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Physiotherapy and Carpal Tunnel Syndrome

A patient receiving a hand massage

Carpal tunnel syndrome (CTS) is a common condition that affects millions of people worldwide. It occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed. This can result in pain, tingling, numbness, and weakness in the hand and fingers. As a physiotherapist, it is crucial to understand the underlying causes, signs and symptoms, and treatment options available to help our patients manage this condition effectively. This blog post will delve into the physiotherapy approach to treating and preventing carpal tunnel syndrome.

Understanding Carpal Tunnel Syndrome

The carpal tunnel is a narrow passageway in the wrist, surrounded by the carpal bones and the transverse carpal ligament. The median nerve and nine tendons run through this tunnel. When there is increased pressure on the median nerve, it can result in the symptoms commonly associated with CTS. Causes of this pressure may include repetitive hand motions, wrist injuries, and certain medical conditions such as diabetes and rheumatoid arthritis.

Signs and Symptoms

Patients with CTS often experience a range of symptoms including:

1. Numbness and tingling in the thumb, index, middle, and ring fingers

2. Pain and burning sensation in the hand and wrist

3. Weakness in the hand, making it difficult to grip objects or perform fine motor tasks

4. Nighttime symptoms that may disrupt sleep

Physiotherapy Treatment Options

As a physiotherapist, your goal is to help patients alleviate their symptoms and prevent further damage to the median nerve. Here are some common treatment options:

1. Education: Teach patients about proper ergonomics and hand positioning during activities to reduce stress on the median nerve.

2. Splinting: Wrist splints can help to maintain a neutral wrist position, especially during sleep, reducing pressure on the median nerve.

3. Manual Therapy: Soft tissue mobilization, joint mobilizations, and stretching exercises can help to alleviate symptoms and improve wrist mobility.

4. Therapeutic Exercises: Strengthening and stretching exercises can help to improve the stability and flexibility of the wrist and hand muscles.

5. Modalities: Applying ice or heat, ultrasound, and electrical stimulation may help to reduce pain and inflammation.

6. Activity Modification: Advise patients to take breaks during repetitive tasks and to use ergonomic equipment, such as keyboards and mouse pads with wrist support.

Prevention Strategies

In addition to treatment, physiotherapists should provide patients with strategies to prevent CTS or manage symptoms. These may include:

1. Regular stretching and strengthening exercises for the wrist and hand

2. Maintaining a healthy weight and managing underlying medical conditions

3. Practicing good posture and ergonomics while working at a computer or using handheld devices

4. Taking breaks and changing hand positions frequently during repetitive tasks

Carpal tunnel syndrome can have a significant impact on a person's quality of life. As physiotherapists, our role is not only to treat the symptoms but also to educate and empower our patients to make the necessary changes to prevent the condition from worsening or recurring. By addressing the root causes, providing effective treatment options, and implementing prevention strategies, we can help our patients manage carpal tunnel syndrome and enjoy a pain-free life.

If you need help with carpal tunnel syndrome then book an appointment at Front Foot Physiotherapy. Alternatively, if you would like to discuss treatment options, email us at

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