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When to Seek Physical Therapy for Carpal Tunnel Syndrome

April 25, 2025

Image of a woman suffering from hand and wrist injuries while using her laptop in the office, experiencing pain and discomfort due to carpal tunnel syndrome.

Carpal tunnel syndrome can make everyday tasks hard, whether at work or during your favorite hobbies. It happens when a major nerve in your wrist, called the median nerve, gets squeezed. This is often caused by doing the same hand and wrist movements over and over. If ignored, the problem can get worse, leading to more pain, numbness, or even trouble using your hand.

 

One way to treat it is with physical therapy. It is a safe and effective way to feel better and often helps you avoid surgery. But how do you know when it is time to try physical therapy for carpal tunnel syndrome?

 

Let us discuss the signs of carpal tunnel syndrome and how physical therapy can help.

Physical Therapy for Carpal Tunnel Syndrome

Carpal tunnel syndrome does not always appear as an immediate and severe condition. Symptoms can start out small and easy to dismiss but slowly get worse if ignored.

 

Here are some key indicators that you might benefit from physical therapy for carpal tunnel syndrome.

1.    Persistent Symptoms Lasting More Than Two Weeks

Do you experience symptoms like tingling, numbness, or pain in your fingers or wrist that persist for longer than two weeks? If so, it is time to take action. Occasional discomfort from repetitive tasks is not unusual, but long-lasting symptoms suggest an underlying issue. Physical therapy can help address the root cause before the condition worsens.

2.    Difficulty with Daily Tasks

Carpal tunnel syndrome often interferes with everyday activities such as typing, writing, or gripping items.

 

Have simple tasks like holding a coffee mug become challenging due to weakness, pain, or hand fatigue? This is a clear sign you need help managing your symptoms. Physical therapists can guide you in strengthening exercises. They can also recommend ergonomic adjustments that make daily activities easier.

3.    Symptoms Disturbing Your Sleep

Many patients with carpal tunnel syndrome experience their worst symptoms at night. The pain, tingling, or numbness can disrupt sleep and prevent you from feeling rested. This occurs because the wrist often bends while you sleep, further compressing the median nerve. A physical therapist can recommend specific stretches, splints, and exercises to ease discomfort.

4.    Over-the-Counter Solutions Are Not Working

Have you already tried over-the-counter pain relievers, braces, or resting your wrist, but your symptoms persist? While these solutions can provide temporary relief, they often fail to address the condition fully. Physical therapy goes beyond surface-level fixes. It targets the mechanics and function of your wrist to provide lasting improvement.

5.    Reduced Grip Strength

Do you notice a gradual decrease in your grip strength or an increasing difficulty in holding objects? It is possible that carpal tunnel syndrome is starting to weaken your hand muscles. A physical therapist can guide you through exercises to restore grip strength and prevent further muscle atrophy.

6.    You Want to Avoid Surgery

Severe cases of carpal tunnel syndrome may require surgical intervention. However, physical therapy can often prevent the need for surgery if started early enough. Through therapy, you can reduce inflammation and correct improper wrist movements. You can also improve flexibility and muscle tone, easing the pressure on the median nerve.

7.    Diagnosis from a Healthcare Provider

Once your healthcare provider confirms you have carpal tunnel syndrome, they may recommend physical therapy. Seeking therapy at this stage can help you recover more quickly and prevent the progression of your symptoms.

How Physical Therapy Addresses Carpal Tunnel Syndrome

A physical therapist will create a personalized treatment program tailored to your specific needs and symptoms. This program often includes the following elements.

Education and Ergonomics

One of the most vital aspects of therapy is adjusting your activities and workspace to reduce wrist strain. Whether you need a more ergonomic keyboard or better habits while crafting, these changes can make a big difference.

Strengthening Exercises

Physical therapy focuses on rebuilding strength and flexibility in your wrist, hand, and forearm. A customized exercise routine will target weakened areas and help improve function.

Stretching and Nerve Gliding Exercises

Stretching helps reduce stiffness in the wrist. Meanwhile, nerve gliding exercises encourage the proper movement of the median nerve within the carpal tunnel. Both types of exercises are critical for reducing pressure on the nerve.

Manual Therapy Techniques

Your physical therapist may perform manual therapy. They will use hands-on techniques such as massage and joint mobilization to treat the affected area. This can help improve circulation, reduce pain, and increase the range of motion.

Splints and Wrist Supports

To complement your therapy sessions, a physical therapist may recommend splints or braces. These can help keep the wrist in a neutral position, especially at night when symptoms often worsen.

Physical Therapy for Carpal Tunnel Syndrome in Baltimore, MD

Treating carpal tunnel syndrome early can make a big difference. Starting physical therapy can help you avoid surgeries and give you better ways to manage your condition. If you are ready to feel better, Orthopaedic Associates of Central Maryland Division is here for you. We specialize in providing comprehensive hand and wrist care. Our skilled physical therapy team is ready to help you find lasting relief.

 

To schedule a physical therapy appointment, use our online scheduling link or call us today at (443) 478-4449. We look forward to serving you!

Filed Under: Carpal Tunnel Tagged With: exercises, Hand and Wrist Care, hand doctor near me, hand orthopedic doctors near me, Manual Therapy, pain relievers, physical therapist, physical therapy for carpal tunnel syndrome, Physical Therapy for Carpal Tunnel Syndrome in Baltimore, Splints and Wrist

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The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division is your premier center for comprehensive physical therapy and orthopedic services for conditions affecting the back and neck, foot and ankle, hand and wrist, hip and knee, and shoulder and elbow. We are also proud to offer a Bone Health Program, nonoperative treatments, after-hours care, and on-site imaging at our 12 locations across Central Maryland.