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Carpal Tunnel Syndrome (Hand/Wrist) treatment guide

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Guide Overview

A brief summary of what you'll find inside our treatment guide.


Carpal Tunnel Syndrome is a chronic condition, which means that it often develops over a long period. It’s a painful neurological issue, often associated with repetitive movements of the hand and wrist and keyboard work. Women are five times more likely to develop Carpal Tunnel Syndrome than men; particularly during pregnancy.

Causes (Aetiology)

Carpal tunnel syndrome occurs when the nerve responsible for movement and sensation in the hand and fingers become compressed between the wrist bones and the flexor tendons.

Signs and symptoms

Carpal tunnel syndrome often feels better with rest and a little pain relief but without effective rehabilitation, it always comes back when returning to normal activity, sport or exercise.

Symptoms include:

  • Burning, numbness or pins and needles into the thumb, first and middle fingers
  • Pain which is made worse by the movement of the hand or wrist
  • Tightness and tenderness into the muscles of the forearm
  • Pain when gripping or attempting to flex the hand and fingers

Acute phase management

Most people fail to get on top of their carpal tunnel syndrome because they are unable to identify the cause of their pain. Once the source has been identified, effective steps can be taken to manage the symptoms.

Our treatment guide will help you to identify what’s causing your pain and create the right conditions to begin effective rehabilitation.

Post-acute phase management

Post-acute phase rehabilitation involves the staged introduction of isometric, concentric and eccentric muscle stretches, scar tissue removal, and proprioceptive exercises to decompress the carpal tunnel and reduce pressure on the median nerve.

Condition-specific exercises will help you achieve a full, pain-free range of movement to stop the symptoms coming back.


Carpal Tunnel Syndrome responds well to self-treatment and conservative care; although recovery times are dependent on the severity of the condition.

Our treatment guide provides comprehensive tips and advice to achieve a full recovery in the shortest possible time.


If you follow the treatment guide correctly and are diligent with the rehabilitation programme, then complications are unlikely.

Without correct rehabilitation, the condition tends not to resolve and makes everyday activities like holding a coffee cup or a knife and fork painful.

Periodic stretching and joint mobilisation to reduce pressure through the carpal tunnel and lengthen the flexor tendons are just some of the techniques contained in our treatment guide to help prevent reoccurrence.

Start today and fast track your recovery!

Our guides contain all the latest clinical advice for musculoskeletal healthcare.

You can save hundreds of pounds or dollars on expensive physical therapy by treating the condition simply and effectively at home.

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Carpal Tunnel Syndrome (Hand/Wrist) treatment guide

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