Carpal Tunnel Syndrome – Nonsurgical Treatments
Drugs – In special circumstances, various medications can relieve pain and swelling associated with carpal tunnel syndrome. Nonsteroidal anti-inflammatory drugs such as aspirin, ibuprofen and other nonprescription pain relievers can help relieve the symptoms have been present for a short time or following a forced activity. The orally administered diuretics (“water pills”) can decrease swelling. Corticosteroids such as prednisone or lidocaine, injected directly into the wrist or taken by mouth, can relieve pressure on the median nerve and provide immediate temporary relief to people with mild or intermittent symptoms.
(Caution: People with diabetes or a predisposition to diabetes should be aware that prolonged use of corticosteroids can make it difficult to regulate insulin levels. The corticosterioides not be taken without being prescribed by a doctor.) In addition, some studies show that supplements of vitamin B6 (pyridoxine) may relieve symptoms of carpal tunnel syndrome.
Exercise – The stretching and strengthening exercises can be beneficial for people whose symptoms have subsided. These exercises may be supervised by a properly trained physiotherapist to treat physical impairments through exercise, or by a properly trained occupational therapist to evaluate patients with physical impairments and helping them acquire skills to improve their health and wellbeing.
Alternative therapies – acupuncture treatments and / or chiropractors have benefited some patients but their true efficacy has not been proven. Yoga is the exception, since it has been shown to reduce pain and improve the pulse in the hand in patients with carpal tunnel syndrome.