Carpal Tunnel Syndrome (CTS) is a common condition that causes numbness, tingling, pain and weakness in the hand due to compression of the median nerve at the wrist. While surgery is sometimes needed, this review found that many people can benefit from conservative treatment first.
What the Review Found
The strongest evidence supported:
● Splinting, particularly at night, to reduce pressure on the nerve
● Manual therapy and nerve gliding exercises to improve symptoms and hand function
● Corticosteroid injections for short-term pain relief and symptom reduction
The review also found promising early results for treatments such as shockwave therapy, PRP injections, and hydrodissection, although more research is needed.
What This Means for You
If you have carpal tunnel syndrome:
● Conservative treatment can be very effective, especially in mild to moderate cases
● A combination of splinting, physiotherapy and activity modification may help avoid or delay surgery
● Injections can provide temporary relief whilst rehabilitation addresses the underlying problem
Takeaway
Carpal Tunnel Syndrome isn’t always a surgical problem. Evidence suggests that treatments such as splinting, manual therapy and nerve exercises can significantly improve symptoms and function, making them a valuable first step for many patients.
Research Insight By: Emre Oz (Head of Integrated MSK & Sports Medicine Operations at Crouch Physio/Specialist MSK Physiotherapist).
Reference:
Wielemborek, P.T. et al. (2022). Carpal Tunnel Syndrome Conservative Treatment: A Literature Review. Advances in Psychiatry and Neurology.
