Carpal Tunnel Injection
Krisha McCoy, MS
A carpal tunnel injection is a corticosteroid injection into the carpel tunnel area of the wrist.
Carpal Tunnel Syndrome
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Reasons for Procedure
The median nerve runs from the forearm into the hand.
Carpal tunnel syndrome
occurs when this nerve is squeezed at the wrist as it runs through the carpel tunnel. This results in pain, weakness, tingling, or numbness in your hand and wrist. Pain may also radiate up your arm.
Steroid injections into the carpel tunnel area can help improve symptoms for 3 months or longer. You may not need further treatment.
Complications are rare, but no procedure is risk-free. Your doctor will review a list of possible complications which may include:
No improvement in symptoms
What to Expect
Prior to Procedure
Your doctor may ask you what medications you take and if you have any allergies to medications.
You will be given an injection of local anesthetic to numb the area.
Description of the Procedure
A needle will be filled with corticosteroid medication. This medication calms inflammation. Your palm will be facing upward. The inside of your wrist will be cleaned. The needle will be inserted into the carpal tunnel area of the wrist, and the medication will be injected.
How Long Will It Take?
A few minutes
Will It Hurt?
You may feel some pain after the anesthetic wears off.
At the Care Center
The injection site will be bandaged. You and your doctor will discuss what to expect in the coming days.
When you return home:
Take over-the-counter pain medication.
Avoid strenuous activity involving the joint for 48 hours.
Follow your doctor's
Call Your Doctor
After arriving home, contact your doctor if any of the following occur:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
Pain that you cannot control with the medications you have been given
If you think you have an emergency, call for emergency medical services right away.
National Institute of Neurological Disorders and Stroke
Ortho Info—American Academy of Orthopedic Surgeons
http://orthoinfo.aaos.org CANADIAN RESOURCES:
The Arthritis Society of Canada
The College of Family Physicians of Canada
Carpal tunnel steroid injection. EBSCO DynaMed website. Available at:
. Updated June 7, 2017. Accessed September 7, 2017.
Carpal tunnel syndrome fact sheet. National Institute of Neurological Disorders and Stroke website. Available at:
...(Click grey area to select URL) Accessed September 7, 2017.
Cardone DA, Tallia AF. Joint and soft tissue injection. Am Fam Physician. 2002;66(2):283-289.
Last reviewed September 2018 by
EBSCO Medical Review Board
Teresa Briedwell, PT, DPT, OCS, CSCS Last Updated: 9/9/2014