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2016/06/20 Home Education and advice


Carpal tunnel syndrome is a condition in which the median nerve is compressed at the wrist in the tunnel formed by the carpal bones and the transverse carpal ligament. The carpal tunnel contains the median nerve and several flexor tendons of the fingers and thumb. Various factors can cause an increase in pressure in the carpal tunnel, resulting in irritation of the median nerve.



1. Diabetes

1. Pain in the wrist and hand, which may radiate up the arm

2. Inflammatory joint disease

2. Numbness in the median nerve distribution, including the first 2 ½ fingers (thumb and index finger and part of the middle finger).

3. Being female

3. Weakness in the thumb can occur in advanced cases

4. Pregnancy

5. Work environment: non-ergonomic workstation, cold, repetitive movements

Carpal tunnel is also sometimes associated with “double crush syndrome,” in which a proximal trauma (neck, shoulder, or elbow) renders the distal nerve (wrist) vulnerable.

How can a physiotherapist help?

The literature supports the role of the physiotherapist and numerous studies have shown favorable results for patients in physiotherapy:


 Education: about the condition, wearing a splint

 Mobilization of the joint

 Ergonomic changes

 Muscular relaxation

 Mobilization of the nerve

 Strengthening exercises

 Mobilization of the tendons

 Pain management: ultrasound, ice

At Kinatex, your physiotherapist will address the various aspects of carpal tunnel syndrome, with everything from a detailed biomechanical assessment to ergonomic advice, in order to design a customized treatment plan that will help you get back to  your activities as quickly as possible.


¹Akalin E, El O, Peker O, Senocak O, Tamci S, Gülbahar S, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercices. American Journal of Physical Medicine and Rehabilitation 2002; 81(2):108-13. [PUBMED: 11807347]

²Bahrami MH, Rayegani SM, Baghbani M, Bafghi MRB. The role of nerve and tendon gliding exercises in the conservative treatment of carpal tunnel syndrome. Journal of Medical Council of Islamic Republic of Iran 2006; 24(1):5-12

³Field T, Diego M, Cullen C, Hartshorn K, Gruskin A, Hernandez-Relf M, et al. Carpal tunnel syndrome symptoms are lessened following massage therapy. Jounral of Bodywork and Movement Therapies 2004; 8(1):9-14. [EMBASE: 2004016426]

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