Carpal Tunnel Syndrome: Targeted pain relief without surgery in Highams Park
Carpal Tunnel Syndrome (CTS) occurs when the median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at the wrist. This nerve controls sensations to the palm side of your thumb and fingers, and its compression leads to the hallmark symptoms of pain, weakness, and numbness. While often associated with repetitive office work, it is also common in manual laborers and athletes who experience high-vibration or repetitive wrist loading.
Common symptoms of CTS.
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Night-time Tingling: Waking up with a "pins and needles" sensation or numbness in the hand and fingers.
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Grip Weakness: Difficulty performing fine motor tasks, such as buttoning a shirt or holding a phone.
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Radiating Pain: Sharp or aching pain that may travel from the wrist up the arm toward the shoulder.
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Burning Sensations: Persistent discomfort in the thumb, index, and middle fingers.
What are the main causes of Carpal Tunnel Syndrome?
1. Repetitive hand and wrist use
Repeated wrist motions can irritate the tendons that run through the carpal tunnel.
This can lead to swelling of the tendon sheaths (Tenosynovitis) and increased pressure on the nerve.
Common activities include:
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typing or prolonged computer work
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assembly-line work
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using vibrating tools
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repetitive gripping (hairdressing, construction, dentistry)
2. Wrist anatomy and structural factors
Some people naturally have smaller carpal tunnels, which increases the likelihood of nerve compression.
Structural causes include:
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previous Wrist fracture or dislocation
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arthritis affecting the wrist joint
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bone spurs or thickened ligaments
3. Inflammatory conditions
Diseases that cause joint or tendon inflammation can increase pressure inside the tunnel.
Examples:
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Rheumatoid arthritis
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inflammatory tendon disorders
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chronic swelling of tendon sheaths
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4. Hormonal and fluid changes
Fluid retention can narrow the space in the carpal tunnel.
This is common in:
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Pregnancy
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Menopause
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Hypothyroidism
5. Metabolic and systemic diseases
Several medical conditions increase risk by affecting nerves or causing tissue swelling.
Key examples:
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Diabetes
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Obesity
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Acromegaly
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Amyloidosis
6. Repeated vibration exposure
Long-term use of vibrating tools can irritate the nerve and surrounding tendons.
Examples:
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jackhammers
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power drills
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grinders
We can speed up your recovery from injury with a combination of Myofascial release, Radial and Focused Shockwave Therapy within the same sessions.
Depending on whether it is Acute or Chronic, 3 - 6 sessions are generally required for most people to gain complete pain relief and make a full recovery from Carpal Tunnel Syndrome.
The new way to treat MSK.
How Shockwave Therapy helps with Carpal Tunnel Syndrome.
1. Reduces inflammation around the nerve
In many cases of carpal tunnel syndrome, swelling of the tendon sheaths (Tenosynovitis) increases pressure within the tunnel.
Shockwave therapy can: Reduce inflammatory mediators. Decrease swelling in surrounding tissue and improve fluid drainage. This helps lower pressure on the median nerve.
2. Improves nerve blood supply
Shockwave pulses stimulate angiogenesis (formation of new blood vessels) by increasing factors such as Vascular Endothelial Growth Factor.
Better circulation leads to: Improved oxygen delivery to the nerve. Faster nerve repair and a reduced ischemic irritation.
3. Promotes nerve regeneration
Some studies suggest ESWT stimulates nerve healing by: Activating Schwann cells (cells that support nerves). Increasing growth factors and enhancing regeneration of damaged nerve fibers. This may improve nerve conduction and reduce numbness or tingling.
4. Reduces pain signaling
Shockwave therapy can alter how pain signals are transmitted by: Decreasing nerve hypersensitivity. Temporarily disrupting pain receptor activity and reducing levels of pain mediators. This helps relieve symptoms such as burning, tingling, and nighttime pain.
5. Softens fibrotic tissue in the tunnel
Chronic compression may cause thickening of structures like the Transverse carpal ligament.
Shockwaves may help: Remodel fibrotic tissue. Improve tissue elasticity and reduce mechanical pressure on the nerve.
Take your recovery to the next level with scientifically proven Shockwave technology. Shockwave Therapy is clinically proven and well approved by top orthopedics and is now used by well established professional sports bodies, such as elite Premier League Football and Rugby Union clubs.