Nerve Compression

Nerve entrapment and nerve compression are common upper extremity injuries treated by hand therapists. The two most compression neuropathies include Carpal tunnel syndrome followed by Cubital tunnel compression. Nerve compression can occur at any point over a nerves course through the upper extremity. If left untreated individuals may experience numbness and tingling that is increased at night, muscle weakness, atrophy and loss of sensation.

OT intervention in this population depends on acuity / chronicity of compression

Acute nerve compression may be treated conservatively with:

  • Splinting
  • Activity Modification
  • Strengthening
  • Stretching

Rehabilitation following surgical intervention for nerve compressions may include:

  • Wound Dressing
  • Stretching
  • Active/ Passive Range of motion
  • Strengthening
  • Protective Sensory Education and Sensory Re-education