Symptoms of Carpal Tunnel Syndrome

• Numbness or tingling in the thumb, index, and middle fingers

• Increased pain or burning sensation in the hand at night

• Weak grip and difficulty holding objects

• Pain radiating from the wrist to the hand

Goals of Physiotherapy

• Reduce pain and inflammation

• Decrease pressure on the median nerve

• Improve wrist and hand movement

• Restore functional use of the hand

Physiotherapy Treatments

1. Pain Relief Techniques

• Cold Therapy: Ice packs are used to reduce pain and swelling.

• Ultrasound Therapy: Helps promote tissue healing and reduce nerve compression.

• TENS Therapy: Used for pain relief and nerve stimulation.

2. Stretching and Range of Motion Exercises

• Wrist Flexor Stretch: Stretches the forearm muscles.

• Wrist Extensor Stretch: Relaxes tight muscles.

• Median Nerve Gliding Exercises: Improve nerve mobility.

• Finger Stretching: Improves finger flexibility.

3. Strengthening Exercises

Once pain decreases and movement improves:

• Grip Strengthening: Using a soft ball or therapy putty.

• Wrist Strengthening: Exercises with light resistance.

• Thumb Strengthening: To improve thumb stability.

4. Splinting and Ergonomic Advice

• Use of a night splint to keep the wrist in a neutral position.

• Ergonomic corrections for computer and workplace posture.

5. Functional Training

• Training for daily activities such as typing, writing, and gripping.

• Education on preventing overuse and repetitive strain injuries.

Frequency and Duration

• Physiotherapy sessions are usually scheduled 2–4 times per week.

• A home exercise program is essential for recovery.

• Noticeable improvement is often seen within 6–8 weeks.