Therapist’s Management of
Carpal Tunnel Syndrome.
Rehabilitation of the
Hand and Upper Extremity.
Ed 5, Mosby 2002
Therapist’s Management of Carpal Tunnel Syndrome: A Practical Approach.
In Skirven TM, Osterman AL, Fedorczyk, Amadio PC, eds. Rehabilitation of the Hand and Upper Extremity. ed 6. Elsevier (Mosby), 2011, pp 666-677.
Conservative treatment of carpal tunnel syndrome usually requires only 1 or 2 therapy visits for evaluation, education, proper custom splinting to relieve night pain and alter pressures within the carpal tunnel and for changes with exercise technique and ergonomic work positions. With any elevated sensory readings 2 grades above normal, weakness in the opponens (thumb) muscle, daytime paresthesia, release of the transverse carpal ligament either with open technique or endoscopic technique is required to allow the median nerve to receive normal blood flow. There is no evidence that therapy or any of the other myriad of techniques espoused by many different types of health care professionals will resolve carpal tunnel syndrome. Postoperative management also involves brief therapy intervention with wound care, short term splinting to prevent inflammatory issues and to minimize any issues related to scar, and management of complications. Many physicians refer carpal tunnel release surgeries to our clinic 24 hours post op for a brief 3 week treatment.