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Carpal Tunnel Syndrome

What is Carpal Tunnel syndrome?

The most common “tunnel” syndrome in the body is carpal tunnel syndrome.

In this syndrome the median nerve of the wrist is compressed under the flexor retinacula.

How is it commonly injured?

  • Overuse

  • Trauma

  • Flexor tendon synovitis or tendinopathy

  • Fluid retention 

  • Ganglion

  • Arthritis 

Signs and Symptoms of this injury:

Symptoms are usually worse at night and include:

  • Tingling

  • Pins and needles,

  • Numbness

  • Shooting pain towards fingers

  • Symptoms are often worse with wrist movements and also there may be in long standing cases weakness in the muscles some of the hand muscles

Current management techniques

  • Rest, Ice, Compression, Elevation: all these techniques help to control the swelling and pain.

  • Bracing or splinting: Wearing a brace or splint at night will keep you from bending your wrist while you sleep. Keeping your wrist in a straight or neutral position reduces pressure on the nerve in the carpal tunnel. It may also help to wear a splint during the day when doing activities that aggravate your symptoms.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications such as ibuprofen and naproxen can help relieve pain and inflammation.

  • Nerve gliding exercises. Some patients may benefit from exercises that help the median nerve move more freely within the confines of the carpal tunnel. Specific exercises may be recommended by your doctor or therapist.

  • Activity changes Symptoms often occur when your hand and wrist are in the same position for too long—particularly when your wrist is flexed or extended.


Surgery: Carpal tunnel release

Global Rehabilitation Network

  • We provide a complete online program of 12 consecutive weeks of instructions on how to conservatively manage this injury

  • We provide a global network of therapists that can chat remotely via our Telehealth services to guide you through the process week by week for minimal cost.

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