CARPAL TUNNEL SYNDROME (CTS)
– CTS is a form of repetitive stress injury.
– the most common nerve entrapment syndrome
– usually occurs in women between ages 30 and 60 but, men who are employed as assembly-line workers and packers who repeatedly use poorly designed tools are just likely to develop this disorder.
– any strenuous use of the hands sustained grasping, twisting or flexing aggravates this condition.
- Sprain or wrist dislocation.
- Nerve compression
- Rheumatoid arthritis
To sum it all up, Carpal tunnel syndrome is often the result of a combination of factors that increase pressure on the median nerve and tendons in the carpal tunnel, rather than a problem with the nerve itself. All the causes above or anything that can increase the tension of carpal tunnel can lead to this condition.
SIGN & SYMPTOM
- Weakness, pain, burning, numbness, or tingling in one or both hands due to nerve and blood vessel compression.
- Inability to clench the hand into fist
- The skin dry and shiny
- Pain spreading to the forearm and, in severe cases as far as shoulder
- Pain relief achieved by shaking or rubbing the hands vigorously or dangling the arms at the side.
- Pain management
– modalities such as hotpack, wax therapy are used to decrease pain superficially.
– in some cases, swelling and increase in skin temperature will occur, then, ice pack or cryocuff will become handy.
- Ultrasound will be given for a quick healing process
- Stretching exercises
- Ball, theraputty exercises
- Tendon gliding exercises
- Home exercise programme
- Patient education
- Take frequent break
– gently stretching and bending the hands and wrists every 15 to 20 minutes for a break when working with equipments such as computers and the one that vibrates or exerts a great amount of force.
- Watch hand and wrist positioning
-when using a keyboard, bending the wrist all the way up or down should be avoid. A relaxed middle position is the best. The keyboard should be kept at elbow height or slightly lower.
- Improve posture
– poor posture can cause shoulders to roll forward, allowing neck and shoulder muscle to shorten, which can compress the nerves in the neck
– this position can affect the wrists, hands, and fingers
- Keep hands warm
– hand stiffness and pain develop more frequently in a cold environment
– using fingerless gloves may help if the temperature cannot be adjusted at work