Wrist & Hand
Carpal Tunnel Treatment That Looks Beyond Just Your Wrist
Night-time numbness, tingling fingers, and a grip you can’t trust. You’ve tried braces, rested, and it keeps coming back. You need a plan that treats the whole picture.
Night-time numbness, tingling fingers, and a grip you can’t trust. You’ve tried braces, rested, and it keeps coming back. You need a plan that treats the whole picture.
We assess your wrist, forearm, elbow and neck.
Not just where it hurts. Nerve problems often start higher up, and most clinics never check.
Shockwave, manual therapy, splinting and nerve-focused care combined.
We use the right tools at the right time, not the same routine for everyone.
A step-by-step plan you can actually follow.
We pace your return to work or training, manage flare-ups, and keep you from sliding back to square one.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Your thumb, index and middle fingers tingle or go numb, especially at night
You wake up shaking your hand or with a “dead hand” feeling
Your grip feels weaker and you drop things more often than you used to
Braces or basic therapy helped for a while, then symptoms crept back
You want to avoid or delay surgery and need someone to check your wrist, elbow and neck, not just one spot
The Real Problem
Explore 4 slides on Carpal Tunnel–Related Symptoms
Most people have several of these happening at once. That is why we assess the whole chain, from your neck to your fingertips, not just the painful or numb spot.
OUR APPROACH
INITIAL VISIT
Detailed assessment of your wrist, hand, forearm, elbow and neck
Identify which factors are driving your nerve irritation
Written treatment plan with expected timelines and next steps
First 1 to 6 Weeks
Splint advice and fitting to calm night-time symptoms
Shockwave therapy and manual therapy to reduce pain and nerve irritation
NESA neuromodulation when appropriate as a nerve-focused adjunct
Make sleeping, gripping and daily tasks tolerable, fast.
6+ Weeks and Beyond
Targeted hand, wrist and forearm strengthening exercises
Gradual return to full work or training with paced progression
Ongoing flare-up management and splint adjustments
What To Expect
Every case is different, but research and our clinical experience consistently show:
Improvements typically measured around 6 weeks to 3 months. Studies on splints, exercises, and shockwave typically measure results around 6 weeks to 3 months. Some people notice improvements sooner depending on severity.
Better sleep, stronger grip, less tingling. The confidence to use your hands without worrying about dropping things.
Many people improve with non-surgical care. Which may help you avoid or delay surgery altogether.
Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.
EVIDENCE
Shockwave therapy has been shown to improve pain, hand function and some nerve test results in mild to moderate carpal tunnel, confirmed by a 2023 systematic review with meta-analysis.
Splint-focused physiotherapy has been shown to improve grip strength and symptoms over about six weeks, with benefits lasting several months in a randomized controlled trial.
Manual therapy approaches have been shown to reduce pain and symptom severity and improve function in carpal tunnel patients, confirmed by a 2022 systematic review and meta-analysis.
Electrical stimulation methods have shown short-term improvements in pain and some nerve measures in people with carpal tunnel in a randomized controlled study.
Tendon and nerve gliding exercises have been shown to improve symptoms in mild carpal tunnel in a 2023 randomized controlled trial.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Carpal Tunnel–Related Symptoms.
6 results found
Research in mild to moderate carpal tunnel shows shockwave can improve pain, hand function and some nerve test results. It is one of several conservative tools we may use alongside splinting, physiotherapy and manual therapy. We review whether shockwave is a good fit for you during your initial assessment.
Yes. Compression or irritation higher up the arm, in the forearm, elbow, shoulder or neck, can mimic or add to carpal tunnel symptoms. We check these areas so we’re not just chasing symptoms at your wrist. We review what we find with you during your initial assessment.
Studies on splints and exercises often run about six weeks, with improvements that can last months. Shockwave studies usually check results around one to three months. Some people feel better sooner, others take longer depending on severity and daily demands. We review realistic timelines for your case during your initial assessment.
Many people with mild to moderate carpal tunnel improve with non-surgical care such as splints, exercises, manual therapy and shockwave. Surgery is usually reserved for more severe or stubborn cases. We review where you are on that spectrum during your initial assessment.
When you bend your wrist or sleep in certain positions, pressure in the tunnel can rise and irritate the nerve. That extra pressure can trigger pins and needles, burning or “dead hand” sensations. We review your sleep positions and simple changes during your initial assessment.
Braces and basic exercises help many people, but not everyone. If symptoms keep returning, we look deeper at your nerve health, workload, and possible compression points higher up the arm, and consider options like shockwave, manual therapy and neuromodulation. We review your past treatments and new options during your initial assessment.
YOUR NEXT STEP
Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the wrist.
Initial Carpal Tunnel–Related Symptoms Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full assessment of your wrist, hand, forearm, elbow and neck
Identify which pain drivers matter for your case
Review of your history, work demands and any tests you bring
Clear written plan with expected timelines before you commit
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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