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Click on the body parts or the list below to find out more about your pain and how physical therapy can help.

Carpal Tunnel Syndrome
Wrist Sprain
DeQuervain’s Tenosynovitis
Tenosynovitis (Trigger finger)

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve becomes compressed as it passes through the carpal tunnel at the wrist. Symptoms commonly include numbness, tingling, burning, or weakness in the hand, particularly affecting the thumb, index, middle, and part of the ring finger.

How Physical Therapy Can Help:
Physical therapy may include nerve and tendon-gliding exercises, activity and ergonomic modification, manual therapy, strengthening, and education. Wrist splinting may also be recommended, particularly at night. Progressive weakness, persistent numbness, or muscle wasting may require further medical assessment.

Wrist Sprain

A wrist sprain occurs when the ligaments supporting the wrist are overstretched or torn, commonly following a fall onto an outstretched hand, sporting injury, or sudden twisting movement. Symptoms may include pain, swelling, stiffness, weakness, and difficulty gripping or placing weight through the hand.

How Physical Therapy Can Help:
Physical therapy helps restore wrist mobility, strength, stability, and function following appropriate healing. Treatment may include progressive exercises, manual therapy, proprioceptive training, activity modification, and gradual return to work, exercise, or sport.

De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is a painful condition affecting the tendons on the thumb side of the wrist. It can cause pain during gripping, lifting, twisting, or repetitive thumb movements and may interfere with everyday activities.

How Physical Therapy Can Help:
Physical therapy focuses on reducing aggravating tendon loads and gradually restoring strength and function. Treatment may include activity modification, progressive tendon loading, manual therapy, education, and appropriate splinting or taping to help manage symptoms.

Trigger Finger (Stenosing Tenosynovitis)

Trigger finger occurs when a finger’s flexor tendon has difficulty gliding smoothly through its tendon sheath, commonly at the A1 pulley. This can cause pain, stiffness, clicking, catching, or locking of the affected finger during movement.

How Physical Therapy Can Help:
Physical therapy can help manage mild to moderate symptoms through activity modification, tendon-gliding exercises, gentle mobility work, education, and appropriate splinting. Persistent locking or more severe cases may require medical treatment such as corticosteroid injection or surgical release.

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