Opinions vary on the use of splints and support as a CTS treatment. Working and resting splints used to be common in early, conservative treatment. Except for anecdotal reports, no evidence exists that these supports actually help. Some experts believe that wrist supports may actually increase the problem by reducing circulation and restricting movement so that the shoulder muscles tense up.
A supervised hand and wrist strengthening exercise program offered by physical or occupational therapists may be beneficial. One study found that most people with CTS felt improvement after two months of physical therapy that included exercises to improve balance and posture.
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