Medical Conditions

Carpal Tunnel Syndrome

This is a Moderate condition.

What is Carpal Tunnel Syndrome:

Carpal Tunnel Syndrome is a common nerve condition which can cause pain, weakness, numbness and tingling in the hands and arms. Carpal Tunnel Syndrome occurs when the median nerve becomes compressed as it travels through the wrist. The median nerve is a large nerve which passes through the carpal tunnel, which is a narrow passage in the wrist made up of small bones and soft tissues which acts as a pulley mechanism for bending the fingers.

Carpal Tunnel Syndrome symptoms can range from mild discomfort to significant pain with impact on daily activities and functions. It is a condition that can worsen over time and prolonged pressure on the median nerve can lead to permanent nerve damage. Early diagnosis and treatment intervention is vital to relieve symptoms and reduce progression.

Most Carpal tunnel symptoms are provoked by repetitive grasping and manipulating activities, or from sleeping with your wrists in a constant bent position.

Wrist Splinting for Carpal Tunnel Syndrome:

In the early stages of Carpal Tunnel Syndrome a wrist splint is recommended to relieve symptoms and reduce the risk of deterioration. It is usually advised that a wrist splint is worn at night as this prevents the wrist from bending during sleep and facilitates normal daily activities. Keeping your wrist in a straight of neutral position reduces pressure on the median nerve as it passes through the carpal tunnel. However, it can also be beneficial to wear a splint during the day when completing repetitive activities which aggravate your symptoms.

An improvement in symptoms should be noticed within four weeks of regular splint wear.             

Clinical Assessment:

When assessing a fitting a Carpal tunnel wrist splint your clinician will check:

  • Your manual muscle movements
  • Active and passive joint ranges in the wrist and fingers.
  • Upper limb reflexes
  • Sensation, this involves pressure on the finger tips with a special instrument whilst your eyes are closed.
  • Skin condition
  • A check of your current pain scales.
  • An evaluation of swelling around the wrist and hand.
  • A check of any deterioration in muscle bulk.

From this assessment your clinician will be able to measure and fit the most suitable wrist brace for your individual needs. They will ensure a snug and comfortable fit as a brace fitted too tightly or poor fitting can apply further pressure to the median nerve.

Types of Carpal Tunnel splints:

The most commonly used splints in the treatment of Carpal tunnel Syndrome are volar splints, where a semi-rigid or rigid bar passes under the wrist and into the palm of the hand. Total Body Orthotics provides a range of wrist supports for Carpal Tunnel syndrome.

Total Body Orthotics offers face-to-face clinical assessments for the provision, measurements and fitting of a wide range of orthotic devices from insoles to fully customised Knee Ankle Foot Orthosis (KAFOs). Appointments are based at our clinic at The Arcade, High Street, Eccleshall , Staffordshire, ST21 6BZ. There is a £50 assessment fee to access this service.

If you have purchased a device from us and are struggling with fitting or wear we also provide free online Zoom consultations with our orthotist where we can provide remote support and advice where possible.

If you have any questions please contact a member of the team using our online enquiries form or by emailing enquires@totalbodyorthotics.com

Recovery Time
Months
Treatment
Self Treatable
 

The symptoms of carpal tunnel syndrome include:

  • an ache or pain in your fingers, hand or arm
  • numb hands
  • tingling or pins and needles
  • a weak thumb or difficulty gripping

These symptoms often start slowly and come and go. They are usually worse at night.

CTS sometimes clears up by itself in a few months, particularly if you have it because you’re pregnant.

Wear a wrist splint

  • A wrist splint is something you wear on your hand to keep your wrist straight. It helps to relieve pressure on the nerve.
  • You wear it at night while you sleep. You’ll have to wear a splint for at least 4 weeks before you start to feel better.
  • Stop or cut down on things that may be causing it
  • Stop or cut down on anything that causes you to frequently bend your wrist or grip hard, such as using vibrating tools for work or playing an instrument.

Products for Carpal Tunnel Syndrome