Burwood NSW · Carpal Tunnel Syndrome Treatment
Carpal tunnel syndrome causes hand numbness, tingling, and weakness — and physiotherapy offers highly effective, non-surgical treatment that most patients respond to within weeks.
Physiotherapy for carpal tunnel syndrome addresses nerve mobility, wrist posture, and the underlying factors that increase pressure in the carpal tunnel — providing lasting relief without surgery for the majority of patients.
How We Treat This Condition
Evidence-based treatment tailored to your specific presentation and goals.
Clinical Assessment
Phalen’s, Tinel’s and nerve tension tests confirm carpal tunnel syndrome. We also assess the neck and thoracic spine as contributing factors.
Learn more →Nerve Mobilisation
Median nerve gliding and mobilisation exercises reduce inflammation around the nerve and improve its ability to slide freely through the carpal tunnel.
Learn more →Splinting
A neutral wrist splint worn at night dramatically reduces nocturnal symptoms by keeping the wrist in the optimal position while you sleep.
Learn more →Manual Therapy
Mobilisation of the carpal bones, wrist joints, and neural structures reduces tunnel pressure and restores normal nerve function.
Learn more →Strengthening Program
Targeted forearm and wrist strengthening to address muscle imbalances and reduce the load on the median nerve.
Learn more →Ergonomic Correction
Optimising keyboard and mouse position, grip mechanics, and repetitive work techniques to eliminate the root cause of carpal tunnel compression.
Learn more →When to See a Physio for Carpal Tunnel Syndrome
See a physiotherapist if you have numbness or tingling in the thumb, index, and middle fingers — especially at night — grip weakness, or symptoms that are starting to affect work or daily tasks.
What Happens at Your First Appointment?
Full Assessment
Detailed history, movement analysis and clinical tests to identify the root cause of your problem.
Diagnosis & Plan
We explain exactly what is going on and create a realistic, goal-focused treatment timeline.
Hands-On Treatment
Most patients receive treatment in their first session — manual therapy, needling, or exercise prescription.
Home Program
You leave with clear exercises and self-management strategies to accelerate your recovery.
Why Choose Burwood Physio?
- AHPRA-registered physiotherapists
- Same-day and next-day appointments available
- HICAPS on-site — claim health fund rebate instantly
- Medicare bulk billing with GP CDM plan
- NDIS registered provider
- WorkCover and icare accepted
- Evidence-based treatment — no unnecessary sessions
- 2 minutes walk from Burwood Station
📍 Located in Burwood: Shop 2, 36–38 Victoria St East, Burwood NSW 2134. 2 min from Burwood Station. Open Mon–Sat.
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Frequently Asked Questions
Can physiotherapy cure carpal tunnel syndrome without surgery?
Yes. Physiotherapy resolves carpal tunnel syndrome in a significant proportion of patients, particularly when caught early.
What are the symptoms of carpal tunnel syndrome?
Numbness, tingling and burning in the thumb, index and middle fingers, hand weakness, and night-time waking with hand pain.
How long does carpal tunnel physiotherapy take?
Most patients see significant improvement within 4–8 weeks. Chronic or severe cases may take longer.
Do I need surgery for carpal tunnel syndrome?
Surgery is typically only considered when conservative treatment has failed. Most patients avoid surgery with physiotherapy.
What makes carpal tunnel syndrome worse?
Prolonged typing, wrist flexion and extension, sleeping with a bent wrist, and cold temperatures typically aggravate carpal tunnel syndrome.
What causes carpal tunnel syndrome?
Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist, often related to repetitive hand movements, pregnancy, diabetes, or underlying wrist joint changes.
What does carpal tunnel treatment involve at Burwood Physio?
Treatment includes nerve gliding exercises, wrist splinting advice, activity modification, and manual therapy to reduce pressure on the median nerve and improve hand symptoms.
Can carpal tunnel syndrome affect both hands?
Yes, it commonly affects both hands, particularly when related to repetitive activity, pregnancy, or a systemic condition like diabetes, though symptoms may be more severe on one side.
Is night splinting helpful for carpal tunnel syndrome?
Yes, wrist splints worn at night are one of the most effective conservative treatments, as they prevent the wrist bending positions that increase pressure on the nerve during sleep.
When does carpal tunnel syndrome require surgery?
Surgery is generally considered when there is significant, persistent numbness, muscle wasting in the hand, or when conservative treatment including physiotherapy and splinting has not resolved symptoms after a reasonable trial.
Numb or tingling hands?
Don’t wait for surgery — physiotherapy resolves most carpal tunnel cases. Book today.