Carpal Tunnel Syndrome: Why your hands and wrists might be hurting after work

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) is a condition of the median nerve that runs down the front of the forearm through a narrow tunnel. CTS comes about when the nerve becomes compressed or impinged within the tunnel. This causes pain, tinging and/or numbness in the fingers, palm and can also affect the forearm and shoulder.

Am I at risk?

Some risk factors that you should be looking out for are:

  • Repetitive use of the wrist and fingers; including prolonged typing and writing

  • Previous wrist injuries or fractures

  • Pregnancy

  • Diabetes

  • Arthritis

What are the symptoms?

It is important to note that symptoms usually start out very mild and increase gradually in intensity as the trapped nerve can become more inflamed and the space for the nerve reduces. The symptoms are commonly more pronounced in the afternoons and at night, while easing in the mornings. Common symptoms include:

  • Pain

  • Numbness

  • Tingling

  • Cramping

  • Weakness / reduced grip strength

  • And Burning

If you notice any of these symptoms in the arm or hand, it is strongly recommended that you get assessed and treated as soon as possible to reduce the risk of the injury becoming chronic and requiring surgical intervention.  

What can be done?

The first step is to complete a full and detailed assessment of the full upper limb and spine to ensure an accurate diagnosis. On assessment, our Physiotherapists can offer a range of treatments to relieve pain in the wrist as well as improve strength and mobility to help with a return to full pain-free function. Treatment will often involve stretching and mobility to increase the space within the Carpal Tunnel. The treatment will also focus on exercises for upper limb and grip to improve strength, endurance and support the structure in the wrist. Manual therapy and dry needling may also be provided throughout the treatment course to provide relief of symptoms and aid in the healing process of the muscles and nerve structures.

If you notice any of these symptoms in the arm or hand, book an appointment with one of our Physiotherapists for a full assessment and treatment program. Again, it is strongly recommended that CTS is treated early to reduce the risk of surgery and symptoms becoming more severe.