Box Hill Physiotherapy - Quality, Personalised Physiotherapy Services

Remedial Massage : Carpal Tunnel Syndrome

Compression of the median nerve at the wrist is called carpal tunnel syndrome.  A common cause is overuse of the finger flexors, which can create tenosynovitis in the flexor tendons and result in adhesion, inflammation and swelling.  Chronic irritation leads to fibrosis or thickening of the sheath and thickening of the transverse carpal ligament, narrowing the tunnel.  Common symptoms include paresthesia, numbness, and pain in the hand and symptoms are often worse at night.

Traditional approaches:

Reducing aggravating occupational factors with ergonomic intervention, reducing offending activities, corticosteroid injections, oral steroids, various non-steroidal anti-inflammatory drugs, diuretics, wrist splints, surgery, and soft tissue therapy.

Treatment techniques for CTS:

Myofascial release to transverse carpal ligament, stretching wrist flexors and TCL, median nerve mobilisation.



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