Can carpal tunnel syndrome be treated without surgery, and how long does it take to get better?

Yes, the non-surgical options for carpal tunnel include the following:

1. Nightly wrist bracing/splinting to prevent nerve compression whilst sleeping
2. Neurosupplements to ensure nourishment of the nervous system to facilitate nerve recovery
3. Hand occupational therapy for nerve gliding exercises
4. Corticosteroid injections to relieve inflammation and swelling in the synovium surrounding the median nerve

The length of time required for these treatment modalities vary from weeks to months. There is also a possibility that these treatments may fail and surgical treatment is required.

It is prudent for the individual to be seen under a hand & wrist specialist to guide the course of treatment. This will prevent neglect and further deterioration of the carpal tunnel syndrome.

Hi

Carpal tunnel Syndrome (CTS) can sometimes be tricky. It is a compression of the median nerve at the carpal tunnel at the wrist. That compressive band is always there. Hence non-surgical methods, like anti-inflammatory medication, injections and splinting can all be done first. Symptoms may improve, but they may recur.

As the causative problem is still present. Thus, it is hard to answer your question of how long does it take to get better. It also depends on whether there are other causes. Pregnancy is a risk factor for CTS, and the symptoms resolve after delivery. If the CTS happens on the dominant hand, then sometimes may take longer than usual cause you will use your hand more often as well.

Hope this helps,

Dr Sean Ng