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Peter C. Amadio, M.D.
Carpal tunnel exercises: Can they relieve symptoms?
I've been diagnosed with carpal tunnel syndrome. Would regular hand and wrist exercises help me avoid surgery?
from Peter C. Amadio, M.D.
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|Carpal tunnel anatomy|
Probably not. When used alone, carpal tunnel exercises aren't likely to relieve symptoms such as pain and numbness. And they don't replace other carpal tunnel treatments, such as surgery, behavior modification or wrist splints.
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel and under the transverse carpal ligament at the wrist. A number of factors can contribute to carpal tunnel syndrome, including the anatomy of your wrist, certain underlying health problems and possibly patterns of hand use.
Nerve-gliding exercises — one type of carpal tunnel exercise — are meant to help the median nerve move normally, but they can sometimes worsen symptoms. If a median nerve remains trapped, nerve-gliding exercises can stretch, irritate or injure the nerve.
Despite their limits, carpal tunnel exercises may be helpful in some situations:
- To complement another treatment option. Carpal tunnel exercises may be helpful for mild to moderate symptoms when combined with other treatments, such as activity modification, wrist splinting or corticosteroid injections.
- After surgery to prevent the nerve from becoming scarred in the incision area. Range-of-motion exercises — which may include nerve-gliding exercises — can be helpful when there has been significant trauma to the area, such as a fracture that requires wrist surgery or repair near the carpal tunnel.
If your doctor recommends carpal tunnel exercises, start them gradually to ensure they don't cause more harm than good.
- Bardak AN, et al. Evaluation of the clinical efficacy of conservative treatment in the management of carpal tunnel syndrome. Advances in Therapy. 2009;26:107.
- Scott KR. Treatment of carpal tunnel syndrome. http://www.uptodate.com/home/index.html. Accessed March 31, 2011.
- Piazzini DB, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clinical Rehabilitation. 2007;21:299.
- Tollestrup T, et al. Management of distal traumatic median nerve painful neuromas and of recurrent carpal tunnel syndrome: Hypothenar fat pad flap. Journal of Hand Surgery. 2010;35:1010.
- Huisstede BM, et al. Carpal tunnel syndrome. Part I: Effectiveness of nonsurgical treatments — A systematic review. Archives of Physical Medicine and Rehabilitation. 2010;91:981.
- Amadio PC (expert opinion). Mayo Clinic, Rochester, Minn. April 9, 2011.