Introduction
Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, often caused by compression of the median nerve in the wrist. This can lead to pain, numbness, and weakness, impacting daily activities such as typing, writing, or gripping objects. Physiotherapy offers effective strategies to relieve symptoms, improve function, and prevent progression.
1. Understanding Carpal Tunnel Syndrome
Common Causes:
- Repetitive hand movements (typing, mouse use, assembly work)
- Poor wrist posture
- Inflammatory conditions like rheumatoid arthritis
- Pregnancy or fluid retention that increases wrist pressure
Symptoms:
- Tingling, numbness, or burning in the thumb, index, and middle fingers
- Weak grip or difficulty holding objects
- Pain radiating from the wrist to the forearm
- Symptoms worse at night or with prolonged activity
Source: Wikimedia Commons
Video Reference: Carpal Tunnel Syndrome Exercises
2. Physiotherapy Approaches for Relief
Wrist and Hand Exercises
- Median Nerve Glides: Improve nerve mobility and reduce irritation
- Wrist Flexor and Extensor Stretches: Reduce tension in surrounding muscles
- Tendon Gliding Exercises: Promote smooth tendon movement through the carpal tunnel
Video Reference: Hand and Wrist Mobility Exercises
Postural and Ergonomic Adjustments
- Maintain neutral wrist position while typing or using a mouse
- Adjust desk height and keyboard placement to reduce strain
- Take frequent breaks to stretch and mobilize the wrist
Source: Wikimedia Commons
Splinting and Support
- Wearing a night wrist splint keeps the wrist in a neutral position and prevents further nerve compression
- Temporary use during repetitive activities can reduce symptoms and support healing
3. Lifestyle and Preventative Tips
- Avoid prolonged repetitive wrist movements without breaks
- Incorporate strengthening and stretching routines for the forearm and hand
- Keep wrists neutral during activities such as texting or cooking
- Seek early assessment to prevent chronic nerve damage
4. When to Seek Medical Attention
- Persistent numbness, tingling, or weakness in the hand
- Symptoms interfere with daily tasks
- Pain that worsens despite home exercises and ergonomic changes
Early physiotherapy intervention can reduce symptoms and prevent long-term complications, improving hand function and quality of life.
Summary
Carpal Tunnel Syndrome can significantly impact hand function, but physiotherapy provides practical solutions. Through exercises, posture adjustments, and supportive strategies, you can relieve pain, improve mobility, and prevent progression.
You can make a booking online or call us on 0478 260 200. For a limited time, we have free discovery sessions where you get assessed by our physiotherapists and given an outline of how we can help you to have full confidence in working with us. We also offer promotions that include discounted initial sessions to incentivise getting started with your rehabilitation journey.