What are different CTS treatments?
CTS treatments can best be broken down into conservative-less invasive measures and more invasive-less conservative methods. Mild cases of CTS are best treated by conservative measures.
Some of the more common and effective conservative models of CTS treatments include the splinting of patient's wrists to provide both rest and support. Night splints are recommended to help maintain the wrist in a proper position during resting and sleeping. The use of splinting during work activities is also beneficial to provide added wrist support and help prevent painful improper postures. Patient education such as instruction about which positions are safe which should be avoided is also extremely important, in addition, to giving patient's tips on how to make their work area more ergonomically sound.
Patients may be prescribed oral anti inflammatory medication as well as receive local steroid injections to help control pain and swelling. Finally patients may be referred to physical and/or occupational therapy to help promote tendon ad nerve gliding as well as to restore any deficiencies in strength and range of motion that may have occurred.
If conservative measures fail and the patient's CTS is more severe surgery may be the only remaining option. The most common surgery performed is a carpal tunnel release which include cutting of the transverse carpal ligament to relieve any pressure that is occurring as well as removal of scar tissue that may be present about and within the median nerve. Post-op management would then be necessary and would include scar management, desensitization techniques, range of motion exercises, and hand and wrist strengthening.
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