Therapy & Customized
Splinting > Finger,
Hand, Wrist, Forearm & Elbow Conditions > Carpal Tunnel Syndrome
Carpal Tunnel Syndrome Hand Physiotherapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Carpal tunnel syndrome (CTS) typically happens when the median nerve passing through our wrist is pinched or compressed, causing a progressively and increasingly painful condition.
You see, the carpal tunnel is a narrow passageway linking your arm to your hand in which nine tendons and the median nerve are surrounded by an inflexible bony bracelet. The carpal tunnel is comprised of the carpal bones and the transverse carpal ligament.
What causes carpal tunnel syndrome?
The most commonly accepted explanation is that CTS is caused by a combination of events or situations.
Some patients have smaller carpal tunnels and are therefore more likely to have pressure on the median nerve. Injury to the wrist from a sprain or fracture can cause swelling in the carpal tunnel, resulting in compression of the median nerve.
Other factors, such as
- thyroid disease
- repeated use of vibratory tools (e.g. jackhammer or drill)
- or prolonged extreme bending of the wrist can all result in nerve irritation, causing CTS.
What are the symptoms of carpal tunnel syndrome?
Many people report waking up (or being woken up, or getting these symptoms as they use their hands with activities) with numbness in their thumb, index, middle and part of their ring fingers on the palm side of their hand.
Some patients report an ache or sharp pains in their hand, wrist or forearm.
Patients may feel clumsy and drop things, or have problems with fine motor tasks, such as buttoning a shirt or picking up coins. A weakened grip or pinch from prolonged CTS may cause problems when turning a key or opening a jar.
If left undiagnosed or untreated for a prolonged period of time...it may
lead to shrinkage (muscle atrophy) of the muscles that are innervated
by the compressed median nerve.
How can a hand therapist help treat carpal tunnel syndrome?
Our senior hand therapists can help reduce the symptoms of CTS by first performing a complete evaluation to determine the main cause of the problem.
We might recommend wearing a customized wrist brace at night to keep the wrist in a safe position, or during the day for activities that might irritate the nerve.
We can provide patient education and recommendations for modifications to reduce symptoms during activities of daily living, work tasks and recreational activities. We may also prescribe specific exercises to help in the recovery or prevention of future CTS occurrences.
Patients can also receive hand therapy with the following modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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