What is Carpal Tunnel Syndrome?
Carpal Tunnel Syndrome (CTS) is a common condition affecting the wrist and hand, characterized by numbness, tingling, and pain in the hand and fingers. It occurs when the median nerve, which runs from the forearm into the palm, becomes compressed at the wrist. Physical therapy plays a crucial role in managing CTS, offering non-invasive solutions to alleviate symptoms and improve hand function.
Physical Therapy for Carpal Tunnel Syndrome
The initial phase of physical therapy focuses on reducing symptoms and preventing further nerve compression. This may involve wrist splinting, especially at night, to keep the wrist in a neutral position and relieve pressure on the median nerve. Therapists may also use modalities such as ultrasound, electrical stimulation, or cold laser therapy to reduce inflammation and pain.
As symptoms improve, the rehabilitation program progresses to include exercises aimed at increasing the flexibility and strength of the wrist and hand muscles. Stretching exercises help to improve the mobility of the median nerve and surrounding tissues, while strengthening exercises target the muscles of the hand and forearm to provide better support for the wrist.
Ergonomic assessments and modifications play a vital role in the management of CTS. The physical therapist may evaluate the patient's work and daily activities to identify and correct postures or movements that may contribute to nerve compression. Recommendations may include ergonomic adjustments to the workspace, such as keyboard and mouse positioning, as well as education on proper wrist and hand positioning during activities.
The final phase of rehabilitation focuses on functional activities and exercises that mimic daily tasks or work-related movements. This ensures a safe and effective return to normal activities without exacerbating symptoms. With a comprehensive and individualized physical therapy program, most individuals with Carpal Tunnel Syndrome can achieve significant symptom relief and return to their normal activities with improved comfort and function.