Treatment of carpal tunnel syndrome (CTS) depends on the severity of symptoms and individual factors such as age, overall health, and personal preference. Common approaches include: Nonsurgical Treatments:
- Wrist Splinting: Wearing a splint, especially at night, keeps the wrist in a neutral position to reduce pressure on the median nerve and relieve symptoms like numbness and tingling
. Daytime splinting may be used during activities that aggravate symptoms but can sometimes cause awkward hand positioning.
- Activity Modifications: Avoiding repetitive wrist movements, taking frequent breaks, and adjusting work ergonomics (e.g., keyboard position) can reduce nerve compression
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may help relieve pain but have limited evidence for long-term benefit
. Corticosteroid injections into the carpal tunnel can reduce inflammation and swelling, providing temporary symptom relief
- Home Remedies: Elevating hands and wrists, lightening workload, and using cold packs can help manage mild symptoms
Surgical Treatment:
- Surgery is recommended if symptoms are severe, persistent, or if nonsurgical treatments fail. The procedure, called carpal tunnel release, involves cutting the transverse carpal ligament to relieve pressure on the median nerve
- Surgical techniques include open surgery, endoscopic surgery, and ultrasound-guided surgery, each with specific risks and benefits
- Surgery is usually outpatient and may be done under local or general anesthesia. Recovery involves gradual healing of the ligament to allow more space for the nerve
In summary, initial treatment focuses on splinting, activity modification, and anti-inflammatory measures, with corticosteroid injections as an intermediate step. Surgery is reserved for cases where these measures do not provide adequate relief or in severe nerve impairment