Alternative Treatments for Carpal Tunnel Syndrome

From Dr. Z - Carpal tunnel syndrome specialist

Alternative Treatments for Carpal Tunnel

Table of Contents

Overview

Introduction

The Goal of All Carpal Tunnel Treatments

Alternative Treatments for Carpal Tunnel

  1. CarpalRx Myofascial Release Massager
  2. Hydrodissection of the Median Nerve
  3. Graston Technique on the Forearm

When to Speak With Your Doctor

Summary

FAQs

About

Overview

Carpal tunnel syndrome is a progressive neurological disorder of the wrist area. It results in painful and numbing feelings in the hand. As it advances, symptoms worsen. There are several treatments for carpal tunnel. The goal of every single remedy for carpal tunnel is to lessen the irritation on the median nerve in the wrist joint. This, in turn, relieves symptoms. Many patients opt for surgery. However, there are many good non-surgical remedies which are proven to be successful. Also, alternative remedies like CarpalRx therapy, hydrodissection, and the Graston technique have all proven to work as well, and sometimes even better than traditional remedies, including surgery.

Dr. Z discusses treatment with a male patient

Introduction

Carpal tunnel syndrome produces symptoms like pain, numbness, burning, and tingling in your palm and first four fingers (but not your little finger). Symptoms first appear at night, while trying to sleep. But s the condition progresses, symptoms begin to appear during the daytime, as you're trying to perform tasks with your hands.


At that point, symptoms usually progress more rapidly and intensify. You also begin to lose hand strength and finger dexterity. Your hands feel clumsy and you drop things. You may feel shooting electric shocks while trying to grab objects.


It's beat to treat carpal tunnel syndrome as early as possible. Unfortunately, most people wait until the disorder has progressed into the daytime, when it's more severe. And that's when surgery becomes a consideration.


However, the American Academy of Orthopedic Surgeons (AAOS) recommends treating carpal tunnel with non-surgical remedies FIRST, before considering surgery. That's  because most non-surgical remedies are successful. The traditional, non-surgical remedies are discussed in detail here. They include:


  1. Pain relief medicines
  2. Hand and finger resting
  3. Activity avoidance (modification)
  4. Nocturnal splinting
  5. Regular stretching exercises
  6. Myofascial release massage
  7. Steroid injections


However, good alternative treatments are also available. While not as popular as the traditional non-surgical remedies, they have proven to be successful where those remedies have not. These alternative treatments for carpal tunnel are:


  1. CarpalRx automated myofascial release massager
  2. Hydrodissection of the median nerve
  3. Graston technique on the forearm
man sleeping with a wrist brace

The Goal of All Carpal Tunnel Treatments

Carpal tunnel syndrome happens because tissues deep within the wrist joint become irritated and swollen. That swelling pushes against the main nerve of the hand (the median nerve). In turn, the nerve also becomes irritated also. This is what gives you all of the feelings associated with carpal tunnel syndrome like pain, numbness, tingling, burning, weakness, and clumsiness.


Thus, for any treatment to be successful, it must lessen the irritation on the median nerve by reducing the swelling in surrounding tissues. Surgery is a brute-force way of doing so. that's because surgery aims to cut the band of tissue holding your wrist bones together. The bones snap apart, and provide more "breathing room" for the median nerve.


But surgery is considered a last resort because it involves significant down-time, post surgical pain, aftercare, and loss of job time. Also, there is no guarantee surgery will work. In fact, it has a 50-60% success rate (success rate as measured by patient satisfaction at the second year).

 

Other treatments also give the median nerve more breathing room without . But they do so without surgery. They simply reduce irritation and swelling around the nerve. this is why the AOA recommends trying these non-surgical remedies first.

myofascial release massage on a carpal tunnel patient

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. 

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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 alternative treatments for carpal tunnel syndrome: CarpalRx therapy, hydrodissection, and Graston technique. The CarpalRx is a home-use medical device which exactly mimics the massaging fingers of a therapist. The result is myofascial release massage; clinically proven to relieve symptoms of carpal tunnel. It has a 97% success rate. Hydrodissection is a minimally invasive technique which aims to clear the scar tissue around you median nerve using a hypodermic needle. The doctor guides the needle ultrasonically to  injects fluid and release the neve from the adhesions. The success rate is 60-88%. The Graston technique on the forearm is performed by a therapist. They use a special tool to stretch the skin and tissues in your wrist and forearm. The success rate is 70-90%.

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