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Treatment of Carpal Tunnel Syndrome

Doctor performing carpal tunnel release surgery on a patient’s hand

Surgical procedure being carried out to treat carpal tunnel syndrome in a patient's wrist

Treatment of Carpal Tunnel Syndrome

Treatment of carpal tunnel syndrome aims to relieve symptoms, prevent nerve damage, and restore hand function. Early treatment is usually conservative, but surgery may be considered in moderate to severe cases.

1. Lifestyle Modifications

  • Rest the affected hand and avoid repetitive or straining tasks.
  • Modify workspaces to reduce wrist strain using ergonomic tools.
  • Use voice-to-text software or alternative input methods if typing is a trigger.

2. Wrist Splints

Wearing a wrist splint, particularly at night, keeps the wrist in a neutral position and reduces pressure on the median nerve. Many people experience relief within weeks.

3. Medication

  • NSAIDs (e.g., ibuprofen) help reduce inflammation and relieve pain.
  • Corticosteroid injections into the carpal tunnel can reduce swelling and provide temporary relief, especially when symptoms are moderate.

4. Physiotherapy

Stretching and nerve-gliding exercises help relieve tension and improve circulation. A physiotherapist may also advise on strengthening the surrounding muscles and correcting posture.

5. Surgery (Carpal Tunnel Release)

If symptoms persist or worsen despite conservative treatments, surgery may be required. This involves cutting the transverse carpal ligament to relieve pressure on the median nerve.

There are two main approaches:

  • Open release surgery – a small incision in the palm
  • Endoscopic release – using a small camera and minimal incisions

Both are typically day procedures with good outcomes and short recovery times.

Treatment of Carpal Tunnel Syndrome

Successful treatment restores hand function, reduces pain, and prevents long-term complications such as permanent nerve damage or muscle wasting.

[Next: Complications and Recovery from Carpal Tunnel Syndrome →]

Causes of Carpal Tunnel Syndrome
Dr Christopher James Orthopedic surgeon Canterbury
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome

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