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Physica e-Newsletter
October 2013

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 Carpal Tunnel Syndrome


Carpal tunnel syndrome is caused by compression and irritation of the median nerve as it passes through a small anatomical "tunnel" within the wrist. The median nerve supplies the thumb, index, middle, and inside half of the ring finger. Another nerve supplies the outside half of the ring finger and the little finger. Compression of the median nerve effects the function of the hand, and can cause a range of symptoms including:

  • pain at the wrist, hand and forearm
  • numbness and tingling in the thumb, index finger and ring finger
  • thumb weakness



There are many factors that can increase the risk of developing carpal tunnel syndrome. Women are more likely to be effected than men, with the most common age group being 40-60. Other potential causes or risk factors may include:

  • repetitive manual tasks
  • previous wrist injury
  • fluid retention from pregnancy or menopause
  • arthritis of the hand and wrist
  • diabetes
  • thyroid disease 

In most cases carpal tunnel syndrome can be diagnosed by your Doctor or Physiotherapist with clinical tests. Ultrasound or nerve conduction studies may provide further diagnostic information when required. Thorough assessment and severity of symptoms will guide the best course of treatment and rehabilitation.

Treatment options may include:

  • splinting
  • manual therapy
  • specific advice to guide rest from aggravating factors
  • nerve gliding exercises
  • corticosteroid injections
  • decompression surgery


All Physiotherapy staff at Physica are trained and experienced in providing assessment for hand and wrist injuries. Physiotherapy will assist with treatment of carpal tunnel syndrome, and identify when further medical management such as injections or surgery may be indicated.








Physica News 


The APA conference was attended this month by Greg, Darren, Andrew and Grant from the Ringwood practice. Darren and Andrew were informing the delegates of the clinical applications of their 'P3 Pillow', which was well received.


Kelly Gruber and Kate Walters from the Ringwood practice gave a talk to a local community group in Croydon this month. Content included myotherapy services and the management of low back pain. 

The team at Physica wish you and your family good health. If there is anything we can do to help you with your aches and pains, fitness or general health please do not hesitate to contact us.

Physica Spinal and Physiotherapy Clinics
25 Wantirna Rd
Ringwood Vic 3134
ph 9870 8193

also at
Physica Devonport
Physica Shearwater
Physica Latrobe