Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is due to the compression of the median nerve as it passes out of the forearm and into the hand through the carpal tunnel. The carpal tunnel itself is made up of the carpal bones and flexor tendons of the wrist and fingers.

Commonly, the condition is as a result of the flexor tendons becoming thickened and swelling and the carpal bones enlarging due to osteoarthritis. The thickening and enlargement of these structures causes greater occupation of space within the carpal tunnel and hence compresses the surrounding nerve structures.

Alternatively, narrowing of the carpal tunnel diameter can be caused by chronic conditions
such as:

Initial symptoms include night-time disturbances as a result of tingling or numb sensations in the hand and fingers. Patients frequently discuss difficulties in performing delicate tasks like tying shoelaces or buttoning up their shirts. After some time, these feelings of tingling evolve into feelings of pain, especially during movement, that persists throughout the day. Given the fact that motor fibres are also often involved in this condition, the nerve supply to the thumb muscles can be affected, leading to weakness and muscular wasting.

Carpal Tunnel Syndrome Pain Treatment

Diagnosis of this disorder is based on specific clinical tests that can be performed by out clinicians. Depending upon the severity of your presentation, we may recommend a referral for electromyography (EMG) to confirm the extent of nerve degeneration. Treatment of this condition is usually conservative and includes the use of splints and manual therapy to address any muscular imbalances that are contributing to your condition. We will work with you to restore fine motor control and reduce your nerve symptoms and pain.
In more severe and advanced cases, our clinicians may recommend a referral for surgical consultation. A procedure known as ‘carpal tunnel release’ may be required to prevent irreversible damage to the affected nerves. Following surgery, treatment and rehabilitation is often necessary.

It’s important to be aware of the symptoms of carpal tunnel syndrome and to seek medical attention in case you suspect you might be suffering from it.

Early diagnosis and treatment can prevent the condition from worsening and help you to regain your hand and wrist mobility. Treatment will often include traction mobilisation of the wrist, myofascial release, dry needling, high-level laser therapy, rehabilitation and restoration of proper biomechanical movement to the wrist, elbow, shoulder and neck.