Carpal Tunnel Syndrome

Non-surgical treatment of Carpal Tunnel SyndromeCompressed Median Nerve causing pain, numbness or tingling

Carpal tunnel syndrome (CTS) is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets compressed, inside the carpal tunnel.

The Median Nerve passes through the carpal tunnel at the wrist and into the hand. It gives sensation to the thumb, index finger, middle finger, and half of the ring finger.


CTS has been linked to the following causes:

  • Wrist injury: may cause swelling and extra pressure within the carpal tunnel. The area inside the tunnel can also be reduced after a wrist fracture or dislocation if the bone pushes into the tunnel.

    Carpal tunnel

  • Aggravating activities: the way an activity is performed can increase the risk of CTS. Some of these risks include force, posture, wrist alignment, repetition, temperature and vibration.
  • Pregnancy: can cause fluid to be retained, leading to extra pressure in the carpal tunnel.


  • Sensation: pins and needles, tingling and numbness in the areas supplied by the median nerve (see diagram above). This can often be worse at night.
  • Pain: aching in the wrist/hand area.
  • Strength: the muscles of the thumb can weaken and waste, making it difficult to grasp items.


A Nerve Conduction Study (NCS) is used to diagnose CTS. This study needs to be requested by your doctor. The NCS measures how fast nerve impulses move through the nerve. There are a number of other diagnostic assessments a doctor or therapist can perform to give an indication that CTS is a likely diagnosis.


  • Splinting, Activity Modification, Cortisone injections are potential treatments for Carpal Tunnel Syndrome. Please contact our clinic today for an appointment to discuss appropriate treatment for your condition.