Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is a condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed at the wrist. This compression can lead to various symptoms such as numbness and tingling in the hand and fingers. Activities that involving repetitive wrist movements are the most common causes that lead to carpal tunnel syndrome. This condition is also normal during pregnancy as hormonal changes can lead to fluid retention and increased pressure in the carpal tunnel.
Signs and Symptoms:
- Numbness and tingling often felt in the thumb, index, middle, and half of the ring finger.
- Pain or discomfort occur in the wrist, may radiate up to the forearm or shoulder.
- Difficulty gripping objects or performing fine motor tasks such as holding small items
- Increased in symptoms with repetitive wrist movement or prolonged wrist bending
- Symptoms may worsen at night, often waking individuals from sleep.
Physiotherapy Managements:
- Ice therapy : To reduce pain and swelling over the wrist
- Manual therapy : Soft tissue manipulation to reduce muscles tightness and joint mobilization to improve the wrist mobility
- Therapeutic exercises : Stretching exercise to improve wrist flexibility and strengthening exercise for the wrist and hand
- Wrist splinting : Wearing a splint at night or during activities to keep the wrist in a neutral position.
- Patient education : Modify activities by avoiding repetitive movements or positions that exacerbate symptoms.
- Ergonomic training : Guidance on workstation setup to minimize strain on the wrist.
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