Carpal Tunnel and Nerve Compression

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Evaluation for Hand Numbness, Tingling, Weakness, and Entrapment Neuropathy

Hand numbness, tingling, night symptoms, pain, weakness, and dropping objects are common reasons for neurology referral. Symptoms may be caused by carpal tunnel syndrome, ulnar neuropathy, cervical radiculopathy, peripheral neuropathy, or other nerve problems.

VerityMD Neurology evaluates nerve compression and entrapment neuropathies using clinical examination and EMG/NCV testing when appropriate.

Symptoms We Evaluate

  • Hand numbness or tingling

  • Nighttime hand symptoms

  • Dropping objects

  • Weak grip or hand weakness

  • Wrist pain with numbness

  • Numbness in ring and little fingers

  • Arm pain with neck symptoms

  • Burning or electric pain

  • Muscle wasting in the hand

Conditions We Help Evaluate or Manage

  • Carpal tunnel syndrome

  • Ulnar neuropathy at the elbow or wrist

  • Radial neuropathy

  • Cervical radiculopathy

  • Peripheral neuropathy

  • Diabetic nerve compression

  • Peroneal neuropathy

  • Tarsal tunnel syndrome when clinically suspected

Services and How They Help

Neurology Consultation

Evaluation reviews symptom location, timing, triggers, hand use, sleep symptoms, weakness, neck pain, diabetes, injuries, and prior treatment.

How this helps:

  • Clarifies likely nerve location

  • Identifies whether symptoms come from wrist, elbow, neck, or generalized neuropathy

  • Guides testing and treatment planning

EMG/NCV Testing

EMG/NCV can confirm and grade nerve compression.

How this helps:

  • Confirms carpal tunnel syndrome

  • Assesses severity

  • Evaluates ulnar neuropathy

  • Distinguishes hand nerve compression from cervical radiculopathy

Treatment Planning

Treatment depends on severity, weakness, function, and patient goals.

How this helps:

  • Reviews bracing and ergonomic strategies

  • Supports therapy planning

  • Identifies when surgical evaluation may be appropriate

When Carpal Tunnel & Nerve Compression May Be Helpful

  • Hand numbness at night

  • Dropping objects

  • Weak grip

  • Numbness in thumb, index, middle, ring, or little fingers

  • Symptoms with diabetes or repetitive hand use

  • Need to clarify wrist versus elbow versus neck cause

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • Prior wrist/elbow imaging if available

  • Prior EMG/NCV reports

  • Work or activity triggers if relevant

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

We accept the following insurance

Client Stories

What Our Patients Say

★ ★ ★ ★ ★

My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.

Debby S
Debby S
★ ★ ★ ★ ★

Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+

David A
David A
★ ★ ★ ★ ★

I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.

Bernie L
Bernie L
★ ★ ★ ★ ★

Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!

Zubaida R
Zubaida R
★ ★ ★ ★ ★

Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.

Melinda M
Melinda M
★ ★ ★ ★ ★

My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.

Kriss H
Kriss H