The term carpal tunnel syndrome is widely thrown around among people of all ages who start experiencing discomfort in their hands and wrists. But what actually is carpal tunnel syndrome, and more importantly, how can you treat it to return to your normal life?
Do I have carpal tunnel syndrome?
While anyone can develop carpal tunnel syndrome, some people are more prone to it than others:
- Office workers who type or use a computer for several hours a day.
- People who perform repetitive hand and arm motions, such as those who sew, work on an assembly line, or use power tools daily.
- Individuals with underlying medical conditions, like diabetes, rheumatoid arthritis, or thyroid issues.
- Pregnant individuals, who are at higher risk due to fluid retention that can increase pressure in the wrist.
Carpal tunnel symptoms
Carpal tunnel syndrome occurs when the median nerve, which runs through a narrow tunnel in your wrist (the carpal tunnel), becomes compressed. This nerve controls sensation and movement for your thumb, index finger, and middle finger, so those fingers often experience symptoms first.
Recognizing the symptoms early can help prevent further damage. The following are common signs of carpal tunnel syndrome:
- Numbness or tingling in the thumb, index, middle, or ring finger.
- A burning or aching sensation in the wrist or palm.
- Weakness in the hand that affects tasks like gripping objects or typing.
- Feeling like your fingers are “falling asleep,” especially at night or in the morning.
- Difficulty performing fine motor tasks, such as buttoning a shirt or picking up small items.
It’s important to keep in mind that not all wrist pain is carpal tunnel syndrome. Discomfort, stiffness, or tenderness might stem from other issues such as tendonitis or general overuse. Regardless of the cause, seeking physical therapy can often begin to improve your symptoms.
Treatment options for carpal tunnel
Treatment for carpal tunnel syndrome varies depending on its severity and your personal preferences for treatment. The options below are for informational purposes only. The best way to determine the right treatment plan for you is by getting a proper evaluation and diagnosis from a healthcare professional.
Physical therapy
For those just starting to notice chronic or disruptive wrist pain, physical therapy is often the first and most effective step. Chronic pain refers to discomfort lasting longer than three months or pain that doesn’t resolve on its own.
Physical therapy is a strongly recommended first, conservative step toward treatment because it is:
- Non-invasive and avoids surgical interventions.
- Identifies and improves wrist strength and flexibility.
- Helps reduce inflammation through targeted exercises.
- Addresses underlying causes, such as poor posture or ergonomics.
The types of treatment you may receive at Advent vary because we personalize every treatment plan to your age, lifestyle, and degree of discomfort.
Physical therapy for carpal tunnel often includes:
- Stretching and strengthening exercises designed to relieve pressure on the median nerve.
- Nerve gliding exercises to improve nerve mobility within the carpal tunnel.
- Education on workspace ergonomics to reduce strain on your wrists.
Finally, physical therapy is beneficial as the first option for carpal tunnel treatment because it not only helps alleviate symptoms but also empowers you with techniques and knowledge to prevent future flare-ups.
Injections
For more severe cases that cannot be remedied with physical therapy, injections might be an effective way to manage symptoms of wrist pain. There are two types of injections that might be recommended for carpal tunnel syndrome:
- Corticosteroid injections are the most common. This treatment helps reduce swelling around the median nerve. Injections provide temporary relief, but the effects can last long enough to help you pursue physical therapy or other non-surgical solutions.
- Anesthetic injections may also be used for immediate pain relief in certain cases.
While injections can’t undo severe nerve damage, they can be highly effective in relieving discomfort and improving quality of life for those with moderate symptoms.
Surgery
For individuals whose symptoms persist despite more accessible treatments, surgery may be the most effective option. Surgical treatment for carpal tunnel syndrome is called carpal tunnel release surgery.
During this procedure, a surgeon cuts the ligament pressing on the median nerve to release pressure. It’s a safe, effective treatment that works well for patients whose pain and nerve compression haven’t resolved with non-invasive solutions. The recovery process typically includes physical therapy to regain strength and flexibility.
Treatment for carpal tunnel pain in Grand Rapids
You don’t have to live with wrist pain as a frustrating part of your daily life because there’s help available here in town. If you’re worried about your finger, wrist, or hand pain, the team at your local Advent Physical Therapy clinic can help. Start a conversation with our team today to see how physical therapy for carpal tunnel can get you back to your normal life with less pain.
