Let us have a concise review over the management of CTS.

Modalities:

The use of modalities can be given to reduce swelling and pressure within the carpal tunnel. They of great benefit in improving the condition. Ice, ultrasound, iontophoresis, phonophoresis, LASER can be used with great success.

Stretching and Strengthening:

A specific strengthening and stretching exercise programme can improve the strenght and dexterity of hand.

Massage, Nerve gliding and Neural Tension:

Massage, nerve gliding and neural tension techniques can be give but their results are unproven and give no real benefit.

Manipulation:

Manipulative techniques used to stretch & manipulate the carpal tunnel give benefit and improve the condition, although they are not widely accepted.

Ergonomic Advice:

Work sit eassessment help to reduce potential excerbating factors (such as poor posture, excessive force).

Wrist Splints:

Patients with mild to moderate CTS respond well to the conservative programme of night time splintting in neutral position for a minimum of 3-4 weeks and is the best evidence based practice in use.