In suspected carpal tunnel syndrome, which initial management measure is most appropriate?

• A. Volar wrist splint
• B. Physical therapy modality
• C. Oral corticosteroids
• D. Surgical decompression

Answer: (A)

Carpal tunnel syndrome is caused by pressure on the median nerve inside the carpal tunnel. The best initial step is nonoperative management with a volar wrist splint worn at night to keep the wrist in a neutral position. By preventing flexion and limiting movements that increase tunnel pressure during sleep, the splint reduces median nerve compression and often lessens nocturnal pain and numbness without the need for invasive procedures.

Oral corticosteroids or other therapies can offer some temporary relief, but they are not the preferred first-line approach. Surgical decompression is considered only if nonoperative measures fail or if there are signs of nerve damage or severe disease.