Treatment -surgery,physiotherapy management and relieving factor

Surgery :
-Open carpal tunnel release surgery
transverse carpal ligament is cut to release the median nerve

-Endoscopic carpal tunnel release surgery
Endoscopic surgery uses a thin, flexible tube with a camera attached (endoscope). The endoscope is guided through a small incision in the wrist (single-portal technique) or at the wrist and palm (two-portal technique). The endoscope lets the doctor see structures in the wrist, such as the transverse carpal ligament, without opening the entire area with a large incision.During endoscopic carpal tunnel release surgery, the transverse carpal ligament is cut. This releases pressure on the median nerve, relieving carpal tunnel syndrome symptoms.


Physiotherapy management :
-Resting the sore hand and wrist
-Activity modification
-Altering work practices
-Splinting
-Observe sleeping position.
-Exercises
Fully body stretches, forearm and wrist stretches, thumb and finger stretches as well as checking your posture and giving some relaxation techniques.

Acupuncture
insert thin needles into specifics point on the body.
Traditional theory holds blockages along energy pathways in the body, called meridians, can cause pain. Acupuncture releases these blockages and improves the flow of energy along meridians.
A scientific explanation is that acupuncture may release natural pain-relieving chemicals into the body, promote circulation in body, and balance the nervous system.
For carpal tunnel syndrome, acupuncture points are generally on the wrist, arm, thumb, and hands, as well as other parts of the body such as the upper back, neck, and leg.

Acupressure
Acupressure is based on the same principles as acupuncture. Instead of applying needles to acupuncture points, pressure is applied, which is thought to stimulate blood flow to the wrists and hands and ease numbness and swelling in the area.
Acupressure points for carpal tunnel syndrome are typically on the wrists, forearms and hands.

Vitamin B6
In several research studies, vitamin B6 deficiency has been associated with carpal tunnel syndrome. A typical dose of vitamin B6 for carpal tunnel syndrome is 50 mg 2 to 3 times a day.
Enzyme supplements such as bromelain or combination enzyme products (e.g. Wobenzym) may help to reduce tissue swelling
People who took homeopathic arnica tablets and arnica ointment had a significant reduction in pain after two weeks.


5) Yoga and Carpal Tunnel Syndrome
Yoga can help to reduce symptoms of carpal tunnel syndrome. A study by the University of Pennsylvania looked at the effectiveness of yoga for 42 people with carpal tunnel syndrome. People in the yoga group did 11 yoga postures twice weekly for 8 weeks and had a significant improvement in grip strength and pain reduction compared to people in the control group, who wore wrist splints.

6) Chiropractic and Carpal Tunnel Syndrome
Chiropractic may help to reduce symptoms of carpal tunnel syndrome and improve function. A study looked at chiropractic care vs. conservative care (ibuprofen and night-time wrist supports) in 91 people with carpal tunnel syndrome. Chiropractic care included manipulation of the soft tissues and body joints of the arms and spine, ultrasound over the carpal tunnel and night-time wrist supports. Researchers concluded that chiropractic was as effective as conventional care for carpal tunnel syndrome.

7) Feldenkrais
Feldenkrais is a form of movement re-education. People are taught individually or in group sessions how to move their bodies more efficiently to improve their co-ordination, reduce joint stress and muscle strain, and improve flexibility.

8) Hellerwork
Hellerwork is a form of bodywork that has three main components:
1. deep tissue work - treatment usually begins with work on the soft tissues around the forearm and wrist.
2. education about correct posture and movement, ergonomic assessment of the workstation (e.g. chair too low, monitor too high)
3. dialogue to address emotions that lock muscles into "holding patterns" and affect breathing.