ABSTRACT
Carpal tunnel syndrome (CTS) results from irritation of the
median nerve at the level of the wrist (1). Any process that
increases the contents of the carpal canal can lead to higher
interstitial pressure and compression of the median nerve (2,3).
Treatments are designed to increase the space available for
the nerve. First line treatment includes splinting the wrist in
a neutral position. Kuo, utilizing ultrasound studies, demon-
strated that positioning the wrist in neutral lowers compression
of the median nerve (4). Additional non-surgical treatment
options include steroid injection, activity modifications,
tendon gliding exercises and the administration of anti-inflam-
matary medications (5).