Say Goodbye to Hand Pain: Everything You Need to Know About Carpal Tunnel Syndrome

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, which runs through a narrow passageway in the wrist called the carpal tunnel, becomes compressed or irritated. At Physio Room Pymble, we aim to help you understand this condition and provide effective solutions for relief and recovery.

What Is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow pathway located on the palm side of your wrist. It protects the median nerve and tendons that control your fingers. When the tunnel becomes narrowed or tissues surrounding the tendons swell, pressure on the median nerve increases, leading to the symptoms of CTS.

Common Causes

Several factors can contribute to the development of carpal tunnel syndrome, including:

1. Repetitive Hand Movements: Tasks that involve repetitive wrist and hand motions, such as typing or assembly line work.

2. Wrist Positioning: Prolonged bending or extended positions of the wrist.

3. Pregnancy: Hormonal changes and fluid retention can increase pressure within the carpal tunnel.

4. Medical Conditions: Diabetes, rheumatoid arthritis, and hypothyroidism are linked to a higher risk of CTS.

5. Injury: Trauma or fractures to the wrist can affect the carpal tunnel’s structure.

   
   

Symptoms

Symptoms of carpal tunnel syndrome usually develop gradually and may include:

• Numbness or tingling in the thumb, index, and middle fingers.

• Weakness in the hand or a tendency to drop objects.

• Pain or discomfort that may extend up the arm.

• Worsening symptoms at night or after repetitive activities.

Diagnosis

A physiotherapist or healthcare provider can diagnose CTS through a detailed history, physical examination, and specific tests such as the Tinel’s sign or Phalen’s manoeuvre. In some cases, nerve conduction studies or imaging tests may be recommended.

Treatment Options

At Physio Room Pymble, we offer a range of treatment options to manage carpal tunnel syndrome effectively:

1. Rest and Activity Modification: Avoiding activities that worsen symptoms can provide relief.

2. Wrist Splinting: Wearing a wrist splint, especially at night, helps keep the wrist in a neutral position.

3. Physiotherapy: Tailored exercises and manual therapy can improve wrist strength and flexibility while reducing nerve compression.

4. Ice and Heat Therapy: Alternating ice and heat can alleviate pain and reduce swelling.

5. Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce inflammation.

6. Corticosteroid Injections: In more severe cases, injections can reduce swelling around the median nerve.

7. Surgery: If conservative treatments fail, surgical intervention may be necessary to release pressure on the median nerve.

   
   

Preventing Carpal Tunnel Syndrome

Prevention strategies can help reduce your risk of developing CTS:

• Take frequent breaks from repetitive tasks.

• Maintain a neutral wrist position during activities.

• Use ergonomic tools and setups for work or hobbies.

• Stretch and strengthen your hands and wrists regularly.

• Stay active and maintain overall health to support nerve and muscle function.

Seek Help Early

Early intervention can significantly improve outcomes for carpal tunnel syndrome. If you’re experiencing symptoms, don’t wait to seek professional advice. At Physio Room Pymble, our experienced team is here to help you find relief and regain full function.

TB Dang

Senior Physiotherapist

Disclaimer: This article is for informational purposes only and does not substitute professional medical advice. Always consult a qualified healthcare provider for personalised guidance and treatment.