Carpal tunnel syndrome develops when a large nerve becomes compressed in the wrist. This is the nerve that controls the feeling to thumb, index finger and thumb side of the ring finger. This nerve also controls the muscles at the base of the thumb.The Carpal Tunnel is a small tunnel that allows this nerve and the tendons to the fingers to pass through. Anything making this tunnel smaller (such as inflammation of the tendons) results in compression on the nerve diminishing circulation and causing pain, numbness, and tingling in fingers.

It can be caused by:

• Wrist injury or fracture to the wrist/forearm.
• Frequent use of vibrating tools.
• Repetitive motion with a bent wrist (typing).

Symptoms include:

• Numbness, burning, tingling or pain in hand and fingers.
• Increased discomfort at night and in the morning
• Discomfort with prolonged wrist flexion.
• Weakness in the hand.

Treatment from the Physiotherapist will be centred on attempting to decrease inflammation in the wrist and minimise aggravating activities.

Splints and tape can be used to correct movements and aid in the resting period of the injury.

An exercise programme can aid in improving the symptoms, combined with nerve glides has shown excellent results for treating carpal tunnel syndrome.