What is Carpal Tunnel Syndrome?
Description:
Carpal Tunnel Syndrome (CTS) is a common condition characterised by compression of the median nerve as it passes through the carpal tunnel in the wrist. This compression leads to symptoms such as numbness, tingling, weakness, or pain in the hand and wrist, particularly in the thumb, index finger, middle finger, and part of the ring finger.
Causes of Carpal Tunnel Syndrome
Several factors contribute to the development of Carpal Tunnel Syndrome, including:
Repetitive Hand Movements: Activities that involve repetitive hand movements, such as typing, using a computer mouse, or assembly line work, can increase the risk of CTS.
Wrist Positioning: Prolonged compression or repeated flexion of the wrist, especially in activities like typing or using hand tools, can put pressure on the median nerve.
Anatomical Factors: Some individuals may have a narrower carpal tunnel, predisposing them to compression of the median nerve.
Health Conditions: Certain health conditions such as diabetes, obesity, rheumatoid arthritis, and thyroid disorders can increase the risk of developing Carpal Tunnel Syndrome.
Symptoms of Carpal Tunnel Syndrome
The symptoms of CTS can vary in severity and may include:
Numbness or tingling in the thumb, index, middle, or ring fingers.
Weakness in the hand or difficulty gripping objects.
Pain or discomfort that radiates from the wrist to the forearm or shoulder.
Worsening symptoms at night or upon waking up.
Physiotherapy Interventions for Carpal Tunnel Syndrome
Physiotherapy plays a crucial role in the management and treatment of Carpal Tunnel Syndrome. Here are some common physiotherapy interventions used to alleviate symptoms and improve hand function:
Hand and Wrist Exercises:
Physiotherapists prescribe specific exercises to improve the strength and flexibility of the hand and wrist muscles. These exercises help reduce stiffness, improve circulation, and alleviate pressure on the median nerve.
Manual Therapy Techniques:
Manual therapy techniques such as soft tissue mobilisation, joint mobilisation, and stretching can help relieve muscle tightness, reduce inflammation, and improve joint mobility in the wrist and hand.
Splinting:
Customized wrist splints or braces may be recommended to immobilise the wrist in a neutral position and reduce pressure on the median nerve during activities that aggravate symptoms or while sleeping.
Ergonomic Modifications:
Physiotherapists provide recommendations for ergonomic modifications in the workplace or home environment to minimize strain on the wrist and hand. This may include adjusting workstation setup, using ergonomic keyboards or mouse pads, and taking regular breaks to rest the hands and wrists.
Education and Self-Management Strategies:
Physiotherapists educate patients about CTS, its causes, and strategies to prevent symptom aggravation. They may also provide guidance on self-management techniques such as ice application, activity modification, and pain management strategies.
If you're experiencing symptoms of CTS, it's essential to consult with a physiotherapist for an accurate diagnosis and personalised treatment plan tailored to your needs. By incorporating physiotherapy into your care regimen, you can take proactive steps towards managing Carpal Tunnel Syndrome and enjoying improved hand health and function.
