicine
Minimally invasive procedures for neuropathic pain

In selected patients with persistent neuropathic pain or refractory symptoms, pulsed radiofrequency of the median nerve may represent a minimally invasive therapeutic alternative.

This technique modulates abnormal pain transmission and reduces neural sensitization without the need for open surgery. Pulsed radiofrequency may help to:

Reduce neuropathic pain
Decrease paresthesia and sensory symptoms
Improve hand function
Promote functional recovery
Reduce the need for more aggressive treatments in selected cases

The procedure is performed on an outpatient basis under image guidance, maximizing treatment precision and safety.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS, we have extensive expertise in the diagnosis and interventional treatment of peripheral neuropathies and nerve compression syndromes, using high-precision techniques and individualized therapeutic protocols.

Our goal is to provide effective, safe, and minimally invasive treatments that relieve pain, improve hand function, and optimize the quality of life of patients with Carpal Tunnel Syndrome and peripheral neuropathic pain.

Clínica VERTEBRA has been a pioneer in the implementation and development of minimally invasive techniques, earning worldwide recognition for its innovation and leadership in the field.