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

Services and How They Help

Neurology Consultation

A medication review may also be helpful when symptoms persist despite treatment or when medications may contribute to numbness, weakness, or other neurological symptoms.

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 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

  • The evaluation may also include review of prior neurological testing, imaging reports, laboratory results, and previous EMG/NCV studies when 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

What Patients Say About Their VerityMD Experience

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Please Confirm Your Appointment Location

VerityMD sees patients at both our Carmichael and Folsom clinics. Please check your appointment confirmation text message before traveling to your appointment. Your confirmation will identify the correct clinic location.

Patients are responsible for arriving at the clinic listed in their appointment confirmation. Patients who arrive at the incorrect location will not be able to be seen for that appointment and will need to be rescheduled.

Neurology consultations and follow-up visits are available at both locations. All procedures are performed at our Folsom clinic.

VerityMD Neurology

Comprehensive neurological care for patients and families across the Sacramento region.

Our Locations

Folsom Clinic

Carmichael Clinic

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Referral Information: New patients require a referral from their primary care provider or referring clinician.