Dr. Jordan Sudberg Explains: How Carpal Tunnel Syndrome Can Run in Families

Carpal Tunnel Syndrome (CTS) is often associated with repetitive wrist movements or workplace strain. But what if you notice the same symptoms popping up in multiple family members? Could CTS be hereditary?

Dr. Jordan Sudberg, a leading pain management specialist, sheds light on the genetic and familial factors that contribute to carpal tunnel syndrome, helping you understand why some people are more predisposed to this common condition.

What Is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when the median nerve — which runs from the forearm through the carpal tunnel in the wrist into the hand — becomes compressed or irritated. This compression causes symptoms like:

• Numbness and tingling in the thumb, index, middle, and part of the ring finger
  
• Hand weakness or clumsiness
  
• Pain in the wrist or hand that may radiate up the arm
  

Typically, CTS develops due to repetitive strain or conditions like arthritis, diabetes, or pregnancy that cause swelling around the nerve.

The Role of Heredity in Carpal Tunnel Syndrome

While environmental and lifestyle factors play a significant role, Dr. Jordan Sudberg emphasizes that genetics can also contribute to CTS risk.

“We often see patients who mention a family history of carpal tunnel symptoms. This isn’t a coincidence — anatomical variations and genetic predispositions can influence who develops CTS.”

Here are a few hereditary factors that may increase your risk:

1. Anatomical Differences

Some people inherit wrist structures that make their carpal tunnel naturally narrower or predisposed to nerve compression. A smaller or differently shaped tunnel reduces space for the median nerve, increasing vulnerability.

2. Connective Tissue Disorders

Inherited conditions affecting connective tissues — such as Ehlers-Danlos syndrome or other collagen disorders — may cause joint instability or swelling that compresses the median nerve.

3. Family Tendencies Toward Inflammation

Genetic predisposition to inflammation or swelling can lead to nerve irritation in the wrist.

How Dr. Jordan Sudberg Diagnoses Hereditary CTS

When patients come in with CTS symptoms and a family history, Dr. Sudberg takes a comprehensive approach:

• Detailed Family History: Understanding which relatives have CTS or related conditions
  
• Physical Examination: Checking for anatomical abnormalities or connective tissue issues
  
• Nerve Conduction Studies: Measuring median nerve function to confirm diagnosis
  
• Imaging: Occasionally used to assess wrist structure or identify contributing factors
  

This thorough evaluation helps differentiate hereditary CTS from other causes and guides the best treatment options.

Treatment Approaches for Hereditary Carpal Tunnel Syndrome

The hereditary nature of CTS doesn’t necessarily change the core treatments but can influence how patients respond and their long-term outlook.

Dr. Jordan Sudberg recommends a tailored treatment plan that may include:

Conservative Measures

• Wrist splints to keep the wrist neutral, especially at night
  
• Activity modification to avoid repetitive strain
  
• Anti-inflammatory medications or corticosteroid injections to reduce swelling
  

Physical Therapy

Targeted exercises to improve wrist mobility and reduce nerve irritation can be especially helpful in hereditary cases where anatomical issues exist.

Surgical Intervention

In cases where symptoms persist or worsen, surgery to release the carpal tunnel ligament may be the most effective option.

Dr. Sudberg notes, “Surgery often provides relief regardless of the cause, but patients with hereditary CTS should be aware they might have a higher chance of symptoms recurring or affecting both hands.”

Can You Prevent Hereditary CTS?

While you can’t change your genetics, Dr. Jordan Sudberg advises adopting healthy habits to minimize risk:

• Take frequent breaks during repetitive hand activities
  
• Use ergonomic tools and workstations
  
• Maintain wrist flexibility and strength through exercises
  
• Manage underlying health conditions that may worsen symptoms
  

Early recognition and intervention are key to preventing severe nerve damage.

Final Thoughts: Understanding Your Family History Can Help You Stay Ahead

Carpal Tunnel Syndrome isn’t solely the result of overuse — hereditary factors play a meaningful role for many patients. If you have a family history of CTS and start experiencing symptoms, don’t delay seeking expert care.

Dr. Jordan Sudberg encourages patients to be proactive about their nerve health: “Knowing your family history empowers you to catch symptoms early and pursue the best treatment before the condition worsens.”