What is the role of occupational therapy in the treatment of carpal tunnel syndrome (CTS)?

Updated: Mar 30, 2020
  • Author: Nigel L Ashworth, MBChB, MSc, FRCPC; Chief Editor: Milton J Klein, DO, MBA  more...
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Answer

Wrist splints with the wrist joint in neutral or slight extension (to be worn at nighttime for a minimum of 3-4 wk) have some evidence for efficacy. Certainly, they are low cost and have very low risk of adverse effects and therefore can be considered as an initial therapy. [14] No evidence suggests that a specific stretching/strengthening program for the hand and wrist is useful for treating carpal tunnel syndrome. [33] Massage and/or nerve-glide techniques offer no proven benefit. [12, 33] Work-site ergonomic assessment, equipment, and/or ergonomic positioning seem to not provide any benefit. [11, 34]


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