Carpal Tunnel Syndrome - Treatment Overview

SYMPTOMS & TREATMENTS

The goal of treatment for carpal tunnel syndrome is to allow you to return to your normal function and activities and to:

  • Address other health conditions if they are making your symptoms of carpal tunnel syndrome worse.
  • Reduce any inflammation of tissues in the wrist that puts pressure on the median nerve.
  • Determine the causes of your carpal tunnel symptoms. You can then identify whether there are activities for you to avoid or do differently and ways you can help prevent the condition.
  • Prevent nerve damage and loss of muscle strength in your fingers and hand.

Treatment for carpal tunnel syndrome is based on the seriousness of the condition, whether there is any nerve damage, and whether other treatment has helped. Treatment options include treatment without surgery (nonsurgical treatment) or with surgery.

  • If treated early, carpal tunnel symptoms usually go away with nonsurgical treatment.
  • If your symptoms are mild, with occasional tingling, numbness, weakness, or pain, 1 to 2 weeks of home treatment are likely to relieve your symptoms.
  • If home treatment does not help, or if your symptoms are more severe (including the loss of feeling in your fingers or hand, or the inability to perform simple hand movements such as holding objects or pinching), have your doctor examine you and recommend treatment.

Nonsurgical treatment

If your symptoms are not severe, expect your doctor to recommend nonsurgical treatment to see whether symptoms improve. Nonsurgical treatment includes:

  • Evaluating any other medical problems thatmight contribute to carpal tunnel syndrome, and changing your treatment forthose problems if needed.
  • Changing or avoiding activities thatmay be causing symptoms, and taking frequent breaks from repetitivetasks.
  • Wearing awrist splint to keep your wrist straight, usually justat night. See a picture of awrist splint Click here to see an illustration..
  • Using nonsteroidal anti-inflammatory drugs (NSAIDs)to relieve pain and reduce inflammation. Although studies have not shown NSAIDsto be effective for carpal tunnel syndrome, they may help relieve yoursymptoms.
  • Learning ways to protect your joints as you go through yourdaily activities.

In some cases, oral corticosteroids or corticosteroid injections into the carpal tunnel may be considered if other methods to reduce inflammation do not work.

Surgical treatment

Surgery is sometimes recommended when other treatment has not helped, if a carpal tunnel condition has continued for a long time, or if there is nerve damage or the risk of nerve damage. Surgery involves cutting the ligament that forms the roof of the carpal tunnel. This relieves the pressure on the median nerve, which eases or ends the symptoms of carpal tunnel syndrome.

See a picture of the ligament involved in carpal tunnel release surgery Click here to see an illustration..

Surgery is usually successful. In some cases it does not completely relieve the numbness and pain in the fingers or hand. This may be the case if there has been permanent nerve damage caused by long-standing carpal tunnel syndrome or by other health problems such as diabetes.

Click here to view a Decision Point.Carpal Tunnel Syndrome: Should I Have Surgery?
By: Healthwise StaffLast Revised: October 21, 2010
Medical Review: Adam Husney, MD - Family Medicine
David Pichora, MD, FRCSC - Orthopedic Surgery

1995-2011 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

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