Carpal Tunnel Massage

A Carpal Tunnel Massage is a targeted manual therapy designed to relieve pressure on the median nerve, reduce pain and numbness, and restore function in individuals with carpal tunnel syndrome (CTS). It addresses soft tissue tension and adhesions in the wrist, forearm, and hand, often complementing medical and ergonomic interventions.​

Signs & Symptoms

• Numbness, tingling, or burning in the thumb, index, middle, and part of the ring finger

• Pain radiating from the wrist to the forearm or palm

• Weakness or clumsiness in hand grip and fine motor skills

• Swelling, tightness, or stiffness at the wrist and forearm, especially after repetitive activity

• Symptoms often worse at night or with prolonged wrist flexion.​

Contraindications

• Avoid direct massage over areas with severe inflammation, infection, open wounds, or acute trauma

• Refrain from deep tissue work if pain worsens or if recent surgery has not fully healed​

• Caution in the presence of vascular or nerve compromise, persistent swelling, or suspected fracture

• Always refer for medical diagnosis if symptoms are worsening or unresponsive to conservative care.​

Assessment

• Document symptom patterns, occupational and repetitive activities, and daily impact

• Palpate wrist, forearm, and hand for tenderness, swelling, adhesions, and trigger points

• Assess grip strength, range of motion, and presence of nerve symptoms (Tinel’s or Phalen’s tests)

• Evaluate contributing factors: muscle imbalance, posture, previous injuries, and ergonomic issues.​

Treatment

• Begin with light effleurage (gliding strokes) to warm the wrist, palm, and forearm

• Petrissage (kneading), friction techniques, and deep tissue work (as tolerated) to release adhesions in the flexor muscles of the forearm, wrist, and palm​

• Trigger point therapy in the forearm and hand muscles to relieve referred symptoms

• Myofascial release and gentle cross-fiber friction over the carpal tunnel when not inflamed​

• Nerve-gliding exercises and gentle passive stretching for the wrist and fingers

• Sessions typically short, focused, and integrated with education on posture and self-management.​

Self Care

• Daily self-massage to wrist, palms, and forearm with light to moderate pressure​

• Nerve-gliding and wrist/finger stretching exercises several times per day​

• Modify posture, work habits, and ergonomics (splinting, frequent breaks)

• Use ice for acute flare-ups or swelling after activity/massage

• Avoid repetitive stress, heavy gripping, or prolonged wrist flexion without breaks

• Follow up with healthcare provider if symptoms persist or worsen