ASSOCIATE PROFESSOR PHYSIOTHERAPY DEPTT.

1. CARPAL TUNNEL SYNDROME
DR. NIRAJ KUMAR, MPT, Ph.D.* Physiotherapy
ASSOCIATE PROFESSOR

16. • NCV Showing the conduction velocity in medial nerve

17. Ultrasonography can identify space-occupying
lesion in and around the median nerve. The
test can confirm abnormalities that can
diagnose CTS and help guide steroid injections
into the carpal tunnel
X-ray is recommended to exclude other causes
of wrist pain like arthritis or bony pathology

18. DRUG MANAGEMENT
1.NSAID & Muscle Relaxant
2. ANTACIDS:-
3. Calcium therapy with vitamin D3
4 .Methylcobalamin & Gabapentin

21. PHYSIOTHERAPY TREATMENT
1. Use of heat/cold treatments to relieve pain
2. Ultra sound Therapy 1.5W to 2.0W/CM2
3. TENS for 20 min.
4. Increase the strength of the muscles in your hand,
fingers, and forearm
5. Stretching of Carpal Tunnel Sheath.
6. Stretching exercises to improve the flexibility of the
wrist, hand, and fingers
7. Median Nerve Gliding exercise.
8. Low Level Laser Therapy
9. Use of a night splint to reduce discomfort

26. SURGICAL MANAGEMENT
Huistede et al concluded that surgical treatment seems to
be more effective than splinting and anti-inflammatory
drugs plus hand therapy in the midterm and long term to
treat CTS.
The two main manners to decompress the median nerve by
surgery are:-
1. Open carpal tunnel release (OCTR):- During the OCTR
the 2 cm incision is performed through skin, palmar
fascia to access and release transverse carpal ligament.
2. Endoscopic carpal tunnel release (ECTR). The less
invasive ECTR allows to minimize the size of skin
incision while releasing the transverse ligament.

29. Prevention
The following strategies are effective ways to
minimize stress to your hands and wrists:-
Reduce force, Take frequent breaks, Neutral wrist
position. Work area adjustment, Improve your
posture, Keep your hands warm & Maintain good
health.

30. THANK YOU