Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition caused by compression of the median nerve as it passes through the carpal tunnel—a narrow passageway in the wrist. The carpal tunnel is formed by bones and a ligament, and inflammation or swelling in this area can put pressure on the nerve, leading to characteristic symptoms. This condition affects people who perform repetitive hand or wrist activities, use vibrating tools, or have certain medical conditions such as diabetes or hypothyroidism. Pregnant women may also be more susceptible, especially in the later stages of pregnancy.

At Elite Physical Medicine, our qualified physiotherapists offer a holistic, personalised approach:

Comprehensive Assessment: We thoroughly assess your symptoms, medical history, and work or lifestyle factors to confirm diagnosis and exclude other conditions.

Education & Advice: You’ll receive practical advice on modifying activities, using your hands in ergonomically safe ways, and pacing tasks to reduce strain on the wrist.

Exercise Programme: Gentle nerve gliding and tendon gliding exercises are prescribed to help free up the median nerve and improve mobility within the carpal tunnel. Strengthening and stretching exercises may be gradually introduced as symptoms improve.

Manual Therapy: Techniques such as soft tissue massage and mobilisation can help improve flexibility in the wrist and surrounding tissues.

Splinting: We may recommend wearing a wrist splint, especially at night, to keep the wrist in a neutral position and relieve pressure on the median nerve.

Pain Management: Advice on the use of ice, activity modification, and over-the-counter pain relief may be provided as needed.

Activity & Workplace Modification: We can guide you on practical changes at work or in daily life to help alleviate symptoms and promote recovery.

Referral for Further Investigation: If symptoms do not improve with conservative treatment, we may refer you for further investigations such as nerve conduction studies or an orthopaedic consultation. Surgical treatment (carpal tunnel release) is only considered when all other measures have failed and symptoms remain severe.

We offer an evidence-based, patient-centred management plan tailored to your individual needs and daily demands. With advanced treatments, including shockwave therapy and a team of experienced clinicians, we’ll support you every step of the way towards symptom relief and optimal hand function.