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Carpal Tunnel Syndrome: Overview and Management

Learn about Carpal Tunnel Syndrome, its causes, symptoms, and various management options. Discover non-surgical treatments and when surgery may be necessary for lasting relief.

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Written by Dr. Md Yusuf Shareef

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 1st Sep, 2025

Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, causing pain, numbness, and tingling. It occurs when the median nerve, which runs from the forearm into the palm, gets compressed at the wrist. While it can be uncomfortable, understanding the condition and taking the right steps can help manage symptoms effectively.


What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway in the wrist made up of bones and ligaments. The median nerve, along with tendons, passes through this tunnel. When the tunnel narrows or surrounding tissues swell, pressure on the nerve leads to CTS.


Common Symptoms

If you have CTS, you may experience:

Numbness or tingling in the thumb, index, middle, and ring fingers.
Pain or burning sensation in the wrist and hand, sometimes radiating up the arm.
Weakness in the hand, making it difficult to grip objects.
Shocklike sensations that shoot into the fingers.
Symptoms worsening at night, often disrupting sleep.

What Causes Carpal Tunnel Syndrome?

Several factors can contribute to CTS, including:

Repetitive hand movements: Activities such as typing, using tools, or assembly line work can strain the tendons and nerves in the wrist.
Wrist positioning: Keeping the wrist bent for long periods, especially during repetitive tasks, can put pressure on the median nerve.
Health conditions: Underlying medical issues like diabetes, rheumatoid arthritis, or thyroid disorders can increase the risk of nerve compression.
Pregnancy: Fluid retention during pregnancy may increase pressure on the median nerve in the wrist, leading to symptoms.
Obesity: Excess weight may increase pressure on the nerves in the wrist.
Previous wrist injuries: Prior injuries, such as fractures or sprains, can alter the anatomy of the wrist and increase susceptibility to conditions like carpal tunnel syndrome.

How Does CTS Affect Daily Life?

If left untreated, CTS can worsen, leading to:

 Difficulty performing simple tasks like buttoning clothes or holding objects.
 Chronic pain and muscle weakness in the hand.
 Permanent nerve damage in severe cases.

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Managing Carpal Tunnel Syndrome

The good news is that CTS can often be managed with simple lifestyle changes and treatments.


 1. Home Remedies & Lifestyle Changes
Rest Your Hands: Take frequent breaks if you perform repetitive tasks.
Wrist Splints: Wearing a brace at night keeps the wrist straight, reducing pressure on the nerve.
Cold Compress: Applying ice can help reduce swelling and pain.
Ergonomic Adjustments: Use a wrist-friendly keyboard or mouse, and keep your wrists in a neutral position while working.

 2. Exercises & Stretching
Gentle exercises can help relieve symptoms:

Wrist Flexor Stretch: Extend your arm, palm up, and gently pull back the fingers with the other hand.
Wrist Extensor Stretch: Extend your arm, palm down, and gently press the fingers downward.
Shake It Out: Shaking your hands can help relieve tingling.

 3. Medical Treatments
If symptoms persist, consult a doctor. Treatment options include:

 Medications: Over-the-counter pain relievers (like ibuprofen) or corticosteroid injections to reduce inflammation.
 Physical Therapy: Strengthening and stretching exercises guided by a therapist.
 Surgery (Carpal Tunnel Release): In severe cases, a minor procedure can relieve pressure on the nerve.

When to See a Doctor?
Seek medical advice if:

Symptoms last more than a few weeks.
Pain or numbness interferes with daily activities.
You notice muscle weakness or shrinking in the hand.

Early treatment can prevent long-term complications.


Preventing Carpal Tunnel Syndrome
Take breaks from repetitive tasks.
Maintain good posture while working.
Keep wrists straight when typing or using tools.
Stay active to improve circulation.

Need Help? Consult a Specialist Today!
If you're experiencing symptoms of CTS, don’t ignore them. Early intervention can make a big difference. You can book a consultation with an orthopedic specialist or neurologist through Apollo24|7 for expert advice and treatment options.


Final Thoughts
Carpal Tunnel Syndrome can be uncomfortable, but with the right care, most people find relief. Simple adjustments in daily habits, exercises, and timely medical help can keep your hands pain free and functional.


Take care of your wrists—they do so much for you every day! 


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Doctor’s specialist: Neurology

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