Carpal Tunnel Syndrome (CTS) is a condition that occurs when the median nerve becomes compressed as it passes through a narrow passage called the carpal tunnel in the wrist. The median nerve provides sensation to the thumb, index, middle, and part of the ring fingers, and also controls some of the muscles in the hand. This syndrome is commonly characterized by numbness, pain, and weakness in the hand and wrist.
Causes of Carpal Tunnel Syndrome
• Repetitive Movements: Engaging in activities that involve constant, repetitive motions such as typing, knitting, or writing.
• Wrist Position: Working for prolonged periods in improper postures.
• Rheumatic Diseases: Conditions like arthritis.
• Trauma or Injuries: Wrist fractures or dislocations.
• Pregnancy or Hormonal Changes: Fluid retention in the body can increase nerve compression.
Symptoms
• Numbness or tingling in the thumb, index, middle, and ring fingers.
• Pain in the hand and wrist (which may be more pronounced at night).
• Decreased hand strength, difficulty gripping objects.
• “Burning” or “shock-like” sensations in the fingers.
Role of Physiotherapy
In CTS, physiotherapy is a key treatment approach for reducing pressure on the nerve, alleviating pain, and improving hand function.
Physiotherapy Methods
- Pain and Inflammation Reduction
- Cold and Hot Therapies
- Manual Therapy
- Stretching and Strengthening Exercises
- Ergonomic Training
- Use of Splints or Supports
- Home Exercises
• Median Nerve Glide Exercise
• Wrist Stretch Exercise
• Ball Squeeze Exercise
Importance of Physiotherapy
In early-stage CTS, physiotherapy can increase the chances of resolving symptoms without surgery. In more advanced cases, physiotherapy plays a vital role in post-surgical rehabilitation. The physiotherapist prepares an individualized treatment plan based on the severity of symptoms and the patient’s specific needs.
Physiotherapist Erkan Topal – Atlas Therapy Mersin
