Tag Archives: Carpal Tunnel Syndrome

Carpal tunnel syndrome

Carpal tunnel syndrome

Carpal tunnel is the entrapment of median nerve at the wrist. Carpal tunnel syndrome leads to pain, numbness and tingling in first three fingers of the hand sparing the palm, weakness of thumb, loss of grip strength and dexterity.

Symptoms are usually worse at night and are eased by shaking the hand. Anything that irritates the median nerve at the wrist can lead to carpal tunnel syndrome. This can include a fracture around the wrist, swelling due to inflammatory conditions such as Rheumatoid arthritis, changes in the balance of body fluids as in pregnancy and menopause. It can also include workplace factors such as vibrating tools, poor position of the hand, obesity, diabetes mellitus or double crush syndrome.

Carpal Tunnel Syndrome needs to be differentiated from wrist tendonitis, cervical radiculopathy, cervical derangement and thoracic outlet syndrome leading to similar types of symptoms. If not treated at the right time, it can lead to varying degrees of functional loss.

Treatment for Carpal Tunnel Syndrome

There are two general approaches for treatment for carpal tunnel syndrome – conservative treatment and surgical treatment.
Your Registered Physiotherapist will address the following strategies to help you with your symptom management and treatment:

• Education: It is important to maintain healthy weight, exercise and manage any health problem such as diabetes.
• Proper body mechanics: Keeping your wrist neutral,
avoiding repetitive wrist flexion movements, tight pinching and gripping
An Ergonomic assessment of your workplace can help to prevent recurrence.
• Decompressing the nerve: Mobilisation of certain carpal bones such as the capitate helps to create more space for the median nerve and hence decompress the nerve.
Stretching the retinaculum and improving the flexibility of the muscles around the wrist will also help. Nerve and tendon gliding exercises will ensure the unrestricted motion of the nerve.
• Grip strengthening exercises, fine motor and hand dexterity exercises and postural correction.
• Treat the spine if your symptoms are related to double crush syndrome.
• Taping the wrist or using a Wrist splint.
Check out this link for more information.

The earlier the carpal tunnel syndrome is treated, the less likely are the chances for symptoms to return.Carpal tunnel syndrome Resolution of the symptoms after surgery can be more temporary if the symptoms originate from elsewhere. Our experienced Registered Physiotherapists at PhysioNow will assess you to find out the actual cause of your symptoms and will help you to get rid of your symptoms. Call today!

Carpal Tunnel Syndrome


Carpal Tunnel Syndrome

Carpal tunnel syndrome is compression of the median nerve as it passes into the hand. The median nerve is located on the palm side of the hand (also called the carpal tunnel). It provides sensation (ability to feel) to your thumb, index finger, long finger, and part of the ring finger. Compression of the nerve produces numbness, tingling and, eventually, hand weakness. Proper Physiotherapy treatment can relieve the tingling and numbness and restore wrist and hand function.

Causes of Carpal Tunnel Syndrome:

• Carpal tunnel syndrome can be made worse if the wrist is overextended repeatedly
• Repeated motions of your wrist contribute to swelling and compression of the median nerve
• Poor positioning of your wrists while using a keyboard or mouse
• Prolonged exposure to vibrations from using hand tools or power tools
• Any repeated movement that overextends your wrist, such as playing the piano or typing
• Gripping frequently, even an iPad or book for long periods of time
• Lifting free weights
• Gripping weight machines at the gym or home
• Resting your head on your hand with your wrist in a bent position

Symptoms of Carpal Tunnel Syndrome include:

• Numbness, tingling, and pain in the thumb and first three fingers of the hand
• Pain and burning that can travel up the forearm
• Wrist pain at night that interferes with sleep
• Weakness in the muscles of the hand

Physiotherapy Treatment for Carpal Tunnel Syndrome:

• Wrist splints that hold your hand in a neutral position, especially at night
• Avoiding activities that put your wrist into extreme positions up or down
• Ultrasound and Interferential current can help to reduce the swelling in the Carpal Tunnel
• Proper posture for work and home while reading, working on the computer, etc.
• Exercises done in physical therapy may also be helpful
Acupuncture may help to stimulate the median nerve and relieve pain

Overall, Carpal Tunnel Syndrome is a very uncomfortable condition. It can interrupt your life and your sleep. Getting the proper Physiotherapy Treatment Program is very helpful! PhysioNow has fully trained Registered Physiotherapists standing ready to help you Now! Please call today to get started on relieving your pain!