Treatment for carpal tunnel syndrome usually depends on the severity of its symptoms, ranging from lifestyle changes and medication to surgery or a combination of these.
Lifestyle changes
To relieve pressure on the wrist, take breaks to stretch your hands and wrists. You can also change activities regularly or alternate which hand you normally use. You should also avoid using unnecessary force while writing, typing or gripping. If your work set-up or requirements are contributing to your symptoms, consider making adjustments to your physical space or the way you perform your tasks.
Wrist splint or brace
Putting your wrist in a brace or splint to restrict its movement can allow a period of rest to relieve the symptoms of carpal tunnel syndrome. It may also help to wear one while sleeping.
Physiotherapy
Physiotherapy can help you to adjust the way you use your hands and wrist in your daily routine, to reduce pressure and therefore pain. You can also learn different ways to stretch and relieve strain on your wrists, and exercises to strengthen your hand and wrist muscles.
Medication
Your doctor may prescribe pain relievers or medication to help reduce swelling, but these should be taken sparingly and only under medical supervision.
Carpal tunnel release surgery
For severe and persistent symptoms, carpal tunnel release surgery may be recommended. The procedure involves cutting the carpal ligament to reduce pressure on the median nerve.
Microsurgical neurolysis
In cases where carpal tunnel release surgery is unsuccessful, microsurgical neurolysis may be advised. This procedure releases tight scar tissue around the median nerve to relieve pressure. In some cases, soft tissue will then be transferred to the bare median nerve to prevent scarring from happening again, which would cause the symptoms to return.
See your doctor or a hand surgeon if you have signs and symptoms of carpal tunnel syndrome that interfere with your normal activities and sleep patterns. Early diagnosis and treatment offer the best chances for relief and prevents the symptoms from getting worse.
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