Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve becomes pressed or squeezed at the wrist. The carpal tunnel is a protective narrow passageway at the base of the wrist which houses the flexor tendons of the fingers and the median nerve as they pass through into the hand.  A constriction of this tunnel puts pressure on the median nerve resulting in burning pain with numbness or paresthesia in the distribution of this nerve.

Typical symptoms include tingling, numbness and pain in the thumb, index, middle and radial side of the ring finger. These sensations are often more pronounced at night and may wake patients from their sleep.  Strength may be decreased in the hand as well.

• Direct trauma to the carpal tunnel
• Repetitive motion of wrist flexion/extension causes an inflammation of the tendons and decreases the space in the tunnel
• Improper ergonomics (in a flexed or extended wrist position for extended periods of time)
• Health problems (Diabetes, tumour’s, ganglions, etc)
• Pregnancy

Rest: The patient should rest the wrist by decreasing or modifying aggravating activities

Ice: Apply a cold compress, wrapped in a towel or in a Trainers Choice wrap, to the injured area for 15 minutes per hour, a minimum of 3 times/day.

Elevate: The wrist should be placed in an elevated position to minimize swelling

• Wrist brace to immobilize the wrist to a neutral resting position during aggravating activity and at night
• Correct ergonomics to ensure proper wrist position and comfort
• Athletic/Physiotherapy to aid healing and assist reconditioning of the affected muscles