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Healing Hands: Effective Physical Therapy Techniques for Carpal Tunnel Syndrome

Healing Hands: Effective Physical Therapy Techniques for Carpal Tunnel Syndrome
Dr. Garrett Stroup. Physical Therapist in Roseburg Area.


Dr. Garrett C. Stroup

DPT, VRC - Owner and Founder

We help athletes and active adults regain control of their injury without expensive surgeries or medications, so they can keep going.


Carpal tunnel syndrome (CTS) can cause debilitating pain, numbness, and weakness in the hand and wrist, affecting daily activities. Physical therapy offers a range of targeted techniques to alleviate symptoms and improve functionality without surgery. In this comprehensive guide, we will explore various physical therapy interventions tailored specifically for carpal tunnel syndrome. Whether you’re seeking relief or considering your options, understanding the power of physical therapy can be your path to recovery.

Understanding Carpal Tunnel Syndrome

1. Anatomy of the Wrist:

  • Discuss the intricate structures of the wrist, emphasizing the carpal tunnel—a narrow passageway formed by bones and ligaments. Explain the role of the median nerve and how compression leads to CTS symptoms.

2. Common Causes and Symptoms:

  • Explore the causes, such as repetitive hand movements, arthritis, or trauma, leading to inflammation and pressure on the median nerve. Describe the hallmark symptoms, including tingling, numbness, and weakness in the fingers and hand.

The Role of Physical Therapy in Carpal Tunnel Syndrome

1. Comprehensive Assessment:

  • Detail the importance of a thorough evaluation by a physical therapist. Explain how assessments identify the root cause, allowing for a personalized treatment plan.

2. Non-Invasive Techniques:

  • Introduce the concept of non-invasive physical therapy, highlighting the avoidance of surgery and focusing on exercises, stretches, and manual techniques. Discuss the benefits of these methods, such as reduced inflammation and improved nerve function.

Physical Therapy Interventions for Carpal Tunnel Syndrome

Pain on Top of Hand and Wrist

1. Customized Exercise Programs:

  • Explain how physical therapists design tailored exercises to improve wrist strength and flexibility. Describe specific exercises targeting the muscles and tendons involved in CTS. Include illustrations or videos for clarity.

2. Nerve Gliding Exercises:

  • Introduce nerve gliding exercises designed to mobilize the median nerve gently. Explain how these exercises reduce pressure and promote optimal nerve function, demonstrating their proper execution.

3. Soft Tissue Mobilization:

  • Discuss the use of soft tissue mobilization techniques to reduce muscle tension and inflammation. Explain how therapists use their hands or tools to manipulate tissues, enhancing blood flow and promoting healing.

4. Splinting and Bracing:

  • Describe the use of wrist splints or braces to maintain a neutral wrist position, relieving pressure on the median nerve, especially at night. Explain how these devices provide support during daily activities, reducing strain on the affected area.

5. Ultrasound Therapy:

  • Introduce ultrasound therapy, a non-invasive technique that uses sound waves to stimulate healing and reduce inflammation. Explain how ultrasound therapy improves blood circulation, promoting the body’s natural healing process.

Ergonomic Modifications and Lifestyle Changes

1. Workplace Ergonomics:

  • Provide tips on optimizing workspace ergonomics to minimize strain on the wrists and hands. Discuss proper keyboard and mouse placement, chair height, and the importance of taking regular breaks.

2. Lifestyle Adjustments:

  • Discuss lifestyle changes such as maintaining a healthy weight, managing underlying conditions like diabetes or arthritis, and avoiding activities that exacerbate symptoms. Emphasize the importance of overall health in managing CTS.

Patient Education and Follow-Up Care

1. Understanding Triggers:

  • Educate patients about common triggers like repetitive movements or prolonged wrist flexion. Encourage self-awareness to avoid these triggers and manage symptoms effectively.

2. Follow-Up Care and Progress Tracking:

  • Emphasize the importance of regular follow-up appointments with the physical therapist. Describe how therapists track progress, modify treatment plans, and provide ongoing support for optimal results.

Conclusion – A Path to Pain-Free Living

Empowering You for a Pain-Free Tomorrow

Physical therapy offers a comprehensive and non-invasive approach to managing carpal tunnel syndrome. By combining targeted exercises, manual therapy, ergonomic modifications, and patient education, physical therapists provide individuals with the tools they need to reclaim their lives from the grip of CTS. If you’re ready to take the first step toward relief, don’t hesitate to schedule a consultation with us today. Let us be your partners in your journey to lasting comfort and a future of pain-free movement.

Contact us now to schedule your consultation and take the first step toward a pain-free, more active life.

OrMobility Physical Therapy & Performance

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