Early symptoms of carpal tunnel syndrome include:-

  • Pain
  • Numbness,
  • Symptoms typically present, with some variability
  • In the thumb
  • Index finger
  • Middle finger

The radial half (thumb side) of the ring finger

  • Pain also can radiate up the affected arm.
  • With further progression——>hand weakness ——->decreased fine motor coordination ——->clumsiness —-> thenar atrophy can occur.

Manual therapy techniques include mobilisation of 

  • Soft tissue
  • Carpal bone
  • Median nerve

Other modalities include

  • ultrasound  and
  • electromagnetic field therapy 
  • Splints
  • Wearing a resting splint can help prevent the symptoms occurring at night or a working splint can be useful if your symptoms are brought on by particular activities.

    Simple exercises

    1. Wrist bend
      (forward and back)
    2.  your elbow on a table, arm pointing up, wrist Reststraight.Gntly bend your wrist forward and backwards at a right angle and hold for 5 seconds each side.
    3. Wrist lift
    4. Place your palm on the table and lift the fingers up.
    5. Place your other hand across the knuckles at 90º and push down as the bottom hand tries to pull up.
    6. You should feel the muscles of your forearms contracting.
    7. Wrist 
    8. Keeping your arm straight in front with your palm facing down, gently bend your wrist down.
    9. Use the opposite hand to press the stretching hand back towards your body and hold for 15–30 seconds. 
    10. Finger bend 
    11. Start with your fingers held out straight.
    12. Gently bend the middle joints of your fingers down toward your upper palm and hold for 5 seconds. 
    13. Wrist stretch with weight
    14. Holding a light weight (e.g a tin of beans), stretch your arm out in front with your palm down.
    15. Slowly bend your wrist upward, and then return to the starting position.
    16. Hand squeeze
    17. Squeeze a rubber ball and hold for 5 seconds
What is Carpal Tunnel Syndrome ?

Carpal Tunnel Syndrome (CTS) is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed as it passes through the carpal tunnel in the wrist. The carpal tunnel is a narrow passageway made up of bones and ligaments, located on the palm side of the wrist.

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