Understanding Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) is a prevalent condition that affects millions of people worldwide. It occurs when the median nerve, which runs from the forearm into the palm, becomes compressed at the wrist. This compression can lead to symptoms such as pain, numbness, tingling, and weakness in the hand and arm.
The Role of Diagnostic Ultrasound in CTS
Diagnostic ultrasound has become a valuable tool in the assessment and management of CTS. It provides a non-invasive, real-time visualisation of the median nerve and surrounding structures, helping clinicians make accurate diagnoses.
Measuring the Median Nerve
One of the key benefits of diagnostic ultrasound is its ability to measure the median nerve’s cross-sectional area (CSA). A CSA greater than 9-10 mm² at the level of the carpal tunnel is often indicative of CTS. Ultrasound can also assess the nerve’s flattening ratio and evaluate any swelling or structural abnormalities.
Using Colour Doppler to Assess Neovascularity
Colour Doppler ultrasound is another advanced technique that can be employed to evaluate neovascularity around the median nerve. Increased blood flow, seen as neovascularity, can indicate inflammation and contribute to the diagnosis of CTS. This comprehensive imaging helps in understanding the extent of the condition and planning appropriate interventions.
Using Colour Doppler to Assess Neovascularity
Colour Doppler ultrasound is another advanced technique that can be employed to evaluate neovascularity around the median nerve. Increased blood flow, seen as neovascularity, can indicate inflammation and contribute to the diagnosis of CTS. This comprehensive imaging helps in understanding the extent of the condition and planning appropriate interventions.
Physiotherapy Management of Carpal Tunnel Syndrome
Physiotherapy plays a crucial role in managing CTS, offering non-surgical treatment options that can significantly improve symptoms and function. At ClinicAll Physio, we employ evidence-based physiotherapy treatments tailored to each patient’s specific needs.
Recommended Physiotherapy Treatments
- Manual Therapy: Techniques such as soft tissue mobilisation and nerve gliding exercises can help reduce median nerve compression and improve mobility.
- Stretching and Strengthening Exercises: Targeted exercises to stretch the wrist flexors and strengthen the wrist extensors can alleviate symptoms and prevent recurrence.
- Ergonomic Modifications: Assessing and modifying workplace ergonomics can reduce strain on the wrist and minimise symptoms.
- Splinting: Wearing a wrist splint, especially at night, can keep the wrist in a neutral position and reduce pressure on the median nerve.
Guided Steroid Injections
For patients with moderate to severe CTS, guided steroid injections can offer significant relief. Using ultrasound guidance ensures precise delivery of the corticosteroid to the carpal tunnel, reducing inflammation and swelling around the median nerve. This minimally invasive procedure can provide rapid symptom relief and improve hand function.
Conclusion
At ClinicAll Physio, we combine advanced diagnostic techniques with personalised physiotherapy treatments to manage Carpal Tunnel Syndrome effectively. Diagnostic ultrasound and colour Doppler provide critical insights into the condition, while our comprehensive physiotherapy approach and guided steroid injections offer a path to recovery and improved quality of life. If you’re experiencing symptoms of CTS, contact us today to schedule an evaluation and start your journey to relief.
By incorporating advanced diagnostic tools and tailored physiotherapy interventions, ClinicAll Physio ensures that patients receive the highest standard of care for Carpal Tunnel Syndrome. Our holistic approach aims to alleviate symptoms, restore function, and enhance overall well-being.
