Wartenberg’s syndrome is caused by irritation of a small sensory nerve near the wrist, known as the superficial radial nerve. This nerve provides feeling to the back of the hand, particularly on the thumb side.
The condition does not affect movement or strength, as the nerve is responsible for sensation only. Instead, it typically presents with pain, tingling or increased sensitivity in the affected area.
Symptoms may develop gradually or be triggered by pressure around the wrist, tight straps or repetitive movements. The condition can sometimes be mistaken for other causes of wrist pain.
Symptoms may develop gradually and can include:
Movement and strength in the hand are usually unaffected.
Symptoms may develop gradually and can include:
Movement and strength in the hand are usually unaffected.
Diagnosis is based on clinical assessment, including a detailed history and examination of the affected area.
Symptoms are usually reproduced by applying pressure over the nerve at the wrist.
Imaging is not typically required but may be used to exclude other causes of symptoms in more complex cases.
Treatment depends on the severity of symptoms and any contributing factors.
Non-surgical treatment may include:
If symptoms persist, targeted injections or surgical release of the nerve may be considered.
When non-surgical treatment is not effective, surgical release of the nerve may be recommended.
The procedure involves relieving pressure on the superficial radial nerve to reduce irritation and improve symptoms.
Surgery is typically performed as a day-case procedure under local anaesthetic.
Following treatment, a light dressing is applied and early movement is encouraged.
Recovery typically involves:
Most patients experience improvement in symptoms, although recovery may take time depending on how long the nerve has been irritated.
As with any surgical procedure, there are potential risks, although these are uncommon.
Possible complications include:
Your surgeon will discuss the expected outcomes and risks before proceeding with treatment.
You should seek medical advice if you experience persistent pain, tingling or sensitivity on the back of the hand or wrist, particularly if symptoms are not improving or are affecting daily activities.
Early assessment is important to confirm the diagnosis and guide appropriate treatment.
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