Wrist Pain? Is this Carpal Tunnel Syndrome (CTS)?
- 1physioandwellness
- Feb 18
- 2 min read
Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, causing pain, numbness, and tingling. It occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed. This condition can impact daily activities and, if left untreated, may lead to permanent nerve damage.

Causes of Carpal Tunnel Syndrome
CTS can develop due to various factors, including:
Repetitive Hand Movements – Activities like typing, using tools, or playing musical instruments can strain the wrist.
Medical Conditions – Diabetes, rheumatoid arthritis, and hypothyroidism increase the risk of nerve compression.
Wrist Injuries – Fractures or sprains can narrow the carpal tunnel and put pressure on the median nerve.
Pregnancy and Fluid Retention – Hormonal changes and swelling can contribute to CTS.
Genetics – Some people have a naturally smaller carpal tunnel, making them more prone to the condition.
Symptoms of Carpal Tunnel Syndrome
CTS symptoms often develop gradually and worsen over time. Common signs include:
Numbness or tingling in the thumb, index, middle, and ring fingers.
Weakness in the hand, making it difficult to grip objects.
Pain or discomfort that worsens at night.
A burning sensation in the wrist or hand.
Difficulty performing fine motor tasks like buttoning a shirt.
Diagnosis of Carpal Tunnel Syndrome
A healthcare provider may diagnose CTS through:
Physical Examination – Checking for numbness, muscle weakness, and pain in the wrist and fingers.
Nerve Conduction Studies – Measuring electrical impulses to assess nerve function.
Electromyography (EMG) – Evaluating muscle activity and detecting nerve damage.
Ultrasound or MRI – Identifying structural issues in the wrist.
Treatment Options for Carpal Tunnel Syndrome
Treatment depends on the severity of the condition and may include:
Non-Surgical Treatments
Wrist Splinting – Wearing a brace to keep the wrist in a neutral position, especially at night.
Lifestyle Modifications – Reducing repetitive movements and improving ergonomic posture.
Physical Therapy – Stretching and strengthening exercises to relieve pressure on the median nerve.
Medications – Anti-inflammatory drugs or corticosteroid injections to reduce swelling and pain.

Surgical Treatment
For severe cases, surgery may be necessary to relieve pressure on the median nerve. The most common procedure is carpal tunnel release surgery, which involves cutting the transverse carpal ligament to create more space for the nerve.
Preventing Carpal Tunnel Syndrome
Take Frequent Breaks – Avoid prolonged wrist strain by resting and stretching regularly.
Maintain Proper Posture – Keep wrists in a neutral position while working on a computer or using tools.
Use Ergonomic Equipment – Adjust keyboards, mice, and tools to minimize wrist stress.
Perform Hand Exercises – Stretching and strengthening the hands and wrists can help prevent CTS.

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