What is the first line of treatment for carpal tunnel syndrome?

The initial treatment for carpal tunnel syndrome usually includes a non-surgical approach and involves conservative measures such as:

1. Activity modification and avoiding repetitive hand and wrist motions that aggravate symptoms.

2. Wearing a wrist splint or brace, particularly at night, to keep the wrist in a neutral position and prevent further compression of the median nerve.

3. Over-the-counter pain relievers, such as non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, to manage pain and inflammation.

4. Physical therapy exercises to strengthen and improve flexibility in the wrist and forearm muscles, as well as nerve gliding exercises to reduce pressure on the median nerve.

5. Ice application for short periods to help reduce inflammation and provide temporary relief.

If these conservative measures do not provide adequate relief or symptoms are severe, further evaluation by a healthcare professional, such as an orthopedist or hand specialist, may be recommended.