carpal tunnel syndrome
The carpel tunnel protects important structures such as blood vessels, tendons, and your median nerve as they pass between your arm and hand.
What is carpal tunnel syndrome?
Carpal tunnel syndrome is a hand disorder which can cause pain due to pressure on the median nerve where it runs through the carpal tunnel in your wrist.
What causes carpal tunnel syndrome?
Carpal tunnel can be caused by anything that leads to the inside of the wrist swelling including pregnancy, repetitive hand movements and arthritis.
Carpal tunnel pressure increases when the contents of the tunnel enlarge such as the tendons, blood vessels or median nerve or the tunnel space decreases for example when the wrist swells after injury, if there is some subluxation of the carpal bones or tenosynovitis or fracture. Both these scenarios put pressure on the median nerve which causes symptoms to be felt.
The median nerve can also be compressed in another place along its course and still produce symptoms of carpal tunnel syndrome.
What symptoms can carpal tunnel syndrome give?
There are a number of symptoms that can be experienced with carpal tunnel syndrome including:
- Hand pain or aching
- Pins and needles
- Burning sensation
- Perceived swelling
- Cramping or weakness
How can carpal tunnel syndrome be diagnosed?
Your physiotherapist can carry out a full subjective and objective examination and can perform special tests to diagnose carpal tunnel syndrome.
You may need to be referred for EMG or nerve conduction studies to see if your nerve electrical impulses are slowed due to a compression within the carpal tunnel or if it is further up the arm.
An ultrasound scan may show median nerve enlargement. X-rays can show co-existing pathologies.
What treatment can Farrell Physiotherapy offer for carpal tunnel syndrome?
There are several treatment options depending on your symptoms and the severity of the condition. Your physiotherapist can carry out a full assessment and provide an individual treatment plan. Your physiotherapist will choose the most appropriate methods of treatment depending on your symptoms and response to different treatment methods.
Treatment often includes:
- Heat/ice therapy
- Education and advice
- Soft tissue massage
- Splint advice
- Range of movement exercises
- Advice about rest from aggravating factors
- Graded return to functional/sporting activities
If conservative treatment does not work, you may be referred for surgery. It is important that you do regular physiotherapy post-op in order to return to normal levels of function and to prevent any stiffness or weakness following surgery.
Benefit of physiotherapy for carpal tunnel syndrome?
The overall aim of physiotherapy is to reduce your symptoms and to have you at your best in the shortest space of time. There are several benefits of physiotherapy for carpal tunnel syndrome and the benefits you feel from physiotherapy will depend on your symptoms and treatment goals.
Physiotherapy helps to:
- Reduce pain
- Improve strength
- Improve range of movement
- Prevent re-occurring symptoms
- Improve posture
- Improve dexterity
Don't let pain win...
Our Expert Physiotherapists specialise in providing the latest in physiotherapy treatments and techniques in order to get you pain free as soon as possible, cure the cause of your pain and help you to return to pre-injury levels of activity.
Furthermore, we'll also give you a bespoke exercise and rehabilitation program, and advise you on how to prevent re-injury and remain pain free.
At Farrell Physiotherapy we work with some of the uk's top insurance companies to ensure you're covered.
We can accept payment from AXA (PPP), Bupa, PruHealth, simplyhealth and Standard Life, if you have any questions about alternative payment methods, please get in touch with us using the contact form at the bottom of the page and we'll get back to you asap!
I recently injured my Achilles Tendon and I was able to get immediate treatment from a very enthusiastic physiotherapist at ‘Farrell Physiotherapy’. I then had further regular treatment from Ben and continued with the follow-up exercises he gave me to do at home. I found Ben’s enthusiasm contagious and with the treatment and advice he gave me I have been able to get back to regular activity. I have been able to play 18 holes of competitive golf 4 days consecutively with there being no issues.
I was referred to Ben after a road traffic accident for pain in my neck. The service I received was excellent. He not only treated my neck pain but also helped me to correct my bad posture which was not aiding my recovery.
Ben is extremely friendly and gives a very professional service and I can’t thank him enough for resolving the problem. I would highly recommend him.
- Carol Joyce
I am an animal physiotherapist myself and can not recommend Ben more highly. He is the human physio I have been searching so long for!! There are very safe COVID procedures, and a great friendly and efficient environment. Ben makes you feel welcome, explains things perfectly and always ensures you're comfortable.
Most importantly Ben has enormously helped me with my knees. After having radiographs, an MRI, seeing a NHS and another private physio - none of them could help in that way that Ben did in 6 sessions and continues to do so. I have a long way to go but I have never had any faith that my goals are achievable but with Ben I now do - thank you!!
- Lauren Hunt
I have recently completed a course of treatment with Ben Farrell and am pleased to highly recommend him to others. I went to see Ben when I was suffering with extreme pain due to a trapped nerve in my neck which caused pain to radiate into my shoulder, arm and hand. I got an appointment very quickly and Ben was able to diagnose the problem and work on alleviating the pain. Part of the treatment has involved improving my longstanding poor posture which I’ve had since a child and believed was something that could not be changed. Ben has also advised me on how to continue to work on this to avoid this problem from reoccurring in the future.
- Judith Woosnam
I visited the practice on personal recommendation following a doctor’s diagnosis of an as then unspecified “shoulder injury”. I had seen my GP as the increasing pain in my arm and shoulder was not only preventing me from lifting my arm above 90%, but was also increasingly stopping me from sleeping at night.
After an initial diagnosis session where Ben Farrell had quickly identified the actual problem, I then undertook a course of hands on physiotherapy and an increasing program of exercise. In view of the complexity of the problem (which I was advised had been going on for far longer than I has know), the physiotherapy program was, therefore, pretty comprehensive, however, always with excellent support and guidance from Ben along the way.
I am very pleased with the results and I am now both playing much better golf and getting a full night’s sleep. And, I have no problems lifting my arm its full range!!!! So, the next thing on the agenda will be the golf game at Benton Hall.
Before visiting Ben I had been suffering from pain in my achillies tendons, which had stopped me from running my first half marathon. I had previously visited other physios local to me but had made no improvement. On my first visit ,Ben immediately diagnosed that my problem was coming from an old lower back injury. I was impressed that he was determined to treat the root cause of the injury (back) and provide a long term cure, and not just focus on a short term treatment of my achilles. Ben’s friendly but straight talking manner made my visits very enjoyable. I was so impressed that I took my 14 year old son to see Ben when he had an injury prior to a very important football trial. I would not hesitate to highly recommend Ben to anyone .
- Mike Smith
Couldn’t have asked for a better service than I got in just 4 weeks I spent with Mr Farrell.
My first appointment with Mr Farrell was 4 weeks prior to running the London marathon and I was in no fit state to be able to run it due to a knee injury. Mr Farrell gave me a number of exercises to completely daily and a handful of one on one sessions as well. He also advised me on picking a better pair of running shoes to support my foot shape and create less pain in my knee.
A combination of the hard work put in by Mr Farrell and myself I managed to complete the marathon in just over 4 hours. A great achieve considering I couldn’t run for 4 months prior to the race due to my knee. My only regret was not going to see Mr Farrell earlier! Then I may have be able to probably train for it. Would highly recommend Mr Farrell to anyone, a very professional service and great results.
- Fraser Murray
One of the main things I learnt when you treated me was your ability to dispel some of the old chestnuts about joint pain. Through your physiotherapy and advice I now walk more and cycle a lot. I do not rest up when I have a flair up, I do the maximum exercise I can without causing to great a discomfort to my joints. I avoid Painkillers if at all possible.
I can honestly say that you have helped me to take a new outlook on life. Thank you.
Ben Farrell was very thorough and professional when I went to him for treatment on my tennis elbow. He treated my posture as well as the elbow. The exercises he taught me both enabled the pain to go away and stay away, thus doing himself out of work! He and all his staff were very pleasant and friendly and I would recommend him unreservedly.
- Shane Murphy
Ben is an excellent physiotherapist who provided a considered care plan that enabled me to achieve my goals. Ben in his unique professional and personable manner demonstrated judgement and considerable experience to assist my recovery
After suffering persistent shoulder pain for several months I went to Farrell Physiotherapy on the recommendation of my husband.
After only a short course of treatment and undertaking daily exercises I am now pain free.
I would gladly recommend Farrell Physiotherapy to any person requiring physiotherapy treatment.
- C Wiltshire
I received excellent treatment for a foot and knee complaint that I thought would need an operation. It was very debilitating. However, after my course of physiotherapy sessions and continuation of exercises to do at home, I am now pain free and back to my normal exercise routine at the gym.
- C Dobinson
Little Waltham Road,
Spinks Ln, Witham,
Essex, CM8 1EP