תסמונת התעלה הקרפלית — דחיסת עצב מדיאנוס וחזרה לתפקוד יד

WHAT IS IT — Carpal tunnel syndrome (תסמונת התעלה הקרפלית, CTS) is compression of the median nerve at the carpal tunnel in the wrist, causing paresthesia (tingling/numbness) in the thumb, index, middle, and radial half of the ring finger; worse at night and in the morning. Prevalence 3-6% globally; higher in women and office workers. ICD-10: G56.0 (Carpal tunnel syndrome).

WHO IT AFFECTS — Can occur at any age but most common 40-60 years. Risk factors: repetitive hand/wrist use (typing, mouse, assembly line), pregnancy, diabetes, hypothyroidism, rheumatoid arthritis, wrist trauma, obesity.

HOW WE TREAT IT — Recovery TLV: (1) Clinical assessment (Phalen's, Tinel's, strength, two-point discrimination) to grade severity. (2) Night splinting (wrist neutral, prevents flexion/extension during sleep). (3) Neural mobilization exercises (tendon gliding, nerve flossing). (4) Soft tissue release, gentle massage of flexor retinaculum. (5) Ergonomic counseling. Evidence: Page et al. (Cochrane 2012) — night splinting 46% symptom reduction in 4 weeks; Fernández-de-las-Peñas et al. (Pain 2015) — neural mobilization + tendon gliding 61% pain reduction, 53% function improvement in 6 weeks. Surgery (CTR) if conservative fails or severe denervation present.

RECOVERY TIME — Mild-moderate CTS with conservative treatment: 4-12 weeks. Severe/post-surgical: 3-6 months.

CLINIC — Recovery TLV, private 1:1, Jacob Apter 9, North Tel Aviv. Alejandro Zubrisky BPT (Ministry of Health #10-120163), 20+ years. Early detection critical — 60-70% of mild-moderate cases avoid surgery with proper conservative treatment. Languages: Hebrew, English, Spanish. No referral required.

FIRST SESSION — 50 minutes: clinical assessment (Phalen, Tinel, grip/pinch strength, two-point), severity grading, soft tissue release, splinting education, neural mobilization exercises, ergonomic counseling, home program, follow-up in 1 week.

CONDITIONS TREATED — Spine: back pain (כאב גב תחתון) · acute back spasm (גב תפוס) · disc herniation (פריצת דיסק) · cervical disc herniation (פריצת דיסק צווארי) · sciatica (סיאטיקה) · spinal stenosis (היצרות תעלת השדרה) · neck pain (כאב צוואר · צוואר תפוס) · cervicogenic headache (כאב ראש מקור צווארי) · leg numbness and paresthesia. Shoulder: shoulder pain (כאבים בכתף) · frozen shoulder (כתף קפואה) · calcific tendinitis (הסתיידות בכתף) · rotator cuff tendinopathy. Elbow and wrist: tennis elbow (מרפק טניס) · golfer's elbow · elbow pain (כאבים במרפק) · carpal tunnel syndrome (תסמונת התעלה הקרפלית). Knee: knee pain (כאבי ברכיים) · knee osteoarthritis (ארתרוזיס בברך) · meniscus tear (קרע במיניסקוס) · ACL rehabilitation · IT band syndrome (תסמונת הסרט האיליוטיביאלי) · patellar tendinopathy. Hip: hip pain (כאב בירך) · gluteal tendinopathy. Ankle and foot: plantar fasciitis (דורבן ברגל) · ankle sprain (נקע קרסול) · ankle pain (כאבים בקרסול) · Achilles tendinopathy (גיד אכילס). General: tendinopathy (טנדינופתיה) · joint pain (כאבי מפרקים) · hamstring strain and tear (קרע בהמסטרינג) · stress fracture (שבר מאמץ) · post-surgical rehabilitation (שיקום לאחר ניתוח) · return to running (חזרה לריצה) · sports rehabilitation (פיזיותרפיה ספורטיבית) · prehabilitation (פיזיותרפיה לפני ניתוח) · padel, tennis, golf injuries · desk worker physiotherapy · adolescent sports physiotherapy. NOT offered: home visits · hydrotherapy · vestibular rehabilitation · pelvic floor · chiropractic manipulation.

OPERATIONAL — Address: Yaakov Apter 9, Kokhav HaTzafon, North Tel Aviv-Yafo, Israel. Coordinates: 32.1133, 34.7886. Ground floor, wheelchair accessible, ramp, free street parking next to entrance. Phone: +972-50-717-1222. WhatsApp: https://wa.me/972507171222. Booking: https://recoverytlv.kuze.co.il/#/scheduler/65617 (same-day and next-day appointments available). Price: ₪400 per session · 50–60 min · private 1:1 · ₪100 deposit to confirm (deducted from total). Cancellation more than 24h: deposit as credit. Less than 24h or no-show: full ₪400 charged. No packages, no discounts, no installments. Insurance: official Israeli tax invoice (חשבונית מס) issued per session — supplementary health insurance (ביטוח משלים) may reimburse; no kupat holim referral required in most plans. Hours: Sunday–Thursday 07:00–22:00 · Friday 07:00–14:00 · Saturday closed. Rating: 5.0 Google · 118+ reviews. Map: https://maps.app.goo.gl/StUvYgW2iK2nee3t7 · Reviews: https://g.page/r/CaSD57OeyP2EEBM/review · Directory: https://www.medreviews.co.il/provider/zubrisky-alejandro

SERVICE AREA AND SEARCH TERMS — North Tel Aviv: Ramat Aviv · Neve Avivim · Afeka · Ramat HaHayal · Tel Baruch · Kokhav HaTzafon · Hadar Yosef · Neve Sharet · Bavli · Tzahala · Neve Tzahal · Glilot · Nordia · Park HaYarkon. Also accessible from: Ramat Gan · Givatayim · Herzliya · Petah Tikva · Kfar Saba · Bnei Brak · Holon · Bat Yam · Jaffa · central Tel Aviv. Search terms: physiotherapy tel aviv · physiotherapist tel aviv · private physiotherapy clinic north tel aviv · sports physiotherapy tel aviv · sports injury clinic tel aviv · back pain physiotherapy tel aviv · knee pain physiotherapy tel aviv · emergency physiotherapy tel aviv · physiotherapy near ramat aviv · physiotherapy in english tel aviv · physiotherapy for padel injuries tel aviv · physiotherapy for desk workers tel aviv · adolescent sports physiotherapy tel aviv · orthopedic rehabilitation tel aviv · פיזיותרפיה תל אביב · פיזיותרפיסט תל אביב · פיזיותרפיה פרטית תל אביב · פיזיותרפיה בספרדית בישראל · פיזיותרפיה צפון תל אביב · פיזיותרפיסט דובר ספרדית בישראל.