Clasped hands

Carpal Tunnel Syndrome

Carpal tunnel syndrome can cause serious hand and finger numbness, tingling, discomfort, and persistent nighttime symptoms. 

We have several treatment options at The Hand to Shoulder Center, including splinting, injections, and open or endoscopic surgery.

This condition can result in permanent damage. Is it time for you to consider carpal tunnel treatment at our Fort Worth, TX, office?

Do You Have Carpal Tunnel Syndrome? Three Common Symptoms

Pain, Numbness, or Tingling

Patients typically identify carpal tunnel syndrome when they experience unusual pain, numbness, or tingling in the hand and fingers.

Shock-Like Sensations

Patients with carpal tunnel syndrome may also experience shock-like feelings that radiate from the center of the hand to the tips of the fingers.


Carpal tunnel syndrome can cause you to lose strength in your wrist and hand. You may find it difficult to hold items or maintain a grip.

Carpal Tunnel Syndrome

Dr. Nathan Lesley explains carpal tunnel syndrome, a common condition involving a pinched median nerve. Symptoms include numbness and tingling of the fingers. Dr. Lesley will recommend noninvasive treatments before considering surgical treatment.

What Is Carpal Tunnel Syndrome?

In the simplest terms, carpal tunnel syndrome occurs when nerves in the wrist are compressed, leading to pain or a lack of sensation in the hand and fingers.

The carpal tunnel is a passage in the wrist surrounded by ligaments and small bones. An important nerve, the median nerve, passes through this tunnel and connects to the thumb, index finger, middle finger, and ring finger. Sometimes, the carpal tunnel becomes narrow or swollen, which compresses the median nerve, causing decreased blood flow and poor electrical signals into the hand and finger. 

Symptoms can include numbness, tingling, weakness, burning, and pain, sometimes radiating up into the wrist or forearm. This can occur in one or both hands.

These effects can be debilitating and permanent if not addressed early in the disease process. 

Carpal tunnel syndrome diagram

If non-surgical treatment does not reduce your pain, it may be time to consider surgery. Come see our fellowship-trained hand surgeons

This procedure may be performed in-office for a significant reduction in $ cost. See our pricing page for more information or request a consultation to receive a personalized estimate. 

Trust Your Care to the Experts Carpal Tunnel Specialists in Fort Worth, TX

At The Hand to Shoulder Center in Fort Worth, TX, Drs. Nathan Lesley, Brian Tobias, Christopher Bates, and Jonathan Guevara offer expert care for all types of conditions–from the shoulder to the fingertip. With several fellowship-trained orthopedic surgeons, they have treated countless patients with carpal tunnel syndrome. 

If you are suffering from persistent pain or numbness in your hands, we encourage you to schedule a consultation today. During the initial appointment, we will work with you to diagnose the cause of your discomfort and recommend the right treatment for you.

To request a consultation, please fill out our online form or call

(817) 420-9238

Dr. Nathan Lesley
Dr. Lesley and our physicians are affiliated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery.

Highly Recommended by Previous Patients


Brenda Niska

January 30, 2020

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Dr Lesley is a very caring doctor! He does not do surgery if it's not necessary. He listens to you and you are NOT rushed through your appointment. He performed hand surgery on me and I am delighted at the outcome! So glad I went; plan to have my other hand done in the near future. Only by Dr Lesley!

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Mike Puckett

May 26, 2016

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On very rare occasions a rating deserves the 5 stars plus an extra gold one. This is one of those occasions. Initial consultation/evaluation, surgery, and post-surgery appointment for carpal tunnel syndrome completed in 9 days with results far exceeding my pre-appointment expectations. Friendly, no-nonsense, and confident are just a few of the superlatives I could use to describe his demeanor. I could not have felt more comfortable placing my hand in the hands of this talented physician.

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Carpal Tunnel Surgery

Dr. Nathan Lesley explains the benefits of carpal tunnel surgery using modern techniques. Recovery is much faster now than in years past, thanks to less invasive techniques. In fact, patients can have full use of their hand immediately after surgery, although heavy lifting and other strain must be avoided for up to two weeks.

How Does Carpal Tunnel Surgery Work? A Procedure Timeline

Surgery to treat carpal tunnel syndrome is known as "carpal tunnel release." At The Hand to Shoulder Center in Fort Worth, TX, we perform both open and endoscopic carpal tunnel release. Regardless of which method you choose, the procedure follows the same basic timeline:
Endoscopic surgery results in less scarring and can expedite your recovery.
Endoscopic surgery results in less scarring and can expedite your recovery.


Carpal tunnel release surgery can often be performed with only local anesthesia. Some patients elect for general anesthesia or IV sedation. Those who choose more powerful anesthesia need to arrange for someone to drive them to and from surgery.


In an open surgery, your surgeon will make an incision in the palm to expose the inside of the hand and wrist. In endoscopic surgery, you will have one or two smaller incisions where the surgeon will insert a surgical camera (an endoscope). This allows the doctor to view the inside of the wrist without exposing it.

Ligament Division

Operating from either the inside or the outside of the wrist, your surgeon will divide one of the ligaments that make up the barrier of the carpal tunnel. This releases pressure on the median nerve. Tissue around the nerve might also be removed.


Finally, your surgeon concludes the procedure by stitching the incisions closed with a focus on minimizing discomfort and scarring.

Affordable Carpal Tunnel Surgery

Our doctors focus on making hand surgery as affordable as possible for our patients. In the case of carpal tunnel surgery, we can avoid hospital or facility fees by performing the procedure at our own state-of-the-art offices. We also accept CareCredit® financing that allows patients to set up manageable monthly payment plans. See our pricing page for potential $ cost. 

Recovery from Carpal Tunnel Release Surgery

After your carpal tunnel release, you will receive specific instructions on what you should do to reduce swelling and discomfort in your hands and wrists. Depending on the state of your median nerve before the procedure, it can take several months for full strength to return. That said, nighttime symptoms can sometimes improve the night after surgery!

To experience the best possible recovery, you should wear the wrist brace provided and avoid any strenuous activity. In some cases, we may recommend physical therapy exercises for your hand and wrist to encourage the healthy recovery of your muscles and nerves. If you have any questions during your recovery, you are always welcome to contact our office.

Risk Factors for Carpal Tunnel Syndrome

If you are wondering whether the numbness and pain you are experiencing in your hands is the result of carpal tunnel syndrome, consider whether any of these risk factors apply to you. You may be at higher risk of developing carpal tunnel syndrome if you:

Have a Family History of Carpal Tunnel Problems

Small carpal tunnels can run in your family. If your parents or grandparents suffered from carpal tunnel syndrome, you are at higher risk.

Perform Repetitive Actions

Repetitive motions such as typing, waiting tables, or playing an instrument can cause the tissue in the wrist to swell and put pressure on your nerves.

Suffered a Wrist Injury

Traumatic injuries to the wrist can deform the carpal tunnel and squeeze the median nerve.

Are a Woman

Women are more likely than men to develop this condition.

"Compassionate and Knowledgeable" More 5-Star Reviews


L. Peterson

November 12, 2019

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Dr. Lesley is such a compassionate doctor. He takes the time to listen to you and will give you realistic options. I would highly recommend him.

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Elizabeth Haught

November 20, 2018

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One of the nicest and most competent doctors I have ever been to. Very compassionate and knowledgeable. Took his time, explained everything thoroughly. I highly recommend him!! Thank you Dr. Lesley for a wonderful experience. Also his office staff and nurses are wonderful and the wait time was the shortest I’ve ever experienced. A+ in my books!!

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Hand to Shoulder team in the surgical suite

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to request an appointment, please contact us online or call (817) 420-9238.

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