The best treatment for carpal tunnel syndrome is prevention. Richard Hinrichs gives these guidelines as a means to avoid repetitive strain injuries while typing or working on a computer keyboard:

Use tools and workstations designed to reduce repetitive strain injuries. Such tools include split keyboards, wrist cushions, adjustable keyboard trays, and chairs with proper support and adjustable positions.

Use proper posture at all times.

Avoid awkward wrist positions. When typing, your hand and wrist should form a straight line, without bending at the wrist.

Take a short break at least once an hour.

The American Academy of Orthopaedic Surgeons recommends the following exercise. Perform this exercise 10 times before you start working:

1. Extend and stretch both wrists and fingers acutely as if they are in a hand-stand position. Hold for a count of 5.

2. Straighten both wrists and relax fingers. Hold for a count of 5.

3. Make a tight fist with both hands and bend both wrists down. Hold for a count of 5.

4. Straighten both wrists and relax fingers. Hold for a count of 5.

5. Hang arms loosely at side and shake them for a couple of seconds.—Diane Boudreau

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