Carpal Tunnel Syndrome

Physiotherapy for Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition that affects the hand and wrist, caused by pressure on the median nerve as it travels through the wrist. This pressure can lead to numbness, tingling, weakness, or pain in the hand and fingers, often making everyday tasks more difficult.

At Rehab8, we take a personalized and educational approach to treating carpal tunnel syndrome. Our physiotherapists focus on relieving symptoms, addressing contributing factors, and improving hand and wrist function through evidence-based care.

1. What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway in the wrist made up of bones and ligaments. It houses the median nerve, which controls movement and sensation in parts of the hand.

When swelling or tightness develops in this area, it compresses the median nerve, leading to tingling, pain, and weakness in the thumb, index, middle, and part of the ring finger. The condition can progress gradually and worsen over time without proper care.

2. Common Causes and Symptoms

Carpal tunnel syndrome often develops due to a combination of repetitive strain, poor wrist positioning, or underlying health conditions.

Common Causes

• Repetitive hand and wrist movements such as typing, gripping tools, or using a mouse for long periods
• Poor posture or ergonomics placing strain on the wrists and forearms
• Swelling from inflammation or injury in the wrist area
• Fluid retention during pregnancy or hormonal changes
• Underlying conditions such as diabetes, arthritis, or thyroid imbalance
• Prolonged wrist flexion or extension during sleep or work activities
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Common Symptoms

• Tingling or numbness in the thumb, index, middle, or ring finger
• Pain or burning sensations that may travel up the forearm
• Weakness or clumsiness in the hand, making it harder to grip or hold objects
• Symptoms that worsen at night or during repetitive hand use
• Relief by shaking or moving the hand
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Early assessment and management are important to prevent long-term nerve irritation and loss of hand strength.

3. How Physiotherapy Helps Recovery

Physiotherapy is an effective, non-surgical approach to managing and improving carpal tunnel syndrome. At Rehab8, treatment focuses on relieving pressure on the median nerve, restoring movement, and improving strength and ergonomics to prevent recurrence.

Comprehensive Assessment

Your physiotherapist will assess your wrist mobility, grip strength, posture, and workplace ergonomics to identify what is contributing to your symptoms.

Manual Therapy and Soft Tissue Release

Targeted techniques can help reduce tension in the wrist and forearm muscles, improve joint mobility, and promote blood flow to support healing.

Nerve Gliding Exercises

Gentle, guided exercises help the median nerve move freely through the wrist tunnel, reducing irritation and stiffness.

Stretching and Strengthening

Specific exercises for the wrist, forearm, and hand muscles are prescribed to improve endurance and prevent muscle imbalance.

Posture and Ergonomic Training

You’ll receive education on maintaining neutral wrist positions, proper typing techniques, and workplace modifications to reduce strain during daily activities.

Pain Management Strategies

Modalities such as ultrasound, ice therapy, or bracing may be used to decrease inflammation and relieve discomfort.

Takeaway

Carpal tunnel syndrome can significantly impact daily activities, but with the right physiotherapy approach, recovery is achievable. At Rehab8, we focus on reducing nerve irritation, improving mobility, and supporting lasting wrist and hand function.