Carpal Tunnel Syndrome: Conservative Treatment

Dear Ask The Doctor: Thanks for your service I m josh working as a IT company i used to sit on pc more than 8 hrs recently i feel pain on my right wrist now i cant use computer mouse mor than an hour i start to practice with left hand can u assist me doctor how to cure this pain i need relief from this Thanks once again

Dear Jebastin: According with your description of the pain and your work activities, it is most likely that you are developing Carpal Tunnel Syndrome (CTS), which is an entrapment of the median nerve within the carpal tunnel at the level of the wrist. Usual symptoms include numbness, tingling, and pain in the wrist and hand.

The conservative treatment includes first of all a work-site ergonomic assessment may help to reduce potentially exacerbating factors, in your case you should use an ergonomic keyboard and modify all the postures or activities that reproduce the pain. The use of a wrist-hand brace that sets the wrist joint in neutral position (to be worn at nighttime for a minimum of 3-4 weeks) many off-the-shelf wrist splints seem to work well. A specific stretching/strengthening program for the hand and wrist may be useful in improving strength and dexterity. The use of anti inflammatory medications (i.e.: “Aleve”) may be of benefit to control de pain. Lack of aerobic exercise (along with increased Body Mass Index) is a risk factor for the development of CTS and should be addressed. Overuse of legal drugs (e.g., caffeine, nicotine, alcohol) can contribute to CTS and should therefore be reduced.

Most individuals with mild-to-moderate carpal tunnel syndrome (CTS) respond to conservative treatment, The local corticosteroid injection may be considered in those cases that show poor improvement with the conservative treatment ( although injection rarely is used in practice).