Carpal Tunnel Medications

The treatment for carpal tunnel syndrome is primarily focused on relieving the pressure and swelling on the median nerve that causes the numerous painful symptoms associated with carpal tunnel. The initial form of treatment is typically the use of a wrist brace or splint which keeps the wrist immobilized and in the optimal position which reduces the pressure on the median nerve.

This form of treatment is very effective in most patients and requires no additional form of treatment, however, in persistent or severe cases of carpal tunnel additional treatment consisting of medication or surgery may be required. 

NSAIDS for the Relief of Carpal Tunnel Symptoms 

The most common type of medication used to treat the symptoms of carpal tunnel is "NSAIDS" or "nonsteroidal anti-inflammatory drugs". These help to relieve the pain and swelling which sometimes occurs with carpal tunnel, however, is ineffective when the condition is not caused by inflammation.

The relief from NSAIDS is only temporary and generally used for occasional flare ups or after activity which has been strenuous. NSAIDS are not effective in relieving the symptoms of weakness, numbness, or tingling which are associated with carpal tunnel. These are typically common over-the-counter medications which include aspirin, ibuprofen, naproxen, or other non-prescription anti-inflammatories. 

Stronger forms of NSAIDS may be prescribed which include indomethacin, naproxen, celecoxib, and rofecoxib. Anti-inflammatories are the most effective when utilized in combination with other types of non-surgical treatment. Caution should be taken when using NSAIDS, however, as they have been known to cause serious side effects when taken over a prolonged period of time.

The use of diuretics or "water pills" when taken orally may also help reduce swelling in the wrists which can also cause pressure on the median nerve. Studies have also been conducted which show that taking a B6 vitamin supplement has also been effective in reducing carpal tunnel symptoms. 

Corticosteroids for Fast Effective Relief of Carpal Tunnel 

Corticosteroids may be prescribed when other methods of treatment have failed to provide effective relief. Corticosteroids when taken orally or injected can provide fast relief for the symptoms of mild to moderate carpal tunnel, however, this relief is only temporary and corticosteroids can only be taken on a limited basis.

These treatments are available by prescription only and should only be administered no more than once per every six week period. Corticosteroid injections are given directly in the wrist and reduce the swelling of the tissue and tendons surrounding the median nerve which alleviates the pressure that causes the symptoms. 

Corticosteroids can also be given by a technique known as iontophresis which requires no injection and is done by delivering the medication through the skin via a tiny electric charge. This method is less invasive and painful but some individuals have found this method not as effective.

The amount of cortisone given in these methods is small and very rarely produces any harmful side effects. While these medications for carpal tunnel are effective in the majority if individuals, severe and persistent cases of carpal tunnel may require a surgical procedure.