Definitive treatment of carpal tunnel syndrome (CTS) with specialized hand therapy at Saba Clinic If you wake up at night with tingling, numbness or pain in your fingers, you are probably dealing with **Carpal Tunnel Syndrome (CTS)**. This common condition, caused by pressure on the median nerve in the wrist, is especially common among **housewives** who perform repetitive tasks such as washing dishes, sewing, or typing. The good news is that specialized **hand therapy**, as an effective non-surgical method, can help you get rid of these symptoms and restore your quality of life. **Saba Occupational Therapy and Speech Therapy Center**, under the management of **Mariam Nasiri** (Occupational Therapy Expert from Shahid Beheshti University of Medical Sciences and Master of Occupational Therapy from Tehran University of Medical Sciences), has been known as a specialized hand therapy hub in the south of Tehran since 2013. Using advanced techniques and personalized treatment plans, this center provides a definitive solution for the treatment of carpal tunnel syndrome. In this article, we will do a comprehensive review of this complication, its causes, symptoms, diagnosis and treatment methods, focusing on **hand therapy** in Saba clinic. What exactly is carpal tunnel syndrome and why does it happen? ### Carpal tunnel anatomy The carpal tunnel is a narrow passage in the wrist that consists of the wrist bones and the transverse carpal ligament. The median nerve, which is responsible for the sensation and movement of the thumb, index, middle and part of the ring finger, passes through this tunnel along with the flexor tendons of the hand. When this tunnel is narrowed or under pressure for various reasons, the median nerve is compressed and the symptoms of carpal tunnel syndrome appear. ### Common symptoms Symptoms of CTS usually come on gradually and include: - **Tingling and numbness**: especially in the thumb, index, middle and inner half of the ring finger, which often worsens at night. **Wrist and hand pain**: Sometimes this pain extends to the elbow or even the shoulder. - **Weakness in the hand**: Difficulty holding objects or performing delicate tasks such as closing buttons or writing. ### Causes of CTS Carpal tunnel syndrome can be caused by many reasons, but one of the most common factors in Iran, especially among **housewives**, is repetitive wrist movements. Activities such as washing dishes, sewing, typing or prolonged use of a mobile phone can lead to tendon inflammation and pressure on the median nerve. For more information on the effect of repetitive movements on hand health, see the article **hand movement disorders**. Other factors include: - **wrist injuries**: such as fracture or dislocation. - **Underlying diseases**: such as diabetes, rheumatoid arthritis or hypothyroidism. - **hormonal changes**: such as pregnancy or menopause. - **Genetics**: Some people naturally have a smaller carpal tunnel. The key role of hand therapy in the treatment of carpal tunnel syndrome Hand therapy or specialized hand therapy is a scientific and non-surgical approach designed to reduce pressure on the median nerve, improve hand function and relieve pain. At **Saba Occupational Therapy Center**, a team of experienced specialists, under the supervision of **Maryam Nasiri**, provide comprehensive treatment programs that include the following steps: ### 1. Detailed assessment by a hand therapy specialist In the first session, our specialists evaluate the severity of the condition by carefully examining the medical history, physical examination, and diagnostic tests such as Tinel's Sign and Phalen's Test. This evaluation helps us to design a treatment plan that suits your condition. ### 2. Making customized splints One of the most effective **hand therapy** tools for CTS treatment is the use of **customized splints**. These splints keep the wrist in a neutral position to reduce the pressure on the median nerve. In Saba clinic, splints are specially made according to the anatomy of each patient's hand. ### 3. Range of motion and strengthening exercises **hand therapy** specialized exercises are designed to improve flexibility and strengthen hand and wrist muscles. These exercises include: **Stretching exercises**: to reduce tension in tendons and ligaments. - **Strengthening exercises**: to improve wrist strength and stability. - **Nerve Gliding exercises**: to improve the movement of the median nerve and reduce pressure. Some specific exercises include: 1. **stretching the wrist to the back**: - Straighten your arm and bend your wrist back. - With the other hand, gently stretch your wrist towards the back and hold it as much as possible. - Hold this position for 15 to 30 seconds and then relax. - Repeat this exercise 3 times. 2. **stretching the wrist forward**: - Straighten your arm and bend your wrist forward. - With the other hand, gently stretch your wrist forward and hold it as much as possible. - Hold this position for 15 to 30 seconds and then relax. - Repeat this exercise 3 times. 3. **wrist rotation**: - Turn your wrist clockwise and our hand counterclockwise. - Repeat each direction 10 times. 4. **Tightening the fingers**: - Tighten your fingers as much as you can. - Then open them slowly. - Repeat this exercise 10 times. ### 4. Pain and inflammation management techniques Our specialists use methods such as **massage therapy**, **ultrasound therapy** and **heat/cold therapy** to reduce inflammation and relieve pain. These methods are especially effective for patients with severe symptoms. ### 5. Teaching the patient to modify activities One of the most important parts of treating CTS is educating the patient to change daily habits. The experts of Saba Clinic will teach you how to avoid harmful repetitive movements, choose the right ergonomic tools and correct the position of your wrist in daily activities. For more information about advanced **hand therapy** techniques, refer to the relevant article. Your treatment plan at Saba occupational therapy clinic In **Saba Occupational Therapy and Speech Therapy Center**, carpal tunnel syndrome treatment is offered as a comprehensive and multi-stage program: 1. **Preliminary evaluation session**: In this session, our experts will design a specific treatment plan by fully examining your conditions. 2. **Regular treatment sessions**: Depending on the severity of the condition, weekly or twice-weekly sessions include exercise therapy, splinting, and pain management techniques. 3. **follow-up and review**: After a few weeks, your progress will be evaluated and the treatment plan will be revised if needed. We are proud to provide our services in **Zone 16, Zone 17, Zone 18, Zone 19, Zone 10** and the neighborhoods of **Falah, Abu Dhar, Yaftabad, Shamshiri and Shahrak Waliasr**, as well as nearby cities such as **Shahrari** and **Islamshahr**. Specialized rehabilitation at your home For the convenience of patients, **Saba Occupational Therapy Center** offers specialized **hand therapy** services at your home. Our professional team will come to your home in South Tehran, Shahrari and Islamshahr areas with complete equipment, including splint making devices and therapeutic tools. These services include: - Expert assessment at home - Making customized splints - Performing therapeutic exercises under expert supervision - Education to the patient and family for better management of the complication For more information on in-home services, visit the **Occupational Therapy at Home** page. Why choose Saba occupational therapy center? - **Unparalleled expertise**: clinic management by **Maryam Nasiri**, with specialized education from Iran's top universities and more than a decade of experience in **hand therapy**. - **advanced equipment**: use of modern tools to make splints and therapeutic techniques. - **Personalized programs**: Each patient receives a unique treatment plan. - **Easy access**: located in the heart of southern Tehran with the possibility of providing services at home. Conclusion and call to action The pain, tingling, and disability caused by carpal tunnel syndrome should not disrupt your life. With specialized **hand therapy** at **Saba occupational therapy and speech therapy center**, you can completely get rid of this complication and return to your daily activities. **Act today** and don't let this complication reduce your quality of life. For **specialized hand evaluation** or **free consultation**, contact us: - **Call and urgent consultation**: 09351202087 - **Center fixed line**: 02166209819 **Address**: Saeedi Highway, Fallah Three Roads, Propheti St., not reaching Shandiz Crossroads, No. 79, 1st Floor, Zang Do **Website**: https://kardarmanisaba.ir/ Saba occupational therapy and speech therapy center has been with you since 2013 so that you have healthy and powerful hands.