4) Posture

Sit up straight, elbows about 90° on the height-adjustable armrests or comfortably at the sides, forearms parallel to the floor; knees level or slightly lower than the hips, feet flat on the floor or on a footrest or box, if needed.

Place typing materials at eye level and avoid prolonged head/neck rotation. Use a wrist rest for the keyboard and mouse, and use a headset when on the phone.

5) Reduce Hand Tool Forces

Choose a tool that allows the wrist to remain neutral. Avoid side by side and flexion/extension wrist positions—especially if they are prolonged!

Tool handles should not dig into the palm of the hand or the wrist, and should not have sharp edges. A textured handle can improve grip. Minimize vibration from power tools. Wear shock absorbing gloves. Avoid cold work environments and cold tools.

6) Diet

Cut down on caffeine and smoking. Avoid obesity – a known risk factor for CTS! Consider an anti-inflammatory diet (Paleo, Mediterranean).

7) Splints

A wrist cock-up splint at night prevents prolonged faulty positions and really helps!

This is a partial list of preventative measures that can really help. Doctors of chiropractic treat the ‘whole’ person and can teach you the right exercises, ways to modify your diet, offer manual therapies and modalities, and help guide you in your self-management of CTS, as this can be a lifelong affliction.

A multi-modal treatment approach generally works best!