According to the National Institute of Neurological Disorders and Stroke, carpal tunnel syndrome is caused by compression of the median nerve in the wrist. The carpal tunnel is a canal composed of ligaments and bone at the base of the hand. The median nerve runs through this canal. If the canal becomes narrowed due to irritated or swollen tissues, the median nerve gets compressed, causing pain, numbness and weakness in the hand and wrist.
Medications
The National Institute of Neurological Disorders and Stroke reports that medications may be used in some cases to manage the pain and swelling of carpal tunnel syndrome. Such medications will not cure carpal tunnel syndrome and are only useful for symptom management. Medications to help with pain and swelling include nonsteroidal anti-inflammatory drugs like ibuprofen, naproxen and aspirin; corticosteroids such as prednisone may be injected directly into the wrist or taken in pill form to help decrease the inflammation around the median nerve; and diuretics like furosemide may be given to decrease swelling. Patients should check with their doctors to see if medications may be helpful in managing their carpal tunnel symptoms.
Acupuncture
According to the University of Maryland Medical Center, acupuncture--the process of inserting and manipulating needles into various parts of the body--may be used as an alternative to surgery for carpal tunnel. According to MayoClinic.com, some studies suggest that acupuncture may help to restore normal nerve function and provide long-term relief from pain associated with carpal tunnel syndrome, though other studies are not as clear regarding its benefits. The MayoClinic.com advises to find a practitioner who is certified by the National Certification Commission for Acupuncture and Oriental Medicine to be certain he is adequately trained in the procedure. Anyone considering acupuncture for their carpal tunnel syndrome should check with their doctors prior to seeking alternative care.
Chiropractic
The University of Maryland Medical Center reports that carpal tunnel syndrome is commonly treated by chiropractors. Some chiropractic techniques that may be used include manipulation of the wrist, elbow and upper spine, ultrasound therapy and specialized wrist braces. MayoClinic.com reports that the long-term benefits of chiropractic treatment for carpal tunnel syndrome have not been proven in clinical studies. Patients considering chiropractic treatment for their carpal tunnel syndrome should check with their doctors prior to seeking alternative care.
Physical Therapy
According to the National Institute of Neurological Disorders and Stroke, stretching and strengthening exercises, along with massage, may be useful in treating the symptoms of carpal tunnel syndrome. These techniques are typically performed or guided by a physical therapist. A doctor's referral is usually required for treatment by a physical therapist.
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