Carpal Tunnel Syndrome (CTS) is a very common condition that affects the hand and wrist in a few distinct ways. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed or squeezed at the wrist. The result of this nerve compression is numbness, tingling, and sometimes pain in the hand and fingers.

There are a variety of treatment options for CTS, and the best option for a particular patient will depend on the severity of their symptoms and the underlying cause of the condition.

One of the most effective ways to treat CTS is through conservative measures such as physical therapy, occupational therapy, and splinting. At MidAmerica Orthopaedics, our Hand to Shoulder Clinic has the capabilities to diagnose and treat Carpal Tunnel Syndrome for you or a loved one. Let’s break these treatment methods down a little further.

Carpal Tunnel Syndrome Treatment #1: Physical Therapy

Physical therapy is a very helpful, non-invasive treatment for CTS that can help to improve range of motion and strength in the hand and wrist. This is very important for returning to daily activities that could otherwise be executed pain-free or numbness-free. At MidAmerica Orthopaedics, we have a team of passionate, fellowship-trained physical therapists who have the expertise to help you through your recovery process. Our therapists can design an exercise program to help improve range of motion and strength in the hand and wrist. They may also teach patients exercises to stretch the muscles and tendons that can become tight and contribute to CTS.

Carpal Tunnel Syndrome Treatment #2: Occupational Therapy

Occupational therapy is an additional treatment option for Carpal Tunnel Syndrome that focuses on helping patients perform daily activities in ways that will reduce stress on the median nerve. MidAmerica Orthopaedics’ occupational therapists will work with patients to evaluate their daily routines and identify activities that may be contributing to their symptoms.

They may then teach patients how to modify their activities, or use adaptive equipment such as splints or ergonomic tools, to reduce the stress on the median nerve. Occupational therapy can also help patients develop strategies to manage their symptoms and improve their overall function. This differs from physical therapy because Physical therapy focuses on improving the patient's physical function, such as range of motion, strength, and endurance, through exercises, manual therapy, modalities and other techniques, and occupational therapists will focus on things like self-care and work habits to achieve healing outcomes.

For more information on occupational therapy, read this blog.

Carpal Tunnel Syndrome Treatment #3: Splinting

Splinting is an additionally non-invasive treatment option for Carpal Tunnel Syndrome, that can help to reduce pressure on the median nerve. A splint is a device that is worn on the wrist and holds it in a neutral position, which can help to reduce compression on the median nerve. Splints can be worn during activities that put stress on the hand and wrist, such as typing or knitting, or at night to prevent the wrist from bending and compressing the median nerve during sleep.

There are different types of splints available for CTS, including wrist splints, thumb splints, and combination splints. Wrist splints are designed to keep the wrist in a neutral position and prevent bending, while thumb splints are used to immobilize the thumb to prevent it from applying pressure on the median nerve. Combination splints can be used to immobilize both the wrist and the thumb.

If conservative measures are not effective, then doctors may recommend a corticosteroid injection. These injections can help to reduce inflammation and relieve symptoms.

In more severe cases, surgery may be necessary to relieve the pressure on the median nerve. Surgery can be done through a small incision in the wrist, and typically involves releasing the transverse carpal ligament to create more space for the median nerve.

In addition to these treatment options, it is important for patients with CTS to make lifestyle changes that can help to reduce the risk of developing the condition or worsening existing symptoms. This can include avoiding activities that put excessive stress on the hand and wrist, such as prolonged computer use or repetitive motions, and maintaining a healthy weight.

If you are experiencing symptoms of CTS, it is important to see an orthopedic specialist. An orthopedic specialist can perform a thorough examination, and use imaging studies, such as an EMG or nerve conduction study, to help determine the cause of your symptoms and the most appropriate treatment plan.

In conclusion, Carpal Tunnel Syndrome is a common condition that affects the hand and wrist. There are a variety of treatment options available, including conservative measures, injection, and surgery. It is important to see an orthopedic specialist for a proper diagnosis and treatment plan.