Alternative Treatments for Carpal Tunnel Syndrome

From Dr. Z - Carpal tunnel syndrome specialist

Alternative Treatments for Carpal Tunnel

Table of Contents

  • Overview
  • Understanding Carpal Tunnel Symptoms & Treatments
  • The Goal of All Carpal Tunnel Treatments
  • Alternative Treatments for Carpal Tunnel
  • CarpalRx Myofascial Release Massager
  • Hydrodissection of the Median Nerve
  • Graston Technique on the Forearm
  • When to Speak With Your Doctor
  • Summary
  • FAQs
  • About

Overview

Carpal tunnel syndrome (CTS) occurs when swelling in the wrist compresses the median nerve, causing tingling, numbness, and weakness in the hand. Early treatment is key before symptoms become permanent.


Why Alternative Treatments Matter

Every effective treatment aims to relieve pressure on the median nerve. While surgery is one option, most experts — including the  American Academy of Orthopedic Surgeons (AAOS) — recommend trying non-surgical methods first.

1. CarpalRx Myofascial Release Massager

This home-use device gently massages the wrist and forearm to break up scar tissue, improve circulation, and reduce inflammation. Used 15 minutes daily, it often brings relief within 30–60 days. Studies report success rates as high as 97% in moderate to severe cases.


2. Hydrodissection of the Median Nerve

A medical procedure where fluid is injected around the nerve to release tight tissue. It’s quick (about 20 minutes) and less invasive than surgery, with 60–88% success rates. However, results may be temporary and depend on the provider’s skill.


3. Graston Technique

A therapist uses a metal tool to massage the wrist and forearm, breaking down adhesions and improving movement. Treatments last about 10 minutes and can achieve 70–90% success. Mild soreness or redness afterward is common but short-lived.


When to Seek Professional Help

If numbness, weakness, or pain keep worsening — or if these methods don’t help — consult a physician. CTS can progress over time and may cause lasting nerve damage if ignored.


Key Takeaway

Before considering surgery, explore these proven alternatives. They’re designed to reduce pressure on the median nerve safely, naturally, and often very effectively.

Dr. Z discusses treatment with a male patient

Understanding Carpal Tunnel Symptoms & Treatments

Carpal tunnel syndrome often begins with pain, numbness, burning, or tingling in the palm and first four fingers (excluding the pinky). Symptoms usually appear at night, especially while sleeping. As the condition progresses, they also occur during the day — interfering with ordinary tasks like gripping, typing, or holding objects.


When that happens, symptoms tend to worsen quickly. You may notice hand weakness, clumsiness, or even sudden shooting electric shock sensations when trying to grasp something.


Because carpal tunnel syndrome is progressive, it’s best to begin treatment as early as possible. Unfortunately, many people wait until daytime symptoms appear — when nerve irritation is already more advanced and surgery may start to be considered.


However, the American Academy of Orthopedic Surgeons (AAOS) advises trying non-surgical remedies first, since most patients improve with conservative care. Common non-surgical treatments include:


  1. Pain-relief medications
  2. Resting the hands and fingers
  3. Modifying repetitive activities
  4. Wearing a night splint
  5. Gentle stretching exercises
  6. Myofascial release massage
  7. Corticosteroid injections


If these traditional approaches don’t bring lasting relief, several alternative treatments have shown strong success rates, including:


  1. CarpalRx automated myofascial release massager
  2. Hydrodissection of the median nerve
  3. Graston technique on the forearm


These methods focus on relieving pressure on the median nerve without surgery, often restoring comfort and strength safely and naturally.

man sleeping with a wrist brace

The Goal of All Carpal Tunnel Treatments

Carpal tunnel syndrome occurs when tissues in the wrist become swollen and press on the median nerve, causing pain, numbness, tingling, and weakness.


The goal of every treatment — surgical or not — is to relieve pressure on that nerve. Surgery does this by cutting the tight band that holds wrist bones together, giving the nerve more space. But it’s a last resort due to recovery time, pain, and only about 50-60% success rate.


Non-surgical treatments work by reducing swelling and irritation naturally, creating the same “breathing room” for the nerve — which is why most experts recommend trying them first.

myofascial release massage on a carpal tunnel patient

3 Alternative Treatments for Carpal Tunnel

1. CarpalRx Myofascial Release Massager

CarpalRx for carpal tunnel syndrome

What it involves


The CarpalRx device is a natural, home remedy that produces myofascial release massage automatically. Essentially, it mimics a therapist's fingers perdorming the same  technique with their fingers. 


The therapy is simple. You just strap the massager device to your wrist area. Then turn the device on. The counter-rotating massage heads do all the work automatically. It feels like someone is using their thumbs to knead the skin over your wrist.


The kneading action destroys adhesions and scar tissues around the median nerve. With this comes reduction of inflammation and swelling. The rsult is that the medin nerve is decompressed. Another benefit of myofascial release massage is increased blood flow, as well as facilitation the body's natural healing process.


The massage must be performed at least once per day. But twice per day (morning and evening) is best. Each massage session lasts for 15 minutes, and requires a full 30 days. More severe carpal tunnel symptoms may require 60 or more days for good symptoms remission. 


How effective is it?


In 3 clinical studies, CarpalRx therapy has shown a 97% success rate in moderate and severe cases. Also, the less severe the symptoms, the more complete the remission. Finally, the shorter amount of time you've had symptoms, the better the symptoms resolution.


One of the first signs that CarpalRx therapy is working is that patients report being able to sleep through th night by the second week of therapy. Complete remission of pain symptoms usually occurs by about the third week of treatment. Numbness and tingling remission follows about 3-5 weeks later. Strength and dexterity may take longer to recover, depending on the patient's severity. More advanced or severe symptoms usually require more time for symptoms remission. 

2. Hydrodissection of the Median Nerve

hydrodissection of the median nerve

What it involves


Hydrodissection for carpal tunnel syndrome is a safe and effective procedure that is performed by a doctor. It is minimally invasive, meaning it requires a hypodermic needle prick. Hydrodissection is used to free up scar tissue from around your median nerve. As the scar tissue is reduced, the median nerve is less confined and less irritated.


First, the doctor sterilizes the skin around your wrist. Then the doctor uses ultrasound to identify the median nerve. Using the ultrasound as a guide, the doctor inserts a hypodermic needle directed toward the nerve. The doctor stops pushing the needle when it’s immediately adjacent to the nerve. The doctor then forces medicine through the needle which breaks up the adhesions and scar tissue. 


The doctor will inject medicine above and below the nerve. Doing so ensures the injected medicine frees the nerve completely from its surrounding scar tissues.


Except for the needle prick, this is not a painful procedure. The entire process takes 20-30 minutes to complete.


How effective is it?


The degree and effectiveness of hydrodissection for carpal tunnel depends on a few factors. The most influential factor is the patient's results with other attempts to treat carpal tunnel. Unsuccessful prior attempts lessen the probability of success with hydrodissection. Other factors affecting outcome are the condition’s severity, and how long carpal tunnel has been present.


In all, patients undergoing ultrasound-guided hydrodissection for carpal tunnel syndrome see satisfactory relief of symptoms. The success rate is 60-88%. This means reduction of pain, numbness, and tingling. Strength and dexterity also significantly improve.


Symptoms relief can last for weeks to months, and sometimes up to 6 months. You can also have multiple procedures lasting several years. 

3. Graston Technique on the Forearm

Graston technique for carpal tunnel

What it involves


The Graston Technique is a type of manual therapy performed by a practitioner. It has many applications around the body, and is also effective for relieving carpal tunnel syndrome.


As with all treatments for carpal tunnel, the Graston technique's goal is to break up adhesions and scar tissue around the median nerve which causes inflammation and swelling. This lessens the pressure on the median nerve. It also promotes blood flow to the area. 


A therapist uses a special steel tool to apply pressure to your wrist area. This stretches your skin and the deeper tissues with a "contusive" force to your wrist area.


The Graston technique requires a qualified and trained healthcare professional. It is difficult, but not impossible, to perform on yourself. It involves using a specialized steel instrument to perform the tissue manipulation. 


The specific approach a Graston therapist might use, and the duration of each treatment, will vary according to an individual's condition and their response to therapy. However, each session lasts 10-15 minutes.


The Graston technique usually is administered one or two times per week for treating carpal tunnel syndrome. There must be at least 2 days rest between sessions. A full course of treatment can last up to 5 weeks.


Bruising, redness, and soreness could result from the treatment. But this usually subsides within a few days.


How effective is it?


Overall, the Graston technique is both safe and effective alternative treatment for carpal tunnel syndrome. The majority of patients have satisfactory results by the second week. More severe cases of carpal tunnel may require a longer treatment duration, potentially involving up to 12 sessions. 


Efficacy is highly dependent on the skill and experience of the practitioner. Some studies show it has an effectiveness rate of 70-90%. However, other studies show that is provides no better results than bracing alone.

When to Speak With Your Doctor

The last thing you need is for carpal tunnel syndrome to advance and worsen. Remember, it's a progressive disorder that just won't stop by itself. So if you don't treat it, you can expect irreversible loss of sensation, strength, and dexterity.


Simple non-surgical remedies work very well. But sometimes they are too little too late. Therefore, if your symptoms are mild and not bothering you much during the day, the the above non-surgical alternative treatments will probably work well. If symptoms are worse, then consult with your doctor to make sure you take the treatment path that's right for you. In all cases, talking with your doctor and addressing the matter as soon as possible is best.

Summary

There are three leading alternative treatments for carpal tunnel syndrome: CarpalRx therapy, hydrodissection, and the Graston technique.


CarpalRx therapy uses a home medical device that precisely mimics a therapist’s fingers to deliver myofascial release massage—a clinically proven method for relieving carpal tunnel symptoms. It boasts a remarkable 97% success rate in reducing pain, numbness, and tingling.


Hydrodissection is a minimally invasive procedure performed by a physician. Guided by ultrasound, a fine needle injects fluid around the median nerve, releasing it from surrounding scar tissue and adhesions. Reported success rates range from 60% to 88%.


The Graston technique is performed by a trained therapist using a smooth metal tool to stretch and mobilize soft tissue in the wrist and forearm. This technique promotes better mobility and reduced nerve pressure, with success rates between 70% and 90%.

FAQs

1) So which alternative treatment for carpal tunnel is best?

Each treatment offers a good rate of efficacy. But the CarpalRx is the only in-home treatment you can do by yourself.


2) How effective is CarpalRx therapy?

The CarpalRx has a success rate of 97% effectiveness. It even works in those with severe symptoms. (Check your severity here.)


3) Can I do myofascial massage at home without the CarpalRx?

Yes, but you cannot do it on yourself. You need a partner because it requires two thumbs. Learn how they can to do it here.


4) How effective is hydrodissection?

It has a success rate of 60-88%.


5) How effective is the Graston technique?

It has a success rate of 70-90%, but efficacy is highly dependent on the practitioner's skill and experience.



6) Can I do the Graston technique at home?

Yes, but you won't be able to do it well if you don't have the proper training and experience

About

Biography: Dr. Z - CarpalRx Medical Director & author

Dr. Maik Zannakis (Dr. Z) 

Medical Director at the CarpalRx


Dr. Z is an acclaimed medical scientist renowned for his expertise in carpal tunnel syndrome and soft tissue disorders. With over 40 years of experience, he is credited with hundreds of medical journal publications and hundreds more web articles about carpal tunnel syndrome. After inventing the CarpalRx, Dr. Z became the go-to expert for carpal tunnel syndrome and wrist tendonitis. His opinions, inventions, and personalized care have distinguished Dr. Z as a trusted leader in this growing field. Read full Bio


Email: dr.z@carplarx.com

Phone: 800-450-6118