Carpal Tunnel Syndrome Rehabilitation

Carpal Tunnel Syndrome Rehabilitation
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Resting and avoiding activities that stress your wrist can help you recover from carpal tunnel syndrome, a condition that can be caused by repetitive hand movements. While anyone can develop carpal tunnel syndrome, the National Women's Health Center reports that the condition is more common in women. Carpal tunnel treatment and rehabilitation programs may vary depending on the severity of your condition.

Identification

Carpal tunnel syndrome occurs when the median nerve running through the wrist is compressed, resulting in pain, tingling and numbness in the hand. Nerves and tendons that serve your hand must first pass through a narrow tunnel in your wrist composed of bones and ligaments. Because the space is so narrow, any swelling in the tendons puts pressure on the nerve. Swelling can occur if you perform repetitive movements in a job or hobby or were born with a small carpal tunnel. Using computers, performing factory work or gardening, or golfing can increase your chances of developing the condition. Other causes of carpal tunnel syndrome include injuries, hormonal changes during menopause or pregnancy or having certain medical conditions that can either cause a build up of fluid in the wrist or cause structures in the wrist to enlarge.

Treatment and Rehabilitation

If carpal tunnel syndrome is mild to moderate, your doctor may recommend that you rest your hand and wrist as much as possible to relieve swelling and inflammation. Wearing a wrist brace can help you keep your wrist straight. Your doctor may recommend that you wear a splint constantly or only at night. Part of carpal tunnel rehabilitation includes learning new ways to perform tasks that don't strain the risk. Your doctor may refer you to a physical or occupational therapist who can help you practice performing routine tasks. In some cases, it may be necessary to modify the way you do your job or even change jobs if you can't change the way you perform your work.

Exercise

Nerve-gliding exercises may be helpful in relieving carpal tunnel symptoms. Nerve-gliding exercises involve stretching the carpal ligaments to decrease pressure on the median nerve. Peter C. Amadio, M.D., reports that although exercises may not be effective in relieving symptoms when used alone, they may provide some relief when paired with other treatment options, such as modifying activities, splinting or corticosteroid injections. Ask your doctor's advice before beginning any wrist exercises, because performing exercises may worsen your condition in some cases.

Rehab After Surgery

When carpal tunnel syndrome is severe, your doctor may recommend surgery to release the trapped nerve. Your doctor may recommend that you wear a wrist brace for three or more weeks following surgery. While you can use your hand as you normally do, it is best to avoid repetitive movements for one month following surgery. Improvements in strength and grip will occur gradually, although working with a hand therapist may be recommended if you don't improve on your own. Changing the way you perform tasks will help prevent a recurrence of carpal tunnel syndrome.

References

Article reviewed by John Hagemann Last updated on: Jun 24, 2011

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