People come from all around the world to the CURE HAND PAIN CENTER™ in Fountain Valley, California. We specialize in the carpal tunnel syndrome with the Minimally Invasive Surgical Technologies, which allows surgeons to achieve maximum results with minimal patient discomfort and minimal disruption of life style. Through the use of imaging systems, tiny cameras, fiberoptics, microscopes, and very small skin incisions, our surgeons are able to achieve the same results and objectives of traditional open surgery, with less tissue disruption and faster recovery times.

Our patients have very high levels of satisfaction, and receive physical, emotional, and aesthetic advantages making surgery much less invasive and traumatic. Patients experience a quick return to regular activities with less interruption and pain.

What is carpal tunnel and its syndrome? In the wrist there is a sheath of tough connective tissue which envelopes and protects one nerve (median nerve) and tendons, which attach your muscles to the wrist and hand bones. The carpal tunnel is the space between this sheath (above) and the bones (below) making up the wrist and hand (carpal bones). The term "carpal tunnel" is also used quite commonly to refer to "carpal tunnel syndrome" which is a condition where the median nerve is pinched within the tunnel and causes pain and/or numbness of the wrist/hand, typically as a result of repetitive motion such as painting or typing.

The carpal tunnel is a fibro-osseous tunnel on the palmar surface of the carpal bones which transmits a number of tendons and the median nerve from the forearm into the hand. Surface markings are, proximally, the distal wrist crease; distally, the hook of the hamate bone. The recurrent thenar branch of the median nerve, the motor branch to the thenar eminence, leaves the median nerve in or beyond the carpal tunnel, then curves back over the flexor retinaculum to reach the thenar emminence. It is endangered in carpal tunnel surgery if the incision over the carpal tunnel is made too far laterally (thumb side).

The base and walls of the carpal tunnel are a concave bony channel formed by the carpal bones. The flexor retinaculum, or transverse carpal ligament, forms the roof of the carpal tunnel. It attaches to the scaphoid tubercle and ridge of the trapezium laterally, and to the pisiform and hook of the hamate medially.

From superficial to deep, the structures encountered in exposing the carpal tunnel, are: skin, palmaris longus tendon merging with palmar aponeurosis, palmaris brevis muscle, and flexor retinaculum (where the median nerve is located deep to the flexor retinaculum).

The carpal tunnel transmits: flexor pollicis longus tendon; median nerve; flexor digitorum superficialis (flex. dig. sublimis) tendons to the four fingers (All four tendons travel in a common synovial sheath. The tendons to the middle and ring fingers lie superficial to the tendons to the index and little fingers.); flexor digitorum profundus tendons, lying side by side - the index finger tendon is separate and the others lie close together.

The carpal tunnel is important because the median nerve can be compressed in cases such as the following: carpal tunnel syndrome, wrist dislocations, and fractures around the wrist.

The doctors and staff at the CURE HAND PAIN CENTER™ are highly qualified, dedicated, caring, professionals, who consider it a privilege to provide medical care. We treat you as we would want ourselves or our family members to be treated. That begins with providing you with this information. Please contact us for assistance in arranging an appointment.

Did you know that we offer surgery on a lien ?

Our surgeons are here for you in time of need. If you have been wrongly injured and have nowhere to turn to for your medical attention, our surgeons can help. We provide evaluation, treatment, and surgery for personal injury, victim of a crime, and worker compensation.