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Top 4 Treatments for Carpal Tunnel Syndrome

Dr. Z • Nov 12, 2020

Top 4 Treatments for Carpal Tunnel Syndrome

You definitely CAN eliminate the pain and numbness of carpal tunnel syndrome without surgery. In fact, remission of symptoms often occurs in just a matter of weeks, and it's permanent!


There are 4 primary, non-surgical treatments for carpal tunnel syndrome that work as well, and often better than surgery. All are cleared for use in carpal tunnel syndrome by the FDA.


Doctors and therapists usually prescribe these treatments before recommending carpal tunnel surgery. And usually two or more of these treatments are prescribed simultaneously (especially when symptoms are severe).


Exactly which treatment (or treatments) you should use depends on:


Be certain you have carpal tunnel: take this self-test.

finger pain

1. Steroid injections

Doctors use steroid injections (or corticosteroid shots) to reduce inflammation inside your wrist. This lessens flexor tendon swelling, which then relieves compression on the median nerve (and the cause of symptoms).


In the 45% of patients in whom steroid injections are effective, symptoms disappear in a few days to weeks. And the effect can last 4-6 months. Unfortunately, symptoms will return again by about 6 months.

steroid shot for carpal tunnel

However, about 55% of patients see no benefit whatsoever. This failure rate appears to be relative to both the length of time you've had symptoms, and their severity.


Even if the injections provide relief, they cannot be used too often. That's because they pose significant health risks. Such risks include loss of strength in the tendon, tendon degeneration (plus tendon scarring, tearing, rupture), accidental injury to the median nerve, infection, injection site pain, anxiety, menstrual irregularities, weight gain, insomnia, and mood swings.

About 75% of injected patients opt for surgery within 1 year. Therefore, doctors consider steroid shots a temporary fix for carpal tunnel syndrome. In other words, the temporary relief, failure rate, and health risks associated with steroid injections for carpal tunnel make it a poor long-term solution for this condition.

carpal tunnel sufferer

2. Massage therapy

Of all the treatments for carpal tunnel syndrome, perhaps the most effective is manual massage therapy. But not just any massage will work. In fact, some types of massage can be harmful (like using a vibration massager).


A specific message technique called myofascial release must be used. When properly performed, it's effective in 97% of patients who use it. Symptoms either resolve fully or near-fully within 30 days. And it works even for severe symptoms.


The reason myofascial release massage works so well is because of what it does to the flexor tendons. The rhythmic kneading motion loosens tendon restrictions. It also increases the area's blood circulation and promotes lymphatic drainage.


This combination of benefits allows tendons to glide smoother. It also relieves tendon inflammation. As a result, the tendons are healthier and not swollen. The result is relief of pressure on the median nerve, which in turn provides permanent relief of carpal tunnel symptoms.

myofascial release massage

Facts about Myofascial Release Massage Therapy

  • Clinically proven to be as good as, and usually more effective than carpal tunnel surgery.
  • Success depends on the practitioner. Some obtain 80 - 90% success; others over 90% success.
  • Must be applied daily for at least 30 days to eliminate symptoms. 
  • Difficult to do by yourself, but the CarpalRx performs myofascial release massage automatically.


3. Night bracing

Wearing a wrist brace at night (or "night bracing") is proven in clinical trials to reverse symptoms of mild or moderate carpal tunnel syndrome. It has little effect on severe symptoms.

wrist brace

Not just any brace will do. You must wear a certified carpal tunnel brace. Braces from local pharmacies like Walgreens, CVS, Walmart, etc. are not certified to treat carpal tunnel syndrome. In fact, they often cause more harm to your wrist joint. The reason is because they contain a palmar spine (see picture at left).


A palmar spine presses into your wrist's carpal tunnel space.  This is why patients who wear drug store braces often wake up with worse symptoms.

Do's and Don'ts about wrist bracing

Wearing a night brace is one of the best treatments for carpal tunnel syndrome --  especially in it's early stages. But there are certain conditions you must be aware of.



  • Mild or moderate symptoms should clear up within 30 days with night bracing alone.

  • Do not wear any brace during the daytime. Your wrist tendons are already stressed. Wearing a brace while working (like typing, lifting, or sorting) will force them to do more work to overcome the brace, further stressing them.

  • Instead of drug store braces, use one of the carpal tunnel braces listed below. They're certified by scientists and specialists for specific use with carpal tunnel syndrome.

Certified carpal tunnel braces

CarpalRx night brace

  • Carpal Pain Solutions - CarpalRx Night Brace
  • Comfy Splints Dorsal Hand Orthosis
  • Advanced Dorsal Resting Splint
  • RCAI Dorsal Carpal Tunnel Splint
  • Allegro Medical Dorsal Resting Splint
  • Bort Soft CTS Splint
  • Sammons Preston Rolyan Dorsal Resting Hand Orthosis
  • AliMed Dorsal Resting Splint
  • LEEDer Dorsal Orthosis


4. Stretching exercises

Carpal tunnel syndrome stems from inflamed flexor tendons in the wrist. The inflammation causes swelling which exerts pressure on the median nerve. This nerve compression is what causes all of the symptoms of carpal tunnel syndrome.


The proper stretching exercises lessen inflammation and thus reduce pressure on the median nerve. The amazing fact is that carpal tunnel stretching exercises can reduce or even eliminate severe symptoms. But you have to do the correct exercises to get good results.


Facts about carpal tunnel stretching exercises



There are 4 core exercise to eliminate symptoms. The exercises are designed to lubricate tendons and loosen restrictions which cause inflammation. The instructions for these stretching exercises are detailed here. In brief, they are as follows:

prayer stretch

1. Prayer Stretch


Bring your palms together in a "prayer" position. Then slowly elevate your elbows, but keep your palms at the same level.

finger interlace stretch

2. Finger Interlace Stretch


Interlace your fingers. Then at the same time, rotate you palms and extend them forward so they're facing away from you.

stop stretch

3. Stop Stretch


Hold one hand up, like saying "Stop!". Then bend your upturned fingers backward using your other hand.

thumb stretch

4. Thumb Stretch


Gently pull your thumb backward and hold. Then rotate it like a helicopter blade, switching direction twice.

Conclusion

There are 4 main non-surgical treatments for carpal tunnel syndrome. They're recommended to patients by doctors and therapists to try before surgery is considered. These treatments are asteroid shots, manual (myofascial release massage) therapy, night bracing, and stretching exercises. If your symptoms are mild or moderate, any one of these treatments should work well, and within a few weeks. But if your symptoms are severe, then you'll need a combination of these remedies.

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