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Guyon’s canal syndrome, also known as ulnar tunnel syndrome, is a condition that affects the ulnar nerve as it passes through the Guyon’s canal in the wrist. It is characterized by compression or irritation of the ulnar nerve, leading to symptoms such as pain, numbness, tingling, and weakness in the hand and fingers.

Managing Guyon’s canal syndrome requires a comprehensive approach to reduce symptoms, promote healing, and restore hand function. Physiotherapy plays a crucial role in the treatment process, helping individuals alleviate symptoms, improve hand and wrist mobility, and prevent reoccurrence.

The treatment of Guyon’s canal syndrome typically involves following the 5 stages of rehab:

  1. Pain management: The initial focus is on reducing pain and inflammation in the affected area. Physiotherapists may employ various techniques such as manual therapy, soft tissue mobilization, and modalities like ice therapy to alleviate pain. They may also recommend the use of splints or braces to provide support and reduce stress on the affected area.
  2. Range of motion: Once pain is under control, the emphasis shifts to restoring normal range of motion in the hand and wrist. Physiotherapists prescribe gentle stretching and range of motion exercises to improve flexibility and alleviate stiffness. These exercises aim to gradually increase the mobility of the hand and wrist without exacerbating the symptoms.
  3. Motor control: This stage focuses on improving hand and wrist coordination and strengthening the muscles involved in hand and finger movement. Physiotherapists prescribe specific exercises to enhance muscle activation and coordination, such as grip strengthening exercises, finger opposition exercises, and dexterity drills. They may also provide guidance on ergonomic modifications and proper hand positioning during daily activities to reduce strain on the affected area.
  4. Strengthening: Strengthening the muscles of the hand and forearm is crucial for improving grip strength and reducing the risk of further irritation. Range physiotherapists will design a personalized exercise program that targets the muscles involved in hand and wrist movement. This may include exercises using therapy putty, hand grippers, or resistance bands to gradually build strength and endurance.
  5. Maintenance: The final stage focuses on maintaining the gains achieved through rehabilitation and preventing recurrence of symptoms. RAnge physiotherapists will provide guidance on proper ergonomic principles, including hand and wrist positioning, and regular breaks during repetitive activities. They may also advise individuals on self-management strategies, such as stretching exercises and modifications to activities, to minimize the risk of flare-ups.

In addition to physiotherapy, other treatment options for Guyon’s canal syndrome may include the use of nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation. In some cases, corticosteroid injections or even surgery may be recommended, especially for severe or persistent cases.

It is important to work closely with a qualified physiotherapist who specializes in treating Guyon’s canal syndrome. Range physiotherapists will assess your condition, develop a tailored treatment plan based on the stages of rehab, and monitor progress throughout the rehabilitation process. With proper treatment, exercises, and modifications to activities, individuals with Guyon’s canal syndrome can experience significant pain reduction, improved hand function, and a return to their desired level of activity.

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