The best non-surgical treatment for carpal tunnel syndrome: laser therapy!


Introduction to carpal tunnel syndrome

Introduction Carpal tunnel syndrome (CTS) is a common condition that affects the hand and wrist. It occurs when the median nerve, which runs from the forearm to the hand, is compressed as it passes through the narrow carpal tunnel in the wrist. This compression can cause a range of symptoms, including pain, numbness and tingling sensations in the hand and wrist.

STC is more common in women than in men, with a higher prevalence in women between the ages of 45 and 60. It can be caused by a variety of factors, including repetitive motions, anatomical factors, medical conditions, and hormonal changes.

Treatment for CTS depends on the severity of a person's symptoms and the underlying cause of the condition. In mild cases, conservative treatments may be effective, while more severe cases may require surgery. Laser treatment is a relatively new option that may offer an effective alternative to traditional surgery.

In this text, we will explore the symptoms, causes, diagnosis, and treatment options for carpal tunnel syndrome, with an emphasis on laser treatment.


Carpal tunnel syndrome is a common condition that affects the hand and wrist. It is caused by compression of the median nerve as it passes through the narrow carpal tunnel in the wrist. Laser treatment can be an effective option for relieving the symptoms of carpal tunnel syndrome. In more severe cases, surgery may be required.


Symptoms of Carpal Tunnel Syndrome

Symptoms Symptoms of carpal tunnel syndrome can vary in severity and may include:

  • Pain or discomfort in the wrist or hand
  • Numbness or tingling sensations in the hand or fingers, especially the thumb, index and middle fingers
  • Weakness in the hand or difficulty grasping objects
  • Burning sensations or pain in the wrist or hand

Symptoms of carpal tunnel syndrome usually develop gradually and may be more pronounced at night or during activities involving repetitive wrist movements.

Symptoms can also affect other parts of the arm, including the forearm, elbow, and shoulder, and can be confused with other conditions, such as peripheral neuropathy or arthritis.


Causes of carpal tunnel

Causes The exact cause of carpal tunnel syndrome is not fully understood, but there are several factors that can increase the risk of developing this condition. These factors include:

  • Repetitive movements: Repetitive movements: Activities involving repetitive movements of the wrist, such as typing on a keyboard or playing a musical instrument, can put stress on the median nerve and contribute to the development of carpal tunnel syndrome.
  • Anatomical factors: Some people may be born with a narrower carpal tunnel, which may increase their risk of developing carpal tunnel syndrome.
  • Medical conditions: Certain medical conditions, such as diabetes, rheumatoid arthritis, and thyroid disorders, can increase the risk of developing carpal tunnel syndrome.
  • Hormonal changes: Changes in hormonal levels, such as those that occur during pregnancy or menopause, can contribute to the development of carpal tunnel syndrome.


Diagnosis of carpal tunnel

Diagnosis To diagnose carpal tunnel syndrome, a doctor will first perform a physical exam and ask for information about a person's symptoms and medical history. He may also order imaging tests, such as an X-ray or MRI, to rule out other conditions that may be causing similar symptoms.

A nerve conduction study may also be done to measure the speed of electrical impulses as they pass through the median nerve. This test can help determine the severity of nerve compression and guide treatment decisions.


Carpal tunnel treatment

Treatment Treatment for carpal tunnel syndrome depends on the severity of a person's symptoms and the underlying cause of the condition. Treatment options include:

  • Hand rest: If symptoms are mild, resting the hand and reducing repetitive motions may be enough to relieve symptoms.
  • Wrist brace: A wrist splint can help keep the wrist in a neutral position, reducing pressure on the median nerve.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs can help reduce the inflammation and pain associated with STC.
  • Injection of corticosteroids: Injections of corticosteroids into the carpal tunnel can help reduce inflammation and relieve symptoms.
  • Surgery : Surgery: In more severe cases, surgery may be needed to relieve pressure on the median nerve. This may involve cutting the ligament that forms the roof of the carpal tunnel to increase the space available for the median nerve. The surgery is usually performed on an outpatient basis, and most people can return to their normal activities within a few weeks.
  • Laser treatment: Laser Treatment: Laser treatment is a relatively new option that may offer an effective alternative to traditional surgery. Laser treatment uses concentrated light energy to stimulate healing of damaged tissue, reduce inflammation and relieve pain. During the treatment, a small laser probe is placed on the wrist and emits pulses of light that penetrate the tissues to stimulate healing. Laser treatment for CTS may be a particularly attractive option for people who wish to avoid surgery or who are not ideal candidates for surgery due to their medical condition.


Laser treatment for STC has shown promising results in several studies. A 2016 study compared the effectiveness of laser treatment to that of surgery and corticosteroid injections in patients with CTS. The results showed that the laser treatment was as effective as surgery and corticosteroid injections in relieving the symptoms of CTS.

Another 2018 study compared the effectiveness of laser treatment versus wrist splints in patients with TCS. The results showed that the laser treatment was more effective than the wrist splint in reducing pain and improving hand function.

Comparative table of the different treatments and their effectiveness:

laser treatment High
Hand rest Low
Wrist splint Moderate
Surgery High





It's because you have carpal tunnel syndrome!





* In order to avoid ineffective treatment, it is important to ensure that the diagnosis of signs and symptoms of median nerve damage is accurate and that the site and mechanism of median nerve compression have been identified. The chiropractor has all the knowledge necessary to make a proper diagnosis and to direct the patient to the most appropriate interventions.


1.1 Possible risks associated with surgery


Anesthesia: In Canada, the chance of a healthy person dying from a complication of anesthesia is 1:100,000. Reference 1

Nosocomial infections (e.g. C. difficile): In Quebec, they cause about 90,000 victims and 4,000 deaths each year. Reference 2

Medical errors: On average, 112 Quebec patients die each month as a result of medical errors. Reference 3

Waiting list: It can take a year and a half to two years from the time you first see a doctor to get a prescription to see an orthopedic surgeon and the date of your surgery. Your condition has time to deteriorate significantly and your suffering to be prolonged unnecessarily. Reference 4


1.2 Risks of soft laser treatment


Non-invasive treatment: very safe and risk-free.


This site was designed for anyone who suffers from hand pain, numbness, finger pain, burning sensation in the hands, wrist pain, tingling, arm pain, neck pain, as well as for some patients with carpal tunnel stenosis and finally for those who have undergone wrist surgery but still suffer from pain.

The purpose of this site is to fully inform the thousands of Quebecers who suffer from debilitating pain on a daily basis. Patients, like you, can now be informed about these conditions and the technological breakthroughs of the soft laser.


If you or a family member is struggling with one of these debilitating conditions and have had little or no success with your treatments to date, ask yourself the following questions:


  1. Are you currently dependent on medications that you must take on a daily basis?
  2. Are you limited in your daily activities?
  3. Have you had repeated injections with little or no relief?
  4. Are you considering surgery and are you uncomfortable with the choice?
  5. Have all the options been explained to you?
  6. Have you ever tried chiropractic or physiotherapy?
  7. Have you been forced to miss work because of pain?


If you answered yes to any of these questions, have tried every treatment option available and are still suffering...Laser is a viable treatment option and may very well be what you have been looking for. You may have found the treatment that will solve your problem.


The soft laser was designed by a dedicated team of engineers to meet the needs of today's patients, providing doctors with the clinical results they desire and patients with the quality of life they deserve.


Are you ready to get started and get rid of that pain, for good? Becoming a new patient at our clinic is simple.




Carpal tunnel syndrome is caused by compression of the median nerve at the wrist as it passes through the carpal tunnel.

Carpal tunnel syndrome is a very common condition. Its incidence is about three times higher in women than in men. In about 70% of cases, it is bilateral with a prevalence in the dominant hand.



Definition: Carpal tunnel syndrome is related to the compression of the median nerve of the wrist. This nerve is responsible for the sensitivity of the thumb and the 2 or 3 neighboring fingers. It is also the motor nerve that controls the muscles at the base of the thumb.

The carpal tunnel, formed by the transverse carpal ligament and the carpal bones. The "carpal tunnel" is in fact a tunnel formed behind by the 8 small bones of the wrist, which have the shape of a gutter; this gutter is closed in front by a very thick ligament, the "anterior annular carpal ligament".

Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne

Symptoms: Initially, it is characterized by tingling in the fingers, followed by night-time pain in the hands. Later on, a burning pain and paresthesias on the ventral surface of the hand and fingers with pain radiating to the forearm, appear gradually. In addition, a decrease in the sensation of distribution of the median nerve and atrophy of the muscles at the base of the thumb may occur.

Symptoms may range from minor to severe dysfunction. Moderate cases resolve with avoidance of factors. Once a pregnant woman gives birth, for example, the wrist swelling disappears and the symptoms of carpal tunnel syndrome diminish.

Often, the main complaint centers around episodes of paresthesias and numbness of the hand in the evening. Symptoms may appear during activities: driving or typing on a keyboard. The onset is insidious: patients describe tingling at the fingertips. Symptoms are often relieved by shaking or raising your hand. In 70% of cases we find nocturnal numbness of the hand; and in 40% cases, pain with paresthesias.

Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


To the pain and paresthesia is added a sensation subjective d’invaliditĂ© des doigts, maladresse pendant les activitĂ©s exigeant une prĂ©cision comme boutonner un chemisier, Ă©crire, coudre, dĂ©visser un bouchon, tourner les clefs ou ramasser les petits objets. MĂȘme les objets lĂ©gers tel qu’une tasse du cafĂ© ou un vĂȘtement peut ĂȘtre difficile Ă  manipuler. Certains patients peuvent sentir comme si leurs mains Ă©taient «enflĂ©es».

In severe cases, hand and wrist pain is described as burning, stabbing pains that may spread to the shoulder, neck, chest. Sensory loss radiates along the median nerve distribution accompanied by muscle weakness, slow nerve conduction through the carpal tunnel is characteristic.

Symptoms gradually intensify and severe cases may progress to muscle atrophy with sensory loss. The symptoms can make the patient disabled and prohibit certain simple tasks making daily life difficult. A disease long ignored can cause irrevocable damage.

It is a condition that predominates in women over fifty. The pain is typically located on the volar side of the first three fingers of the hand, but can affect the whole hand and even radiate to the front side of the forearm.

More than real pain, it is more often a question of tingling, of extremely annoying tingling. The nocturnal recrudescence of these pains is usual, waking up the patient at night, often at the same time. Certain gestures calm the pain, by shaking the hand or by letting it hang outside the bed.

Vasomotor disorders are frequent, with hypersudation or edema of the hand. Initially nocturnal, these painful phenomena persist during the day, thus handicapping the patient in everyday household activities. Bilateral forms are frequent, with a clear predominance of one side.

The examination may be normal, thus limiting the symptomatology to subjective phenomena; this is stage I. It can show the existence of sensory disorders objectives in the territory of the median, and particularly at the level of the pulp of the first three fingers; this is stage II. It can reveal the presence of motor disorders at the level of the opponent of the thumb, with readily amyotrophy of the thenar eminence; this is stage III.


4.1 How is it diagnosed?


Often, people who suffer from carpal tunnel syndrome seek medical attention. Part of the assessment for carpal tunnel syndrome includes a search for occupational risk factors. The assessment begins with a job analysis and requires a detailed description of all activities in a typical work day. The frequency, intensity, duration and regularity of each operation performed during the work are also taken into account. The diagnosis of carpal tunnel syndrome is confirmed by tests designed to identify damage to the median nerve. median nerve.

Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


4.2 Questionnaires


Which hand is most involved in work activities?

Is an accidental event the cause of the pain?

Questions about previous work activities: Work performed, duration in months, and factors involving the hand or upper limb?

Questions about hand/wrist activities: Frequency of movement and force required to flex, extend, or rotate wrists, apply pressure with fingers or palm, handle small objects, handle, pull, or push heavy objects, use vibrating or impact tools, other activities to be specified?

Questions about co-factors that increase musculoskeletal loading: Wearing work gloves, exposure to cold, and upper extremity abducted or flexed more than 60 degrees?

Questions about the organizational factors of the job: In the course of their work, does the person have to feed a machine tool at a regular rate; does the person work under time or production constraints; does the person have to pay a lot of attention; does the person perceive their work as monotonous; can they change their work pace; do they rotate to other jobs; are there other organizational factors that may have contributed to the problem? If so, what are they?

Questions about sports or domestic activities involving the hand or the wrist: Type of activities, number of hours per week and others?


4.3 Physical examination


Carpal tunnel syndrome should be diagnosed and treated promptly as it can be potentially irreversible if the median nerve is compressed too long. A physical examination of the hands, arms, shoulders and neck can help determine if your symptoms are related to your daily activities or an underlying disorder.

It is important before proceeding with the physical examination to take a good medical history and to document the various professional, sports, recreational or domestic activities that could have contributed to the appearance of this syndrome.

The symptoms are mainly sensory (paresthesias) affecting the first three fingers of the hand, but can also have a motor component. They are due to the compression of the median nerve at the level of the carpal tunnel. Painful radiation affecting the other fingers of the hand or the forearm can also accompany these symptoms. The patient may express the following symptoms:

  • Paresthesias nocturnal in the hand (numbness and tingling that usually disappears when the hand is shaken - Flick sign)
  • Paresthesias occurring during activities involving the wrist and hand
  • Discomfort in the hand, wrist and forearm
  • Muscle weakness and clumsiness of the hand

The physical examination must include in addition to the wrist and the hand, the entire upper limb and the cervical region. The examination must include: observation and palpation, provocation tests, evaluation of tenderness and muscle strength. It may be supplemented by electrodiagnostic studies.


4.4 Observation and palpation


Upper extremity: observe if there are deformities, signs of old fractures, tumors, osteoarthritis; examine the antalgic regions; compare the two members


4.5 Orthopedic and neurological tests


Your osteopath may also do other specific orthopedic tests to try to replicate the symptoms of carpal tunnel syndrome. One of these tests is called the sign of Tinel and involves tapping your finger lightly on the back of your wrist to see if there is tingling or pain in your hand. The test of Phalen is also useful. It involves bringing your wrist into maximum flexion and holding it there for some time. This maneuver can produce tingling or numbness in the fingers.


4.5.1 Challenge tests


There are two carpal tunnel provocation tests:

  • The intracarpal pressure increase test (the Phalen. Sign of Phalen - The patient places his hands back to back and bends his wrists for one minute. A tingling sensation in the fingers suggests an injury to the median nerve.
  • The percussion test of the median nerve (test of Tinel). Sign of Tinel - The doctor lightly hits the median nerve in the wrist. A tingling sensation in one or more fingers suggests an injury to the median nerve.


5.5.2 Sensitivity tests


There are two categories of tests to assess sensitivity:

Innervation density tests like;

  • The discrimination test between two static points
  • The needle prick test

And sensory threshold perception tests such as;

  • The Semmes-Weinstein monofilament test
  • Tests that evaluate the vibratory threshold.


4.5.3 Assessment of muscle strength


The following structures should be tested for strength:

  • The hand as a whole
  • The bidigitale (thumb-index) clamp
  • The abductor brevis of the thumb
  • The opponent of the thumb.


4.6 Radiology


Laboratory tests and X-rays may reveal the presence of diabetes, arthritis, fractures, and other causes that could cause pain in the wrists and hands.

X-rays usually show nothing abnormal unless there is an obvious change in bone structure due to old fractures or arthritic lesions. Blood tests are also normal, except in the presence of conditions that may be contributing to the problem, such as rheumatoid arthritis.

X-rays of the wrists and hands are not always necessary. It allows to detect a narrowing of the canal of post-traumatic osseous origin. However, X-rays of the cervical spine are sometimes requested to rule out a compression upstream or associated with the wrist compression.


4.7 Electrodiagnosis


This test is usually carried out in a specialized department. Sometimes electrodiagnostic tests, such as nerve conduction velocity, are used to help confirm the diagnosis. We place electrodes on the forearm and pass an electric current: we can thus establish at what speed and to what extent the median nerve transmits nerve messages to the muscles, which can determine if the nerve has been damaged. Carpal tunnel syndrome will slow down the speed of these nerve impulses and point your doctor or chiropractor to this diagnosis. Therefore, nerve conduction tests or an electromyography (EMG) will help determine if the nerves and muscles in your arm and hand show the typical signs of carpal tunnel syndrome.

Electrodiagnostic studies are an essential adjunct to the examination. It confirms the presence of the syndrome and estimates the severity of sensory and motor damage.


4.8 Magnetic resonance imaging (MRI)


In the more complex forms, magnetic resonance imaging can be used in the event, in particular, of failure of a surgical intervention or atypical forms (forms on exertion or extrinsic compression). Magnetic resonance imaging (MRI) of the wrist finds indications in recurrences: It allows to appreciate the aspect of the anterior annular ligament and the content of the carpal tunnel.


4.9 Ultrasonography/ultrasound


Ultrasound can confirm tendon inflammation with a thickened tendon and a fluid layer encompassing the tendons.


4.10 Conclusion


The biological workup shows nothing special. A systematic search for diabetes, a frequent favouring factor, is necessary.




When faced with sensory disorders of the hand that may resemble carpal tunnel syndrome, it is important to make a differential diagnosis.


5.1 Central nervous system disorders

  • Transient cerebral ischemia
  • Sclerosis in plate


5.2 Peripheral nervous system disorders

  • Cervical radiculopathy (C6, C7)
  • Syndrome of the thoracic outlet
  • Syndrome of Raynaud
  • Compression of the median nerve for example by the muscle pronator round in the forearm
  • Systemic diseases such as diabetes and alcoholism
  • Taking medication
  • Exposure to toxic substances such as lead, solvents, pesticides and plastics


Carpal tunnel syndrome is often difficult to diagnose. 25% patients with nerve disorders pose a problem of differential diagnosis (false positives) with other diseases such as Raynaud's phenomenon as well. Raynaud also.

It is difficult to determine whether the primary cause is due to an occupational or medical problem, as many conditions, including obesity and other diseases, can contribute.

A positive diagnosis is suggested by occupational history, confirmed by presentation of appropriate symptoms, physical examinations (the Phalensign of Tinel) and confirmed by electromyogram or by the defects of the conduction of the median nerveThe X-ray of the cervical spine should also be taken.

The most common ones are C6-C7 nerve root damage, the thoracobrachial crossing and the peripheral neuropathies; syndrome pronator round (The compression of the median nerve elbow) or interosseous nerve previous.




Carpal tunnel syndrome is related either to a retraction of the anterior ligament (container), or more often to an increase in volume of the flexor tendons (synovitis or inflammation of the content).

This results in a compression and a progressive loss of the conduction of the median nerve. In the final stage, the chronic compression of the nerve can eventually laminate it and destroy it completely, irreversibly.


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


There are multiple factors that favor the appearance of carpal tunnel syndrome: repeated trauma to the palmar surface of the wrist, bone anomalies protruding into the canal, hormonal changes in women, kidney dialysis, obesity (especially in young patients), etc. There also seems to be a genetic predisposition.

This syndrome is most often found in women.

In women, the cause is usually hormonal, which is why this syndrome is more common in pregnant women and women nearing menopause.

In humans, the cause is almost exclusively mechanical, typically, the worker frequently using a jackhammer or other vibrating tools.

The forms of carpal tunnel syndrome of occupational origin are numerous in Quebec. Injuries attributable to repetitive work or poor workstation design, such as carpal tunnel syndrome, have been recognized by the CSST, the courts and the Canadian Centre for Occupational Health and Safety.


It is more and more frequently observed in people working on a non-ergonomic computer workstation (keyboard, mouse, poorly adapted seat position...). In this case, it is sufficient to review the configuration of the workstation to remedy it.

Other causes are more rare: tenosynovitiscompression by the flexor muscles during rheumatoid arthritis, infectious causes, algodystrophies, amyloid deposits (during hemodialysis).

The syndrome is more common in diabetes, hypothyroidism, myelomaof sarcoidosis...

A significant number of carpal tunnel syndromes have no identified cause (idiopathic).

Some people have a narrower carpal tunnel than others, which makes compression of the median nerve more likely. In other cases, carpal tunnel syndrome can develop due to an injury to the wrist which causes inflammation of the tunnel and compression of the blood vessels that supply the wrist. median nerve, overactivity of the pituitary gland, hypothyroidism, diabetes, inflammatory arthritis, mechanical problems in the wrist, poor work ergonomics, repeated use of vibrating hand tools, and fluid retention during pregnancy or menopause.

In addition, this syndrome may be associated with repetitive occupational trauma (CUMULATIVE TRAUMATIC DISORDERS); wrist trauma; AMYLOID NEUROPATHY; RHUMATOID ARTHRITIS; ACCROMEGALIA; other diseases.




When the carpal tunnel syndrome is related to a general pathology (e.g. diabetes), the treatment of this pathology is imperative in first intention and the regression of the symptoms will be of medium to long term.

Similarly, the syndrome occurring during pregnancy usually regresses after delivery without any intervention.

In other cases :

In stage I, where the symptoms are purely sensitive and subjective, it is possible to simply immobilize the hand and wrist with an orthosis, at least at night, with a prescription for painkillers and/or anti-inflammatories, but their action is most often very transient and in many cases, will require more permanent means of treatment, such as soft laser therapy or surgery in some cases.


If, however, you have recourse to local infiltrations of corticosteroids (cortisone, prednisone), be aware that in many cases, the symptom relief effect will only be temporary, temporarily reducing the inflammation of the nerve which is tight in the canal, that injections more than three times a year are not recommended (Reference 4) and that there are inherent risks with these injections, including the possibility of developing type II diabetes, even after single injection (Reference 123).

In stages II and III, with sensory and motor disorders objectivesthe indication of a soft laser therapy is strongly recommended and the indication for surgery may be mandatory if no other treatment has succeeded in resolving the problem.

The results of surgery are generally excellent, provided that the nerve has not been damaged by prolonged compression and that the differential diagnosis has been done rigorously; eliminating other probable causes, notably cervical radiculopathy (C6, C7) which can mimic the symptoms of carpal tunnel syndrome. However, surgery has many disadvantages including loss of work due to recovery, possible permanent scarring and the risks inherent in any surgery including infections (Reference 5) and side effects of anesthetics (Reference 6), to name a few.


Before considering surgery, it would be beneficial to attempt to resolve this debilitating condition with the help of soft laser therapy. It has no side effects and succeeds, in many cases (84% efficacy) (Reference 7), in completely relieving the symptoms of carpal tunnel within more or less six weeks, without having to be absent. work and suffer the loss of income that accompanies it.


Bibliographic references of the regression

1. DiabÚte Québec: Hyperglycemia.

2. Medicine and health: Effects of cortisol and cortisone

3. Diabetic Leagues of France

4. Medicine and Health: Carpal tunnel syndrome

5. Association for the Defense of Victims of Nosocomial Infections

6. Canadian Society of Anesthesiologists.

7. Naeser MA, Photomed Laser Surg. 2006 Apr;24(2):101-10




8.1 The definition


Synonyms of the soft laser: cold laser, low level laser, low level laser therapy, LLLT, photo bio-stimulation, light therapy, phototherapy, soft laser therapy.


The word "laser" is the abbreviation of "light amplification by stimulated emission of radiation".

The soft laser or soft laser is neither harmful nor dangerous and it can never be.

The light rays penetrate the tissues at a shallow depth (5 centimeters) without damaging them, nor cutting them, nor even heating them. They energize the tissues they pass through.

The soft laser therefore has an anti-pain, anti-inflammatory, antispasmodic, healing and anti-oedematous action.


8.2 Technology


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


This technology is called soft laser. Unlike lasers used in surgery or aesthetics, the soft laser emits no heat and is completely safe since it cannot damage the tissues of the treated area. On the contrary, the beams of concentrated light emitted by the device penetrate 5 centimeters under the skin and allow cell regeneration, a reduction in inflammation and pain relief.


In the late 1960s, researchers introduced the concept of low-intensity laser biostimulation (soft laser) to produce non-thermal effects in human tissue.

The first experimental application of low-intensity (soft) lasers was described in 1968, when researchers used a ruby-argon laser on ulcers that would not heal.

Later research demonstrated the effectiveness of the treatment in laser to accelerate wound healing, reduce pain, reduce tissue inflammation in both humans and animals.

To treat chronic pain with the biostimulation effect of soft laser, the laser beam must reach a certain depth in the tissues in order to irradiate the affected area.

Laser wavelengths that are between 820 nanometers to 840 nanometers have a very low absorption rate in human tissue, allowing deeper penetration of laser light.


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


The 830 nm laser beam is also well absorbed by the subcellular organelles, causing them to function normally.

The output power of the low-intensity laser also affects the depth of beam penetration, and has been shown to be effective in treating human tissue.

Clinical research has shown that soft laser with a wavelength of 830 nm and an output power between 60 milliwatts (mW) and 90 mW is optimal for the treatment of chronic pain.

After examining damaged cells in detail, researchers realized that dysfunction in the nervous system, lymphatic system, or circulatory system contributed to cell dysfunction. The soft laser is effective largely because it emphasizes the interdependence between the nervous, circulatory and lymphatic system.

Although it is possible for damaged cells to heal themselves without the aid of the soft laser, the use of the low intensity laser can accelerate the tissue healing process. A good example of how the soft laser accelerates the healing process can be demonstrated in cases of acute soft tissue trauma. Such an injury involves several elements of the tissue layers beneath the epidermis, including muscle, nerve, lymphatic and vascular tissues. The body's natural response to soft tissue trauma is to contain the injury with local inflammation: Inflammation is due to increased blood flow into the capillaries. Classically, inflammation is manifested by four main signs: redness, heat, swelling and pain. The inflammatory mechanism involves a large number of substances present in the blood, among others many hormones, such as prostaglandins, histamine, supplements, cytokines participate in the inflammation. This excessive swelling prevents proper circulation in the damaged tissues and results in two types of pain: The first type of pain is caused by the actual trauma of the injured tissues, while the secondary pain comes from the swelling itself.

The soft laser therapy targets the lymphatic system first, as it maintains fluid balance in the body and the infrared laser light also works to improve reabsorption of edema. Thanks to the soft laser, swelling is reduced and the mobility of the treated area is restored.

8.3 Special Report


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


  • The soft laser beam does not overheat the tissue and therefore cannot damage it, making the treatment very safe.
  • The soft laser is more effective than electrical stimulation (Stim) or ultrasound.
  • It is easy to use.
  • It has been used in Europe and Asia for over 35 years.
  • It is approved the FDA in the United States for several applications including pain and inflammation relief as well as for its effectiveness in the treatment of carpal tunnel syndrome, and this for only 5 years.
  • It is successful in relieving conditions that do not respond to other treatment modalities.
  • It helps patients without the use of drugs or surgery, eliminating the risk of side effects.
  • The soft laser treatment is imperceptible and therefore painless for the patient and takes only 5 to 15 minutes, depending on the case.
  • It is effective for the treatment of muscle spasms or pain, arthritis or other joint pain.
  • It also reduces muscle tension and improves blood and lymphatic circulation.
  • It is used for the treatment of many conditions including: neck pain, back pain, shoulder pain, elbow pain (tennis elbow or epicondylitis), wrist pain (carpal tunnel syndrome), hip pain, knee pain and foot pain.


8.4 Benefits of the soft laser therapy


  • Relieves acute and chronic pain
  • Increased speed, quality and tensile strength of tissue repair
  • Increased blood supply
  • Stimulates the immune system
  • Stimulates nerve function
  • Develops collagen and muscle tissue
  • Allows the development of new healthy cells
  • Promotes healing
  • Reduces inflammation


8.5 Physiological effects of soft laser :


  • Accelerated tissue and bone repair
  • Increased collagen production
  • Increased vasodilation
  • Increases cell metabolism
  • Increased microcirculation
  • Increased pain threshold
  • Reduction of inflammation
  • Increased lymphatic response
  • Increased enzymatic response
  • Reduction of swelling


8.6 Our laser in brief :


  • Approved by the FDA for the treatment of carpal tunnel syndrome
  • Patented technology
  • Reimbursed by group insurance
  • Non-invasive
  • Reduces inflammation
  • Stimulates the functioning of the nervous system
  • Backed by over 25 years of clinical research


8.7 Dedicated professionals


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne

Our members are dedicated to helping patients who suffer from severe pain caused by carpal tunnel syndrome.


8.8 Now there is hope!


Professionals have come together to provide a medical breakthrough: non-surgical, drug-free soft laser care for patients suffering from severe pain caused by carpal tunnel syndrome.

The objective of our professionals also includes the improvement of physical capacity, functional performance and the return of their patients to their activities of daily living.


8.9 Treatment



8.9.1 What is the duration of the treatment?


The duration of the soft laser treatment depends on the severity and history of the injury or disease. The treatment is given in small amounts over time. Improvements are usually noted within a short period of time. In addition, the soft laser therapy does not require preventive or maintenance care once the problem is resolved, as is often the case with other types of care. The standard treatment protocol for carpal tunnel syndrome is two (2) visits per week for six (6) weeks.


8.9.2 How is the treatment performed?


After the initial consultation, the soft laser treatments are performed in the professional's office on the treatment table. The laser is applied to the target areas. The treatment requires light skin contact (in most cases). Although some patients often experience an almost imperceptible tingling sensation, no pain is involved. The treatment lasts from 5 to 15 minutes for each area.


8.10 Fees


Treatment of Carpal Tunnel Syndrome Tagmed Clinic Montreal Terrebonne


The recommended treatment protocol is 12 treatments. However, many patients will achieve satisfactory results more quickly. Therefore, there is no no obligation to complete the full protocol.


8.10.1 Health Insurance


The Quebec Health Insurance plan does not pay for therapeutic laser care.


8.10.2 Group Insurance


Part of your fees are covered by your group insurance: each case is different.


8.11 Doctor's prescription


Laser treatment does not require a prescription from your doctor.





8.12 No two carpal tunnel syndromes are alike!


The treatment of carpal tunnel syndrome is very complex due to the individualized nature of each patient's pain and/or symptoms. A treatment option that relieves pain for one patient may not work for another. However, by working with one or more types of spine and musculoskeletal specialists, patients can find the best combination of treatment options that will relieve their pain. This way, they will avoid surgery.


8.13 Our carpal tunnel laser treatment is :

  • Non-invasive
  • Non-surgical
  • Curator
  • Sweet
  • Safe
  • Supervised by a health professional, holder of a doctorate
  • Laser treatment approved by the FDA
  • Effective for a variety of inflammatory conditions


9. How to become a patient?


9.1 Your exam results

First, you must make sure you have the results of your examinations and your diagnosis, if you have already consulted a doctor or another specialist for your condition.


9.2 Your first visit


During your first visit, we will first file the results of your examinations in your file and study them in more detail before beginning your treatment.

We will also assess your condition and possibly complete your examination by suggesting an X-ray of your cervical spine, to confirm the diagnosis in suspected cases and to exclude other pathologies such as neuropathies, radiculopathies and other deficiency syndromes.

Finally, we will explain in detail the treatment protocol for laser therapy.


9.3 Laser treatments


We will begin your treatment at the first visit. The recommended treatment protocol for carpal tunnel syndrome is an average of twelve (12) laser treatments, with two (2) visits per week, depending on the severity of the patient's condition.

In summary

Carpal tunnel syndrome is a common condition that affects the hand and wrist. It is caused by compression of the median nerve as it passes through the narrow carpal tunnel in the wrist, which can cause pain, numbness and tingling in the hand and wrist. Laser treatment can be an effective option for relieving the symptoms of carpal tunnel syndrome. In more severe cases, surgery may be required. It is important to see a healthcare professional if you have symptoms of carpal tunnel syndrome to receive an accurate diagnosis and appropriate treatment.


Carpal Tunnel Synonyms: CTS (Carpal tunnel syndrome), CTS (Carpal tunnel syndrome), carpal tunnel, CC syndrome, TC syndrome, carpal tunnel syndrome, median nerve compression neuropathy in carpal tunnel, carpal tunnel syndrome.

Synonyms of the soft laser: cold laser, low level laser, low level laser therapy, LLLT, photo bio-stimulation, light therapy, phototherapy, soft laser therapy.


Preparations for laser treatment

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

Download, print and complete this questionnaire (your health history), before consulting us, in order to save time. (Click on the tablet!)


1150 rue Levis, suite 200, Terrebonne, QC, J6W 5S6
 (450) 704-4447


1140 ave Beaumont, Mont-Royal, QC, H3P 3E5