Non-surgical Methods to Improve Carpal Tunnel Syndrome

Non-surgical Methods to Improve Carpal Tunnel Syndrome Carpal Tunnel Syndrome (CTS) is a common medical condition that causes pain, numbness, tingling sensation and weakness in the hand and fingers. CTS, which typically affects the thumb, index, and middle fingers, is caused by the compression of the median nerve which controls sensation and movement in the hands.

The symptoms of CTS develop gradually and become worse during the night. They include 

Pain in the hand and wrist

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Weakness of the hand

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Trouble in gripping objects

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Pain and other sensations traveling up the arm toward the shoulder

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An aching forearm

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A sensation of electric shock in the thumb, index finger, and middle finger

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Pins and needles (paraesthesia)

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Dry skin, swelling or changes in the skin color of the hand

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Becoming less sensitive to touch (hypoaesthesia)

Generally, there is no single cause that can be identified for the development of CTS. In most cases, a combination of several risk factors such as repetitive work, age, heredity, hormonal changes (during pregnancy), injuries like sprains, fractures or crush injuries of the wrist and

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medical conditions such as arthritis, diabetes, hypothyroidism, obesity or lupus contribute to the development of the condition.

Pain Management CTS can affect both men and women. Symptoms often become worse after prolonged or repetitive usage of the affected hand or wrist and can range from mild to severe. As the intensity of the condition increases, the person may have difficulty holding a small object, experience hardship with manual tasks, and lose sensation in the fingers. If the symptoms of CTS are mild to moderate, the following measures can help ease the pain and discomfort: 

Rest – People suffering from CTS should avoid using the affected hand or wrist for a couple of weeks. This will give the inflamed tissue inside the carpal tunnel a chance to heal. Try not to overuse your wrist by excessive squeezing, gripping and wringing.

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Take frequent breaks – If you are in a job that involves repetitive use of your hands or one that places stress on the wrists, changing your position or taking frequent breaks can help CTS symptoms. Alternate tasks and gently stretch and bend your hands and wrists as and when possible.

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Wear a wrist splint – A removable splint or brace is often advised as a first active treatment to support the wrist and keep it in a neutral position. This prevents the irritation to the median nerve that occurs when wrists are curled during sleep. Splints can also be worn during activities that aggravate symptoms.

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Use pain medication – Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, and naproxen sodium are prescribed to relieve pain and help reduce swelling of the tissues inside the carpal tunnel.

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Steroid injections – Treatment plans may include steroid injections directly into the carpal tunnel to provide temporary pain relief.

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Improve your posture – Incorrect posture can cause your shoulders to roll forward, causing your neck and shoulder muscles to get shortened there by compressing nerves in your neck. This can affect your wrists, fingers and hands. Try not to bend your wrist all the way up or down. A relaxed middle position is ideal.

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Regular carpal tunnel exercises – Performing carpal tunnel hand exercises at regular intervals help to stretch the wrists and keep them flexible.

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Keep your hands warm – People with CTS who work in extreme cold environment are more likely to develop hand pain and stiffness. Wearing gloves to keep your hands and wrists warm can help.

In addition to the above remedies, multi-specialty healthcare centers offer several nonsurgical modalities such as chiropractic care and physical therapy to help patients with CTS. These modalities can often relieve pain and numbness and restore mobility and function.

Surgery would become necessary if the symptoms are severe or cannot be resolved with nonsurgical therapy.

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