Guelph Rehab Centre has developed a unique and successful treatment program for many types of nerve entrapments including:

  • Median, Radial, and Ulnar nerve entrapments (hand, wrist and elbow)
  • Carpal Tunnel Syndrome (wrist)
  • Sciatica (hip, buttock and leg)
  • and nerve entrapments in the neck, back, and lower limbs

Symptoms are typically felt as:

  • pain
  • numbness
  • tingling
  • burning
  • weakness

 There are many causes for nerve entrapments but most are a result of:

  • Acute injury
  • Poor posture
  • Overuse, sprain, or strain

This can cause adhesions and inflammation in the soft tissue where nerves can get “trapped” between the layers of muscle, tendons, and ligaments. We have developed integrated treatment protocols that guide the patient through various stages of recovery from initial assessment to discharge. 

Our programs integrate 6 key components:

  1. Manual Therapy  (ART, Myofascial release, Joint Mobilization)
  2. Modalities (IFC, ultrasound, cold low-level laser, shockwave)
  3. Acupuncture, IMS, Dry Needling
  4. Postural education and correction
  5. Active rehabilitation exercises
  6. Lifestyle/Homecare program

Continually assessing and treating the whole length of the nerve and its surrounding structures (not just where the symptom’s present) can be one of the most effective and successful ways to get full resolution of nerve entrapments.  We will educate and provide you with a preventive and maintenance homecare program empowering you to take control of your health to prevent reoccurrence.


The classic definition of Carpal tunnel syndrome (CTS) is the entrapment of the median nerve as it passes through the carpal tunnel in the hand.  This can cause:

  • Tingling
  • Numbness
  • Weakness
  • Burning

Some factors that contribute to CTS are:

  • Poor posture
  • Poor ergonomics
  • Decreased strength
  • Excessive force and injury
  • Overuse
  • Muscle imbalances

Some research shows that this traditional emphasis on the Carpal Tunnel area is not the only area of Median nerve entrapment.  The Median Nerve can also be entrapped along with other areas from the wrist to the neck, rather than at just the carpal tunnel.

It is possible that Carpal Tunnel Syndrome can occur anywhere the Median nerve is entrapped along the entire length of your arm.

Other Median nerve entrapment areas:

  1. Median Nerve at the Thenar Muscles
  2. Median nerve at the Pronator Teres and Flexor Digitorum Superficialis
  3. Median Nerve at the Ligament of Struthers (rare)
  4. Median Tract at the Coracopectoral Tunnel
  5. Median Nerve at the Scalenes


At Guelph Rehab Centre our experienced team of physiotherapists and massage therapists can assess and identify entrapments along the entire length of the Median Nerve.  This allows our therapists to effectively treat Carpal Tunnel Syndrome by releasing the median nerve thus achieving positive results and long-term success.

Treatment methods used at Guelph Rehab Centre include:

  • A.R.T and Myofascial Release
  • I.F.C./Laser/Ultrasound
  • Joint Mobilizations
  • Acupuncture
  • Median Nerve Glides
  • Tendon Glides
  • Patient Education and joint protection strategies
  • Custom Splinting

Our program can incorporate practitioners that can include physiotherapy, massage therapy, occupational therapy, and acupuncture.