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Carpal Tunnel Syndrome Raleigh, NC

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a disorder that causes pain and weakness in the hand. This occurs when the median nerve, which runs down the arm and into the hand, becomes compressed at the wrist. The carpal tunnel is a passageway, which connects the forearm and hand. The tunnel includes a bony floor and walls, as well as a connective tissue roof and houses a number of structures, including the median nerve. The median nerve is responsible for sensation and strength in the palm of the hand as well as the fingers. The compression can be caused by a number of things, including poor mobility in the bones of the wrist, increased inflammation in the tendons of the wrist/hand and poor positioning of the wrist and hand during prolonged activity.

Physical therapy treatment for this condition includes two specific themes. The first is decompression. Using techniques to reduce inflammation as well as increase joint mobility, the physical therapist can increase the available space in the tunnel and allow the median nerve to avoid pressure or tension. The second theme is centered around the avoidance of the triggers which caused the inflammation and compression to begin with. Often times, poor mechanics and form within daily activities at home or work may serve as the root of the problem. Patient education regarding optimal posture and positioning with all potential activities is vital to prevent reoccurrences. This education frequently includes hand and wrist positioning while sleeping, and may require the use of splints and braces to avoid further compression.