Treatment is aimed at correcting the underlying cause.
If the median nerve is affected by carpal tunnel syndrome, a wrist splint can reduce further injury to the nerve and help relieve symptoms. It is often enough to wear the splint only at night to give the area a rest and allow inflammation to decrease.
In some cases, no treatment is required and recovery happens on its own. Over-the-counter or prescription medication may be needed to control nerve pain (neuralgia).
If other nerves are also affected, it is necessary to look for an underlying medical problem that can affect nerves. Medical conditions such as diabetes and kidney disease can damage nerves. In these cases, treatment is directed at the underlying medical condition.
Physical therapy exercises may be appropriate for some people to maintain muscle strength. Orthopedic assistance may maximize the ability to use the hand. Such therapy may involve braces, splints, or other appliances. Vocational counseling, occupational therapy, occupational changes, job retraining, or other measures may be recommended.
Some patients with carpal tunnel syndrome may need surgery. See: Carpal tunnel release