Carpal tunnel syndrome (CTS) is a common condition that causes pain, numbness, and tingling in the hand and arm. It occurs when the median nerve is compressed as it travels through the carpal tunnel in the wrist. Treatment options vary based on the severity of the condition and can include both non-surgical and surgical methods.

 Non-Surgical Treatments

1. Wrist Splinting

• Wearing a splint at night to keep the wrist in a neutral position can help reduce pressure on the median nerve.
• Splinting is particularly effective for mild to moderate CTS.

2. Activity Modification

Avoiding activities that worsen symptoms, such as repetitive hand movements or prolonged use of vibrating tools.

Taking frequent breaks to rest the hands and wrists.

3. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Over-the-counter pain relievers like ibuprofen or naproxen can help reduce inflammation and alleviate pain.

4. Steroid Injections

Corticosteroid injections into the carpal tunnel can reduce inflammation and swelling, providing temporary relief from symptoms.

5. Physical Therapy

Specific exercises to stretch and strengthen the muscles in the hand and wrist can help alleviate symptoms.

Nerve gliding exercises can help the median nerve move more freely within the carpal tunnel.

6. Alternative Therapies

Acupuncture and chiropractic treatments may provide relief for some individuals, although evidence supporting their effectiveness is limited.

 Surgical Treatments

If non-surgical treatments do not relieve symptoms, or if CTS is severe, surgery may be necessary to relieve pressure on the median nerve.

1. Carpal Tunnel Release Surgery

The goal of the surgery is to cut the ligament pressing on the median nerve, which increases the size of the carpal tunnel and decreases pressure on the nerve.

There are two main types of surgery:

Open Carpal Tunnel Release: A small incision is made in the palm to access the ligament.

Endoscopic Carpal Tunnel Release: A smaller incision is made, and a tiny camera is used to guide the cutting of the ligament.

 Post-Treatment Care

1. Post-Surgery Rehabilitation

Physical therapy exercises are often recommended after surgery to restore wrist strength and flexibility.

Avoiding heavy lifting and repetitive wrist movements during the recovery period.

2. Follow-Up Care

Regular follow-up appointments to monitor progress and ensure proper healing.

Managing any residual symptoms with continued therapy or modifications in daily activities.

 Prevention Tips

1. Ergonomic Adjustments

Adjusting the work environment to reduce strain on the wrists, such as using ergonomic keyboards and mice.

Ensuring proper hand and wrist posture while typing or performing repetitive tasks.

2. Exercise and Stretching

Regular hand and wrist exercises to maintain flexibility and strength.

Taking frequent breaks to stretch and rest the hands during repetitive activities.

3. Healthy Lifestyle

Maintaining a healthy weight to reduce the risk of developing conditions that can contribute to CTS, such as diabetes and obesity.

Avoiding smoking, which can affect blood flow and nerve health.

By following these treatment and prevention strategies, individuals with carpal tunnel syndrome can effectively manage their symptoms and maintain hand and wrist function.

Talk to a specialist about your CTS: Speak to one of our team today on +44 (0) 20 3488 0242 or email pa@theshoulderpractice.com⁠