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Carpal Tunnel Specialist

PhysioNetics -  - Physical Therapist


Physical Therapist located in Naples, FL

Carpal tunnel syndrome (CTS) affects the lower arm and hand and occurs when the median nerve gets pinched or compressed due to swelling or irritation. The carpal tunnel itself is a passage in the wrist that protects the nerves leading to the hand and the tendons that move your fingers. Nearly everyone experiences mild CTS symptoms at some point in their lives. Office workers and anyone doing a job with repetitive hand motion may experience problems more often. Dr. Varveris and the PhysioNetics team in Naples, Florida can treat your pain or numbness and teach you how to ease symptoms and prevent recurrence.

Carpal Tunnel Q & A

What causes carpal tunnel syndrome?

The nerve that passes through the carpal tunnel, called the median nerve, suffers compression which in turn causes the CTS symptoms. The tendons can, for several reasons, experience inflammation, pressing the median nerve against the ligament at the top of the carpal tunnel.
Numbness and tingling in the hand usually result from compression of the median nerve. This numbness and tingling can graduate to numbness and pain throughout the day and may cause sleep loss when it happens at night. Over time, the CTS patients may experience reduced grip strength and weakness of the hand if the condition remains untreated.

Because the median nerve originates at the neck, pressure on the nerve occurring anywhere between the neck and the wrist may produce symptoms to those caused by CTS. While repetitive strain remains the most likely cause, professional evaluation to determine the reason for carpal tunnel collapse may be necessary in some cases.

How do CTS symptoms develop?

Initially, CTS affects the thumb, index and middle fingers, with tingling and numbness coming and going. One quirk of CTS is that the little finger isn’t usually affected. As the condition develops, feelings of pain may accompany the other symptoms and sensations may extend
through the wrist and up the arm. Numbness and tingling may become constant. Grip strength may become weaker since the thumb’s motion signals come through the median nerve. Left untreated, CTS can lead to permanent muscle and nerve damage.

What techniques does PhysioNetics use to treat CTS?

Fortunately for CTS clients, there are many treatment options. As well as lifestyle counseling and exercise instruction that a client can use at home and at work, PhysioNetics uses techniques such as:

  • Cold light laser
  • Radial pulse therapy
  • Soft tissue oscillator
  • Kinesio tape
  • Graston Technique
  • Iontophoresis


Although PhysioNetics Physical Therapy is an in-network provider with some health insurance companies, we are out of network with many others. Many insurance companies require providers to accept 30-40% less than the Physician Fee Schedule rates for their services if they become in network providers. Other physical therapy clinics decide to accept these reduced payments and see more patients with less one-on-one treatment time to make up for the decrease in income. We at PhysioNetics do not consider these viable options. Each of our patients is scheduled for an exclusive appointment time with a licensed physical therapist during which time they receive one-on-one physical therapy care tailored exclusively for them. Unlike other clinics, we utilize the latest technologies in rehabilitation services to facilitate faster recovery, which in the long run will cost you less out of pocket expenses. Since we will not compromise on our level of care, we are unable to accept most insurance contracts. Often times our cash fee is less than your in-patient co-pay requirements. We will be happy to provide you with the proper forms and paperwork for you to submit your claims if you wish to do so. Typically, for patients with high deductibles and copays, it is more cost-effective to pay our cash-pay rates. PhysioNetics sets itself apart from other clinics on the basis of quality of care and we are confident that after your first visit you will realize that you made the right decision to choose us over perhaps an in-network provider. We are sure you will not be disappointed! What is your health, wellness and quality of life worth?