Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a nerve disorder in the hands caused by too much pressure placed on the median nerve at the wrist.  The nerve that controls feelings to the palm side of the thumb and fingers travels through the carpal tunnel joining the forearm to the hand.  Repetitive activities appear to be the main cause of CTS, although injury or arthritis may be root causes as well.

Typing and continuous computer keyboard operations are very common activities for over-use workplace injuries such as CTS.  These activities compress the nerve at the wrist generating pain, numbness, or tingling in the hand.  Grocery store checkers are also at risk for CTS.  The good news is that CTS is treatable when diagnosed early, says Dr. Michael Marion, Director of Hand Services atSt. Joseph’s Orthopedic Institute,Towson,MD.  Tests to determine CTS include x-rays, lab tests, and a physical exam.  Symptoms include numbness, pain in the thumb and index finger, difficulty grasping small objects, and a weak grip.

Treatment can be simply resting the hand, stopping the activity that causes the pain, or wearing a wrist splint.  Surgery may be an option if the problem continues.  Gentle stretching can be beneficial in relieving pain. Try opening and closing your fist, lengthening each finger as you open the hand to its widest extent, and holding your hand up as if to stop traffic. Then allow the fingers to point towards the ground, bending at the wrist, and pull the fingers back towards the forearm. Some yoga postures also help stretch and strengthen the wrist, hands, and fingers. See your doctor as needed for your particular situation.

 

Sources:

 

Complete Guide to Symptoms, Illness, and Surgery.  H. Winter Griffith, M.D. July 2000.
St. JosephMedicalCenter, Towson, MD., http://sjmcmd.org/.

Article by: Bob McDowell, Certified Personal Trainer.

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