Nonsurgical Methods for Treating Carpal Tunnel Syndrome

Nonsurgical Methods for Treating Carpal Tunnel Syndrome CTS occurs due to excessive pressure on the median nerve in the wrist. The article provides a detailed overview of the condition along with the treatment options.

Carpal Tunnel Syndrome (CTS) is one of the most common problems affecting hands. Also known as median nerve entrapment or median nerve compression, CTS occurs when the median nerve - a narrow passageway on the palm side of your wrist gets compressed. The condition can occur in one or both of your hands and in most cases, affects the thumb, index finger and middle finger. It is characterized by widespread pain, numbness and tingling sensations in the hand and fingers. These symptoms develop slowly and become worse during the night. Reputable pain management centers in Brooklyn, NYC offer nonsurgical treatments to reduce the pain associated with CTS and improve function.

The median nerve that runs from forearm through a passageway in the wrist provides sensation to the palm side of the thumb and fingers. Anything that irritates the median nerve in the carpal tunnel space can cause CTS. Most cases are the result of a combination of several factors which put excessive pressure on the nerve and tendons in the carpal tunnel. Although CTS can affect both men and women,

it is estimated that women (between the ages of 30 and 60 years) are three times more likely to suffer from CTS than men.

Symptoms The symptoms of the condition can range from mild to severe. As the intensity of the pain increases, it often becomes difficult for a person to even hold an object or perform routine manual tasks. Key symptoms of CTS include – •

Numbness or tingling sensation in the hand or fingers

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Difficulty gripping objects with the hands or dropping objects

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Dryness of the skin in the fingers

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Pain and/or numbness that gets worse at night or interrupts sleep

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Pain in the wrist, palm or forearm

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Swollen feeling in the fingers

Pain Management Options Diagnosis involves conducting a detailed physical examination. Tests such as x-ray, nerve conduction study, MRI scan and electromyogram may be ordered to confirm the diagnosis. Multispecialty healthcare and pain management centers in Brooklyn, NYC offer treatment for CTS using a wide range of nonsurgical treatment modalities – Physical therapy – Physical therapy can strengthen and improve the flexibility of muscles and joints. The program would include gentle stretching and strengthening exercises to improve the normal function and movement of joint.

Transcutaneous electrical nerve stimulation (TENS) – TENS uses low-voltage electric stimulation that interacts with the sensory nervous system to reduce pain.

Ice and heat application – Ice packs lower inflammation, whereas heat packs relax the muscles.

Chiropractic care - Chiropractic treatment involves gentle manipulation of the wrist, elbow and cervical spine.

Anti-inflammatory medications – Anti-inflammatory drugs such as ibuprofen (Advil, Motrin IB, etc) may offer short term pain relief.

Pain management injections - Corticosteroids injections help reduce inflammation and swelling, which relieves pressure on the median nerve.

Preventing Carpal Tunnel Syndrome There are no proven strategies to prevent the occurrence of carpal tunnel syndrome. The following strategies can help reduce the risks of occurrence – •

While performing activities, give your hands and wrists a break from time to time.

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Avoid repetitive hand movements that strain the hand muscles

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Maintain correct hand posture

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Wear fingerless gloves to keep your hands and wrists warm

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Do regular hand stretching exercises

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Wear a wrist splint to keep your wrist in a neutral position