Effective Self-Stretching of Carpal Ligament for the Treatment of Carpal Tunnel Syndrome
Introduction/Background
Carpal tunnel syndrome is a prevalent condition characterized by compression of the median nerve within the carpal tunnel pf the wrist, leading to symptoms such as numbness, tingling, and weakness in the hand. Conventional treatments include wrist splinting, corticosteroid injections, and surgical intervention. However, there is a growing interest in non-invasive, self-administered therapies that empower patients to manage their symptoms.
Methods
The double-blinded randomized controlled trial 40 participants diagnosed with mild to moderate CTS. Participants were randomly assigned to either the intervention group, which performed a specific self-stretching exercise targeting the carpal ligament, or the control group, which performed a sham stretching exercises. The intervention consisted of a daily stretching routine over a period of four weeks.
The study found that participants in the self-stretching group experienced a statistically significant improvement in symptom severity, as measured by the Boston Carpal Tunnel Questionnaire. Additionally, there was a notable increase in pinch strength among these participants compared to the control group. No adverse effects were reported, indicating the safety of the self-stretching technique.
Conclusion
The findings suggest that self-administered stretching of the carpal ligament can be an effective non-invasive treatment for reducing symptoms and enhancing pinch strength, therefore, improving hand function in individuals with CTS. This approach offers a cost-effective and accessible option for patient, potentially reducing the need for more invasive treatments. The study emphasizes the importance of patient education and adherence to the stretching regimen to achieve optimal outcomes.
References
Shem K, Wong J, Dirlikov B. Effective self-stretching of carpal ligament for the treatment of carpal tunnel syndrome: A double-blinded randomized controlled study. J Hand Ther. 2020 Jul- Sep;33(3):272-280. doi:10.1016/j.jht.2019.12.002. Epub 2020 May 1.PMID: 32362377.https://www.jhandtherapy.org/article/S0894-1130(20)30001-6/fulltext