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Wrist & Hand

What is carpal tunnel syndrome (CTS)

It is a condition that affects the hands and wrists, symptoms include pain, numbness, tingling, and weakness in the region where the median nerve is distributed. 
The transverse carpal ligament and the carpal bones work together to generate the carpal tunnel, a small opening in the wrist. The median nerve and many tendons that regulate finger movement are housed in this tube.
Sign, Symptoms, Causes & Risk factors
Typically, the thumb, index finger, middle finger, and half of the ring finger are affected by carpal tunnel syndrome symptoms.
1. Pain: People with CTS may feel aches or pains in their hands, wrists, or forearms. 
2. Numbness and tingling: Mostly, the thumb, index finger, middle finger, and half of the ring finger are affected by carpal tunnel syndrome symptoms.
3. Weakness or muscle atrophy: The muscles at the base of the thumb may deteriorate in severe cases or if left untreated, resulting in a loss of coordination and grip strength.
4. Disturbed Sleep: Many experience worsening sensations at night, which can disturb sleep and be uncomfortable.
5. Activities involving repetitive (example: typing on a keyboard, playing piano) or prolonged use (example: sustained gripping) of the hand and wrist may worsen symptoms.
PHYSIOTHERAPY for Carpal tunnel syndrome (CTS)
Carpal tunnel syndrome (CTS) may benefit from the non-surgical treatment option of physiotherapy. A physiotherapist can help in symptom relief, enhance hand and wrist function, and stop the problem from worsening. 
A detailed description of the carpal tunnel syndrome (CTS) treatment strategy using physiotherapy. The following are some typical physiotherapy remedies for CTS:
  • Your medical history, including any prior hand or wrist injuries, pertinent medical problems, and your work or regular activities, will be reviewed by the physiotherapist.
  • They will perform a complete physical examination, which may involve evaluating your grip power, hand and finger sensitivity, wrist and finger range of motion, and muscle function.
  • To assist in confirming the diagnosis of carpal tunnel syndrome, specialized tests such as the Phalen's test or Tinel's sign may be carried out.

2. Education and activity modification:

  • Your physiotherapist will inform you about carpal tunnel syndrome, including its causes, signs, and symptoms, as well as how particular postures or activities may aggravate the problem.
  • Advice on activity modification, making recommendations on how to lessen wrist and hand stress during regular activities, work, or hobbies.
  • Ergonomic guidance will be provided regarding the best workplace arrangement, posture, and methods for utilising tools or equipment to reduce wrist strain.


3. Wrist Splint:

  • The physiotherapist may advise wearing a wrist splint at night and when doing activities that make symptoms worse.
  • The splint is placed appropriately by the physiotherapist to keep the wrist in a neutral position, alleviating pressure on the median nerve and encouraging rest and recovery.



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