Carpal Tunnel Syndrome: Your Personal Management Plan

A comprehensive guide for patients with carpal tunnel syndrome

Orthopedics

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Last updated: Mar 24, 2025

Understanding Your Condition

Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed as it travels through the carpal tunnel in your wrist. This causes numbness, tingling, and sometimes pain in your hand and fingers.

Your Personal Management Steps

1. Activity Modification

  • Take frequent breaks from repetitive hand activities
  • Maintain neutral wrist position during activities
  • Use ergonomic tools and equipment
  • Avoid prolonged flexion or extension of wrists

2. Exercise Program

Nerve Gliding Exercises (3-5 times daily):

  • Start with fingers and wrist straight
  • Gradually bend wrist back
  • Make a fist with wrist neutral
  • Open fingers while keeping wrist straight

3. Wrist Support

  • Wear wrist splint at night
  • Consider daytime splinting during aggravating activities
  • Ensure proper splint fit and position

4. Pain Management

  • Apply cold packs for 10-15 minutes when experiencing pain
  • Use NSAIDs as prescribed by your physician
  • Gentle massage of palm and wrist area

5. Ergonomic Modifications

  • Adjust keyboard and mouse height
  • Maintain proper posture
  • Use vertical mouse if recommended
  • Keep wrists straight while typing

Warning Signs

Seek immediate medical attention if you experience:

  • Constant numbness
  • Muscle weakness
  • Dropping objects frequently
  • Severe pain unrelieved by rest

Follow-up Care

  • Attend all scheduled appointments
  • Complete prescribed exercises regularly
  • Document symptoms in provided diary
  • Report any significant changes to your healthcare provider

Long-term Management

  • Maintain healthy weight
  • Stay physically active
  • Practice proper body mechanics
  • Continue preventive exercises even after improvement

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