Opening Hours
Monday - Saturday 8AM - 8PM

Carpal Tunnel Syndrome

Home / Conditions / Carpal Tunnel Syndrome
Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is common nerve entrapment condition which is characterised by pain, numbness, tingling and sometimes weakness in the hand and arm which is typically aggravated by static gripping actions. This occurs when one of the main nerves to the hand is compressed as it travels through a passage of the wrist called the carpal tunnel – formed by the bones of the wrist and a ligamentous structure which acts to protect the local nerves and tendons. The nerve is called the median nerve and supplies your thumbs, and 2nd, 3rd and 4th digits of the hand.

Other Factors

Although the symptoms are experienced in the wrist and hand, this does not always relate to the origin of the symptoms. Disorders of the neck are a common contributor to the common physical complaints of CTS. If the muscles of the neck become over-active and inflamed, they can irritate the nerves in which the median nerve branches off from. Similarly, brachial plexus injury can also lead to comparable symptoms. The brachial plexus is the network of nerves which stem from the neck and supply the arm, hand and wrist. Following a traumatic injury, a vigorous stretching mechanism or compression, this cluster of nerves can be damaged and inflamed which can lead to referred pain being experienced further along that nerve supply. 

The symptoms can develop spontaneously and tend to progressively become worsetypically more noticeable at night and early in the morning. However, as previously outlined CTS can also occur secondary to other factors which can affect the structures of the carpal tunnel such as trauma, inflammation of local structures and systemic conditions, anatomical variances and conditions that impact fluid distribution.

Risk Factors

These include being overweight, having diabetes, and partaking in activities/actions which involve repeated bending/gripping tasks e.g. playing instruments, heavy manual jobs. The symptoms can also appear whilst being pregnant. Carpal tunnel syndrome has shown to have peak prevalence in those aged 45 – 59 in which 75% are female, and 75–84, 64% being female.   

Assessment

At Pure Physiotherapy your therapist will carry out a comprehensive assessment and physical examination to identify potential reasons for why the symptoms may have started and offer advice on how to adapt these.

Rehabilitation & Management

These may include workplace factors or physical factors. Exercises can include stretching drills for the neck and upper limb, and some postural/strength work. Below are some videos for nerve and wrist stretching and mobilisation. 

At Pure Physiotherapy, our expert clinicians may also give you advice and signpost to suitable splinting/bracing to help with the symptoms, giving you the ability to address the underlying cause and empower you with the knowledge and skills to manage independently 

Appointment Enquiry

Please note - this is only an enquiry form, we will contact you to confirm appointment details.

"Absolutely brilliant"
Google Review December 2019
"This is a great company to work with. They helped me get back on my feet in no time."
Toby Callinan
"I have never had acupuncture before and I can't believe the difference it has made for my chronic back pain. I am now able to control the symptoms and have got back my normal life."
Mrs Hacker
"I was told by a previous physio that nothing could be done for my ankle problem and I would never play football again. Having received expert treatment and by following a specific programme, I have returned to 5-a-side once a week."
Mr J Arthur

Latest From Twitter

Like Our Page on Facebook

© 2020 Pure Physiotherapy. All Rights Reserved.

Terms and Conditions Privacy Policy Patient Resources Professionals