Therapy Found Effective for Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist. This can lead to symptoms such as numbness, tingling, and weakness in the hand and fingers, often worsening with repetitive hand movements or prolonged wrist positions.

Symptoms of Carpal Tunnel Syndrome

• Tingling or numbness in the thumb, index, middle, and ring fingers
• Weakness in the hand, leading to difficulty gripping objects
• Pain or discomfort that may radiate up the forearm
• Symptoms worsening at night or after prolonged activity

Causes and Risk Factors

Several factors can contribute to the development of CTS, including:

• Repetitive hand movements (e.g., typing, manual labour, playing instruments)
• Wrist injuries (such as fractures or sprains)
• Medical conditions (such as diabetes, arthritis, or thyroid disorders)
• Prolonged wrist flexion (e.g., sleeping with wrists bent)
• Genetic predisposition (some people naturally have a smaller carpal tunnel)

Effective Therapy for Carpal Tunnel Syndrome

Recent research and clinical practice have highlighted several effective treatments for CTS. These therapies aim to reduce inflammation, improve nerve mobility, and strengthen the surrounding structures.

1. Physiotherapy and Exercise

Physiotherapy can be highly beneficial in managing CTS by promoting flexibility, strength, and proper wrist mechanics. Some effective exercises include:

• Nerve gliding exercises – Help improve the mobility of the median nerve
• Wrist stretches – Reduce tension in the wrist and forearm muscles
• Grip strengthening exercises – Improve hand function and endurance

2. Manual Therapy

Hands-on techniques such as soft tissue massage and joint mobilisations can help relieve pressure on the median nerve and improve wrist mobility.

3. Splinting and Ergonomic Adjustments

Wearing a wrist splint, particularly at night, can keep the wrist in a neutral position, reducing compression on the median nerve. Adjusting workstations, using ergonomic keyboards, and taking regular breaks can also help prevent worsening symptoms.

4. Shockwave Therapy and Ultrasound Treatment

Some physiotherapists use shockwave therapy or therapeutic ultrasound to help reduce inflammation and improve tissue healing in the wrist.

5. Lifestyle Modifications and Self-Care

Reducing repetitive strain, avoiding excessive wrist flexion, and applying ice packs to reduce swelling can all be helpful in managing CTS symptoms.

When to Seek Professional Help

If symptoms persist despite self-care and conservative treatment, it may be necessary to seek further medical evaluation. In severe cases where nerve compression is significant, corticosteroid injections or surgical intervention (carpal tunnel release surgery) may be recommended.

Final Thoughts

Carpal Tunnel Syndrome can be a debilitating condition, but with early intervention and the right therapy, most individuals can manage symptoms effectively and avoid surgery. Physiotherapy, ergonomic adjustments, and self-care strategies are key in reducing discomfort and restoring hand function. If you’re struggling with CTS, a physiotherapist can provide personalised treatment to help you regain full hand mobility and strength.