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Carpal Tunnel Syndrome

'What is the carpal tunnel?'

Touch the tip of your thumb to the tip of your little finger. The carpal tunnel is located directly below the crease formed by the fatty pads at the bottom of the thumb and little finger.

The base and the sides of the carpal tunnel are formed by wrist bones. The top of the carpal tunnel is formed by the transverse carpal ligament. The carpal tunnel is a passageway for flexor tendons, blood vessels and the median nerve.

'What is carpal tunnel syndrome'

Carpal tunnel syndrome refers to any condition whereby the size of the carpal tunnel has been compromised and the function of the median nerve has been altered.

'What are the common signs of carpal tunnel syndrome?'

The most common signs of carpal tunnel syndrome are pain and/or numbness at the wrist, thumb, index finger, middle finger and/or the thumb side of the ring finger (which often worsens at night), as well as weakness in grasping and/or pinching, such as in gripping a weight or pinching a tea cup.

'What causes carpal tunnel syndrome?'

Carpal tunnel syndrome occurs when the size of the carpal tunnel is compromised, most commonly due to 1) hand muscle imbalance and/or 2) edema (swelling).

Hand muscle imbalance is commonly linked to sports, music and the workplace, where repetitive, unopposed gripping, grasping and finger flexion occurs. Edema is most commonly linked to pregnancy and trauma (including fracture, dislocation and finger flexor sheath or tendon swelling).

Hand muscle imbalance: In cases of repetitive gripping/grasping, the 9 muscles that close the hand become dominant over the 9 muscles that open the hand (finger extensor and abductor (spreading) muscles). The carpal tunnel, in turn, becomes narrowed and partially collapses.

Handmaster Plus (by doczac Enterprises) conveniently tones and balances all 18 hand muscles in one simple continuous exercise, rebalancing the wrist in compliment any carpal tunnel syndrome rehabilitation protocol. Additionally, Handmaster Plus is second to none in re-establishing blood flow, repair and lymphatic drainage to the distal upper extremity.

Contact your health care professional, see our list of distributors or Buy Now. Always consult a health care professional before use. Handmaster Plus is the #1 rated exercise product for the prehabilitation and/or rehabilitation of hand muscle imbalance and blood flow stimulation. Handmaster Plus offers a specific exercise (see exercise #1) for carpal tunnel syndrome pre- and rehabilitation.

Hand muscle imbalance is also a precurser for tennis elbow, golfer's elbow and DeQuervain's Syndromes.

Carpal Tunnel Syndrome Treatment

Carpal tunnel exercises using the Handmaster Plus (see distributors) must be included in any carpal tunnel treatment protocols where hand muscle imbalance and/or edema is present. The best carpal tunnel syndrome treatment is prevention ("prehabilitation"), using Handmaster Plus regularly where red-flagged repetitive gripping activities and potential circulation problems exist.

For more information on carpal tunnel syndrome treatment, see ART Technique ( or Graston Technique (

Drugs or surgery, such as steroid injection and carpal tunnel release surgery are to be considered as a last resort treatment only and are rarely necessary.