Non-surgical treatments for carpal tunnel syndrome: A comprehensive guide
Explore effective non-surgical treatments for carpal tunnel syndrome. Learn about wrist splinting, activity modification, physical therapy, and more to alleviate your symptoms.
Carpal Tunnel Syndrome (CTS) is a common condition that causes pain, numbness, and tingling in the hand and arm due to pressure on the median nerve. While surgery is well known, there is emerging evidence that a micro-invasive procedure may be superior [1] and many patients opt for a non-surgical solution. This guide explores non-surgical options to alleviate painful symptoms, enhance mobility and your quality of life.
Understanding the basics of Carpal Tunnel Syndrome
The carpal tunnel is a narrow passageway in the wrist, housing the median nerve and tendons. Swelling or irritation of these tendons can compress the median nerve, causing a number of problems. These include:
numbness or tingling
pain or discomfort
weakness in the hand, wrist or fingers.
While surgery can be highly effective at reducing carpal tunnel pain, there are other non-surgical options worth exploring first.
Non-surgical treatments for Carpal Tunnel Syndrome
Wrist splinting
Wearing a wrist splint at night can help maintain a neutral wrist position. This reduces pressure on the median nerve, and can be a great way to alleviate pain.
Modifying activity
Avoid or alter any physical activity that exacerbates symptoms of CTS. Common activities that exacerbate CTS include repetitive hand movements, such as computer work (typing, using a mouse) or having your wrist in a position for a prolonged period of time.
Physical Therapy
Getting into physical therapy can help improve your wrist flexibility and strength. A physical therapist can give you exercises to improve circulation, reduce inflammation and alleviate the pressure on your median nerve.
Ergonomic Adjustments
It’s important to modify your work environment to ensure proper wrist alignment and reduce strain. Invest in ergonomic keyboards, mouse pads, and change up your workstation to be more ergonomically friendly.
Over-the-counter Painkillers
Over-the-counter medications such as ibuprofen can significantly reduce pain and inflammation. Temporary relief from Carpal Tunnel pain can go a long way in making your daily activities more manageable.
Micro-invasive procedures
This advanced, micro-invasive treatment uses a precise technique to relieve pressure on the median nerve while minimising impact on surrounding tissues. Unlike traditional carpal tunnel surgery, this procedure is quick - typically completed in about 15 minutes - and doesn’t require general anaesthesia.
Lifestyle Changes
In addition to non-surgical treatments, lifestyle changes are crucial in managing symptoms of Carpal Tunnel Syndrome. Maintaining a healthy weight, quitting smoking, and managing underlying health conditions such as diabetes can significantly reduce symptoms. Regular exercise, including activities that strengthen the wrist and hand, is also beneficial.
When to Seek Medical Advice
By understanding and implementing these non-surgical carpal tunnel release techniques, you can take steps towards managing your condition and maintaining hand and wrist health. However, while non-surgical treatments can be highly effective, it's essential to monitor your symptoms and consult a healthcare professional if they worsen or do not improve. Persistent or severe cases may require surgical intervention to prevent permanent nerve damage. In this instance, micro-invasive carpal tunnel release can offer a more effective solution. Book a carpal tunnel treatment consultation with one of our Doctors to get started on a treatment plan.
[1] Liawrungrueang, Wongthawat. (2022). ‘Minimally invasive carpal tunnel release: a clinical case study and surgical technique’. National Library of Medicine. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793183/ (Accessed 14/08/2024).