as needed to control symptoms of awaking with numbness and pain in the
morning. When that is not effective or daytime symptoms predominate,
surgery is the most common recommended treatment because it is a relatively
simple procedure with high success rates (permanent ) and low risk of
complications. Occasionally when circumstances are not optimal for
surgery an injection of corticosteroid into the carpal tunnel may control
symptoms, but this is almost universally just a temporary solution.
When symptoms are severe and/or electrodiagnostic tests indicate severe
nerve impairment I recommend urgent surgery. Failure to proceed to surgery
may lead to irreversible nerve damage.