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Treatment for Carpal Tunnel Syndrome in Zaragoza
At FisioSentis we tackle Carpal Tunnel Syndrome in Zaragoza with physiotherapy treatment. Book your appointment now!
Do you feel tingling, numbness or pain in your hand, especially on waking or when using the computer?
You could be suffering from Carpal Tunnel Syndrome (CTS), one of the most common compressive neuropathies of the upper limb. Although many people think straight away of surgery, physiotherapy offers effective, safe and non-invasive solutions to relieve the symptoms and treat the cause.
At FisioSentis we tell you everything you need to know to approach this condition from physiotherapy: causes, symptoms, diagnosis, treatment, exercises and more.
What is Carpal Tunnel Syndrome?
Carpal Tunnel Syndrome is a condition caused by compression of the median nerve as it passes through the carpal tunnel, a narrow structure in the wrist. This tunnel is formed by the carpal bones and the transverse carpal ligament.
When there is inflammation, thickening of the tendons or reduced space, the nerve is compressed and symptoms such as pain, tingling or weakness in the hand appear.
Why does Carpal Tunnel Syndrome happen?
From a physiotherapy point of view, the most common causes include:
- Repetitive wrist and hand movements, such as typing, using the mouse, sewing or playing instruments.
- Poor workplace ergonomics (especially in office jobs).
- Excessive use of vibrating tools.
- Associated musculoskeletal disorders (cervical dysfunctions, scapular alterations, etc.).
- Hormonal factors: pregnancy, menopause.
- Systemic diseases: diabetes, rheumatoid arthritis, hypothyroidism.
Symptoms and diagnosis of Carpal Tunnel Syndrome
Common symptoms
- Tingling or numbness in the thumb, index, middle and half of the ring finger.
- Pain that may radiate towards the forearm.
- Difficulty gripping small objects.
- Loss of strength or clumsiness.
- Symptoms that worsen at night or when doing certain activities.
Diagnosis from physiotherapy
The physiotherapist assesses:
- Clinical history and daily habits.
- Orthopaedic tests: Phalen’s test, Tinel’s test, carpal compression test.
- Assessment of sensitivity, strength and mobility.
- Evaluation of the cervical-shoulder-elbow-hand kinetic chain.
It can also be completed with medical studies such as EMG or ultrasound.
Treatment from physiotherapy
Treatment goals
- Reduce compression on the median nerve.
- Relieve neurosensory symptoms.
- Improve the biomechanics of the upper limb.
- Educate the patient to prevent recurrences.
Techniques used
Manual therapy: joint mobilisations of the wrist and fingers, soft-tissue release.
Neurodynamics of the median nerve.
Motor control exercises and progressive strengthening.
Analgesic or anti-inflammatory electrotherapy (TENS, ultrasound).
Kinesiology taping for offloading.
Postural and ergonomic exercises.
Functional re-education of the upper limb.
Benefits of physiotherapy treatment
- Lasting relief from pain and tingling.
- Improved hand performance.
- Prevention of the syndrome’s progression.
- Avoids or delays the need for surgery.
- Faster return to usual activities.
Recommended exercises
They should be done under professional guidance and without causing pain.
Median nerve gliding
With the elbow straight and the wrist extended, perform slow finger-extension and lateral head movements.
Stretching the superficial finger flexor
Extend one finger with the other hand while keeping the rest flexed.
Strengthening the intrinsic hand muscles
Exercises with a soft ball, pinching between fingers, opposition movements.
Wrist and finger mobilisation
Gentle circular and flexion-extension movements to maintain joint mobility.
Tips and prevention for Carpal Tunnel Syndrome
- Adopt suitable ergonomics when working with a computer or tools.
- Take active breaks if you use your hands a lot.
- Stretch your wrists and fingers at least twice a day.
- Keep good cervical and scapular posture.
- Avoid resting your wrists on hard surfaces.
- If you work with a computer, use mats with wrist support.
Frequently asked questions about Carpal Tunnel Syndrome
How long does it take to improve?
It varies with the severity. In mild to moderate cases, physiotherapy can improve symptoms in 4-8 weeks.
Is it reversible without surgery?
Yes, especially in the early stages. Physiotherapy is very effective if you act in time.
Can I work with CTS?
It depends on the severity. The physiotherapist can adapt activities or recommend temporary sick leave.
What happens if I don’t treat it?
The syndrome can worsen, affect more nerves, cause muscle atrophy and require surgery.
Carpal Tunnel Syndrome shouldn’t be taken lightly. Appropriate physiotherapy treatment not only relieves symptoms, but resolves the cause and prevents future complications. Physiotherapy makes it possible to avoid more invasive treatments and recover function progressively and effectively. If you feel discomfort in your hand, don’t let it slide: early intervention makes the difference. Contact FisioSentis and we’ll help you!
