HEALTH ADVICE

October 14, 2024

How Osteopathy Treats Carpal Tunnel Syndrome for Lasting Relief

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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Do you frequently experience tingling, numbness, or discomfort in your hands? These symptoms may point to Carpal Tunnel Syndrome (CTS), a condition that can severely affect your daily life if left untreated. CTS is characterised by the compression of the median nerve, which travels through the wrist, resulting in pain, weakness, and reduced mobility in the hand. This condition often develops gradually, and many people mistake the early signs for simple muscle strain or overuse, delaying treatment.

 

While a variety of treatment options exist, such as physiotherapy or even surgery, osteopathy stands out as it addresses not only the carpal tunnel itself, but also any other entrapment points along the nerves. Osteopaths will look at the elbow, the shoulders, the upper ribs, thoracic spine and the neck. By addressing other likely entrapment sites, osteopathic treatment is more effective, long-lasting and less invasive.

 

In this article, we will dive into the details of how osteopathy can effectively manage CTS, highlight the common causes and symptoms of this condition, and explain the diagnostic process an osteopath follows to identify and treat it. Whether you’re newly experiencing symptoms or have been struggling with CTS for some time, understanding the benefits of osteopathic treatment could be the key to relieving your discomfort and restoring your hand’s health.

What is Carpal Tunnel Syndrome (CTS)?

Carpal Tunnel Syndrome occurs when the median nerve, which passes through the wrist’s carpal tunnel, becomes compressed or irritated. The median nerve provides sensation and movement to parts of your hand, and when it is compressed, it can lead to symptoms such as numbness, weakness, or pain in the hand and fingers.

  • Prevalence: CTS affects 3% to 6% of adults and can range from mild to severe, depending on how compressed the nerve is.

Anatomy of Carpal Tunnel Syndrome

The carpal tunnel is a narrow passageway in the wrist, formed by bones, ligaments, and muscles. The flexor retinaculum, which includes two tissue layers—the deep transverse carpal ligament and the superficial palmar fascia—encases the median nerve within this tunnel. When the nerve is compressed, it can become inflamed, leading to swelling and pain. This swelling may also affect the blood vessels supplying the nerve, adding to the symptoms.

Causes of Carpal Tunnel Syndrome

CTS is primarily caused by the compression of the median nerve as it passes through the carpal tunnel. Several factors can contribute to this compression:

  • Repetitive hand and wrist movements: e.g., typing or using a computer mouse

 

  • Medical conditions: such as diabetes, rheumatoid arthritis and hypothyroidism

 

  • Wrist injuries or fractures

 

  • Fluid retention or swelling: often related to pregnancy or other conditions

In many cases, CTS may result from a combination of factors. If you believe you have CTS, it’s essential to consult an osteopath early for diagnosis and treatment.

Signs and Symptoms of Carpal Tunnel Syndrome

Common symptoms include:

  • Numbness and tingling: Often felt in the thumb, index, and middle fingers.

 

  • Pain or discomfort: Worsening at night or with increased hand use.

 

  • Weakness: Difficulty holding objects or performing fine motor tasks.

If left untreated, CTS can cause permanent nerve damage, making early intervention crucial.

Risk Factors for Carpal Tunnel Syndrome

Several factors may increase your risk of developing CTS:

  • Age: More common in middle-aged adults, but can also occur in older adults.

 

  • Repetitive activities: Jobs or hobbies involving frequent hand and wrist movements, such as typing, playing musical instruments, sewing, painting, or sports like golf or tennis.

 

  • Prolonged video game use: Continuous hand muscle use without adequate rest can lead to CTS.

 

  • Health conditions: Conditions like diabetes, hypothyroidism, menopause, kidney failure, and rheumatoid arthritis can heighten the risk of CTS.

When to See an Osteopath

If you are experiencing symptoms associated with CTS, such as numbness, tingling, or hand weakness, it is important to contact an osteopath. Early diagnosis and treatment can prevent further nerve damage and improve hand function.

How Osteopaths Diagnose Carpal Tunnel Syndrome

To diagnose CTS, an osteopath will first ask about your symptoms and medical history. A physical examination will then be conducted to assess wrist and hand mobility.

The physical examination may include:

  • Palpation: Feeling the tissues around your hand and wrist.

 

  • Passive and active motion tests: Moving your hand and wrist through its range of motion.

 

  • Muscle testing: Assessing muscle strength to determine whether the median nerve is affected.

Osteopathic Treatment for Carpal Tunnel Syndrome

Osteopathic treatment can be highly effective in reducing pain, swelling, and numbness in the hands, as well as improving hand mobility and blood flow.

Key osteopathic treatment techniques include:

  1. Hand and finger manipulations: To improve the range of motion and reduce discomfort.

 

  1. Addressing underlying conditions or misalignments: Osteopaths will assess other contributing dysfunctions or misalignments, for example of the elbow, shoulders, back, neck and head. 

 

  1. Nervous system treatments: to reduce nerve irritation and tension, for example my addressing the dura mater of the meninges.

What to Expect After the First Visit

After your first osteopathic treatment session, your osteopath may recommend exercises to maintain mobility and suggest lifestyle adjustments to prevent future injuries. These may include stretching exercises, regular breaks during repetitive tasks, and ergonomic improvements at work.

How Many Osteopathic Appointments are Needed for CTS?

The number of appointments required will depend on the severity of your CTS. Some patients experience relief after just one session, while others may need a series of treatments over several months.

Preventing Carpal Tunnel Syndrome

Preventative measures can help reduce the risk of developing CTS:

  • Take breaks: Regularly rest your hands and wrists during repetitive activities.

 

  • Strengthen hand muscles: Engage in exercises to improve wrist strength and flexibility.

 

  • Use ergonomic tools: Use wrist-friendly tools, such as ergonomic keyboards and mouse, to reduce stress on the hands.

 

  • Wear a wrist splint: Especially during activities that involve repetitive strain on the wrists.

Managing Carpal Tunnel Syndrome at Home

If you have CTS, managing your symptoms at home is essential to prevent further damage.

  • Rest: Give your wrist time to heal.

 

  • Splint or brace: Support your wrist during daily activities.

 

  • Avoid wrist-straining activities: Stop activities that cause pain and take breaks to rest.

 

  • Stretch and exercise: Learn simple hand and wrist exercises to maintain flexibility.

Exercises for Carpal Tunnel Syndrome

These exercises can help alleviate CTS symptoms:

  1. Warm-up: Gently stretch hands, wrists, and forearms.

 

  1. Full stretch: Extend your hand and pull your fingers back toward the wrist for a gentle stretch.

 

  1. Prayer stretch: Hold your hands together, push your elbows out, and bring your hands downward to stretch the wrists.

 

  1. Pec stretch: Stretch your chest by clasping your hands behind your back.

 

  1. Anterior stretch: Stretch your neck and shoulders by placing one hand on the collarbone and turning your head to the opposite side.

Conclusion

Carpal Tunnel Syndrome is a common but manageable condition. If you suspect you have CTS, consult an experienced osteopath. They can guide you through exercises, suggest lifestyle changes, and recommend treatments like massage or acupuncture, if necessary.

Osteopathic Care for Carpal Tunnel Syndrome at Aston Clinic London

At Aston Clinic London, our osteopaths provide personalised care for individuals suffering from Carpal Tunnel Syndrome. We utilise a range of osteopathic techniques to reduce pain, improve mobility, and enhance overall hand function, while also addressing any contributing factors such as posture or repetitive strain.

 

Our holistic approach ensures that every aspect of your condition is considered, allowing us to create a tailored treatment plan that works best for you. 

 

To book a session with one of our osteopaths, click here. Alternatively, you can contact us at 020 8942 3148to learn how our treatments can benefit you.

 

Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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