CARPAL TUNNEL SYNDROME

Carpal tunnel syndrome occurs when the median nerve supplying the skin on part of the hand and fingers is compressing near the front of the wrist in the ‘carpal tunnel’. This is usually due to overuse, resulting from repetitive movement of the wrist which cause inflammation in the carpal tunnel compressing the nerve. It is also a common condition during pregnancy due to a hormone-related increase in fluid withing the carpal tunnel.

• Pins and needle, numbness and/or pain in the thumb, index and middle finger
• A feeling of weakness/clumsiness with the affected hand
• Possible pain radiating up the arm from the hand

Your Physio will do a series of physical tests to determine if your symptoms are related to the carpal tunnel area, clearing involvement from the neck and shoulder. Sometimes a nerve conduction study is required to diagnose carpal tunnel if the physical tests aren’t clear.

Carpal tunnel syndrome is often successfully treated with Physiotherapy, occasionally surgery is required if symptoms persist for a long time. The Physio management of carpal tunnel syndrome may include:

• Hands-on treatment to reduce associated muscle tightness
• Stretches
• Bracing
• Advice on activity modification
• Ice packs over the carpal tunnel area.