What are the management options for carpal tunnel atrophy?

If you are an employee who suffered carpal tunnel syndrome as a result of repetitive strain on the wrist, you may be at risk of related complications. In severe cases, carpal tunnel atrophy may develop, causing muscle weakness and potential long-term damage to the hand.

Carpal tunnel atrophy is a condition where the muscles in the hand, particularly around the thumb, begin to waste away due to prolonged compression of the median nerve in the wrist, impacting the victim’s ability to perform daily tasks and diminishing their quality of life. The condition can be treated or managed through the following.

Surgery

Carpal tunnel surgery involves releasing the pressure on the median nerve by cutting the ligament that is compressing it. This procedure, known as carpal tunnel release, can help prevent further damage, reduce symptoms and potentially restore some muscle function, although it may not fully reverse existing atrophy.

Wrist splint

Your doctor may direct you to wear a wrist splint, especially in the early stages of carpal tunnel syndrome, to help maintain the wrist in a neutral position and minimize pressure on the median nerve. This can help alleviate symptoms, slow the progression of atrophy and support healing by minimizing further strain on the wrist.

Physical therapy

Another management approach that could slow the progression of carpal tunnel atrophy is physical therapy. This involves specific exercises designed to improve strength, flexibility and range of movement in the wrist and hand. A physical therapist may also use techniques like nerve gliding exercises to lessen pressure on the median nerve and promote healing, potentially helping to restore some lost function over time.

Corticosteroid injections

Doctors may also recommend corticosteroid injections to reduce inflammation and swelling around the median nerve. These injections can temporarily ease pain and pressure, helping to slow the progression of carpal tunnel atrophy. While they may not reverse muscle loss, they can help manage symptoms and improve comfort, especially when combined with other treatments like physical therapy or splinting.

It is important to note that atrophy may be irreversible, and you should consider seeking legal guidance to explore your options for seeking fair recompense under Workers’ Compensation.