Carpal tunnel syndrome

This condition occurs when the median nerve is compressed as it travels through the wrist, at the eponymous tunnel. It denotes sensations of pain, burning, tingling or numbness felt throughout the index finger and palm, and particular when flexing the wrist. Causes of the syndrome include the following predisposing factors: diabetes, obesity, hyperthyroidism, traumatic injury to the wrist, a carpal tunnel of reduced-diameter, pregnancy and rheumatoid arthritis, with the condition seen to a greater extent in women than in men.

Your assessment will involve establishing any overriding cause of the syndrome by enacting tests to replicate the symptoms, and investigating any changes to either the muscle mass of the palms, and sensation and response at the wrist.

Carpal tunnel treatment

Treatment aims at regaining the nerve’s function with nerve gliding techniques, therapeutic ultrasound, acupuncture, and alterations to your daily activities and workplace set-up. For example, switching from a ‘QWERTY’ keyboard to a more ergonomic layout can be especially beneficial in the early stages of Carpal tunnel Syndrome. Lastly, we will complete your treatment with a tailored program of exercise to restore the strength of your grip.