Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is the entrapment of the median nerve as it travels through the carpel tunnel of the wrist. The nerve is compressed within these structures causing tingling, numbness and/or pain at the wrist.

It appears to be caused by a combination of genetic and environmental factors.

Pain in carpal tunnel syndrome is primarily numbness that is so intense that it wakes one from sleep.

Long-standing CTS leads to permanent nerve damage with constant numbness, atrophy of some of the muscles of the thenar eminence, and weakness of palmar abduction.

The main symptom of CTS is intermittent numbness of the thumb, index, long and radial half of the ring finger. The numbness often occurs at night and during long hours of work sitting at the computer. The hypothesis is that the wrists are held flexed for long durations in these activities.

Risk factors:

Repetitive movements involving the wrist, heavy manual work or work with vibrating tools, diabetes, obesity, pregnancy, hypothyroidism.

Clinical signs:

Unable to do daily tasks because of  pain at wrist or weakness of grip strength. With uncomfortable feeling at hands and wrist.


Pain, Numbness, Weakness, Tingling


Wax bath therapy, whirlpool therapy, ice therapy, passive, active and active assisted stretching exercises, grip strength exercise, wrist active movements and strength maintenance, ultrasound therapy, taping.


Depending on the severity of the condition and the amount of time lapse before action has been taken to treat the condition the prognosis for Carpel Tunnel Syndrome varies from case to case.

The following two tabs change content below.
Christian Theseira

Christian Theseira

Physiotherapist at Physio Savvy
Christian Theseira qualified with a bachelor of physiotherapy from Manipal University India after completing a 3 year diploma locally at MAHSA university. His keen interest in the human body began when he served Celebrity Fitness as a personal trainer. Wanting a better understanding of the human physiology and mechanics, he explored the science of physiotherapy where his interests lead him in to the field of neurological rehab. In addition, he has also written a thesis in the field.
Christian Theseira

Latest posts by Christian Theseira (see all)

Posted in Musculoskeletal Disorders.