Carpal Tunnel Syndrome: Physiotherapy Solutions (1)

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Carpal Tunnel Syndrome Physiotherapy
Solutions Carpal tunnel syndrome (CTS) is a
common condition characterized by numbness,
tingling, and weakness in the hand and wrist due
to compression of the median nerve as it passes
through the carpal tunnel in the wrist. While
CTS can significantly impact daily activities and
quality of life, physiotherapy offers effective
non-invasive interventions to alleviate symptoms,
improve hand function, and prevent further
progression of the condition. In this article, we
explore the role of physiotherapists in Grande
Prairie in the management of carpal tunnel
syndrome, providing insights into treatment
modalities, exercises, and strategies for optimal
outcomes.
Understanding Carpal Tunnel Syndrome Carpal
tunnel syndrome occurs when the median nerve,
which runs from the forearm into the hand,
becomes compressed or irritated as it passes
through the narrow passageway (carpal tunnel)
formed by bones and ligaments in the wrist.
Common causes of CTS include repetitive hand and
wrist movements, prolonged or awkward hand
positions, wrist injuries, pregnancy-related
hormonal changes, and underlying medical
conditions such as arthritis and
diabetes. Physiotherapy Interventions for Carpal
Tunnel Syndrome Manual Therapy Soft tissue
mobilization Massage techniques to release tight
muscles, reduce inflammation, and improve
circulation in the wrist and forearm.
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Joint mobilization Gentle manipulation of the
wrist and hand joints to restore normal range of
motion and alleviate stiffness. Neural
mobilization Techniques to mobilize and
desensitize the median nerve, reducing
compression and improving neural
gliding. Splinting and Bracing Wrist
splinting Customized splints worn at night or
during activities to maintain a neutral wrist
position, reduce pressure on the median nerve,
and alleviate symptoms. Taping Application of
kinesiology tape or rigid tape to support the
wrist and promote proper alignment, reducing
strain on the carpal tunnel structures. Therapeut
ic Exercise Stretching exercises Gentle
stretches for the wrist, hand, and forearm
muscles to improve flexibility, relieve tension,
and reduce nerve compression. Strengthening
exercises Progressive resistance exercises to
strengthen the muscles of the hand and forearm,
enhancing stability and supporting the wrist
joint. Nerve gliding exercises Controlled
movements to mobilize the median nerve, improve
its mobility within the carpal tunnel, and
reduce adhesions or scar tissue. Ergonomic
Modifications Workplace assessment Evaluation
of workstation setup, ergonomic equipment, and
hand/wrist positioning to reduce repetitive
strain and minimize aggravating
factors. Activity modification Guidance on
pacing activities, taking breaks, and alternating
tasks to prevent overuse injuries and alleviate
symptoms. Pain Management Techniques Modalities
Application of heat or cold therapy, ultrasound,
or electrical stimulation to reduce pain,
inflammation, and nerve sensitivity. TENS
(transcutaneous electrical nerve stimulation)
Use of electrical impulses to block pain signals
and provide temporary relief from
discomfort. Conclusion Physiotherapy plays a
crucial role in the management of carpal tunnel
syndrome, offering a comprehensive approach to
symptom relief, functional improvement, and
long-term prevention.
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By combining manual therapy, therapeutic
exercise, splinting, ergonomic modifications, and
pain management techniques, physiotherapists
empower individuals with CTS to regain control
over their hand function, alleviate discomfort,
and enhance overall quality of life. At G P Pain
Physiotherapy, our dedicated team of
professionals is committed to providing
personalized care and effective solutions for
individuals living with carpal tunnel syndrome.
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