Introduction
Carpal Tunnel Syndrome falls into the category of neurological conditions called nerve entrapment disorders and is easily the most prevalent of these disorders. As the term “nerve entrapment” implies, these disorders show up when a nerve is trapped or compressed between body tissues creating inflammation and impairment of the nerve.
Anatomy
The carpal tunnel is embedded within the underside of the wrist. It is a tunnel, or passage, through which the Median nerve moves on its way to energize and animate the hand and fingers. Along with the median nerve, the carpal tunnel includes the nine tendons of the forearm muscles that are responsible for bending and flexing of the fingers and thumb. There are also arteries and lymphatic vessels that provide circulation to the hand located within the tunnel. The bottom and sides of this tunnel are formed by wrist bones and the top of the tunnel is covered by a heavy band of connective tissue called the transverse carpal ligament. The diameter of the carpal tunnel is about the same as the index finger making the carpal tunnel a densely-packed space. The flexor tendons, arteries and median nerve are intended to glide smoothly past each other during wrist and finger movement.
If the size of the tendon enlarges due to irritation or overuse, or if the carpal tunnel size diminishes due to a misalignment of the carpal bones, the median nerve can become squeezed or entrapped within the carpal tunnel. In the beginning, carpal tunnel symptoms mainly include, pain, numbness, pins and needles, and tinging in the fingers and hand, particularly the thumb and adjacent two fingers. These symptoms are especially noticeable in the night and often wake people from their sleep as the individual has to sit up in bed and shake-out and/or rub the hands in order decrease these unpleasant feelings. In addition, activity can cause the hands to feel clumsy or weak, and fatigue easily. Eventually, holding small objects using the thumb and fingers can be gravely affected and, without treatment, can result in complete debilitation of the hand.
Computer Glove with ergoBeads
Some accepted causes and associated conditions are:
- repetitive and forceful grasping with the hands
- prolonged computer usage especially with poor wrist position
- activities that require repetitive bending of the wrist
- broken or dislocated bones in the wrist which produce swelling
- arthritis, especially the rheumatoid type
- thyroid gland imbalance
- sugar diabetes
- hormonal changes associated with menopause or pregnancy
Although any of the above can can be a contributing factor to Carpal Tunnel Syndrome, in many cases the cause is unknown. Nevertheless, those who work with equipment that vibrates and/or perform their jobs in extreme temperatures often develop carpal tunnel symptoms. Even household activities as simple as repetitive wringing clothes by hand can help cause this syndrome. By far the most significant reason for the increase of people suffering with CTS is the continuous rise in the use of computers. The repetitive motions of typing on the keyboard and moving the mouse over extended periods of time is a primary indicator for many people with CTS.
Erogonomic Verticle Mouse
Treatment
Proper diagnosis and management of this condition is essential in order to curtail the disabling symptoms associated with the advancement of CTS. Your Ventura Chiropractor has many years of experience in this area. Chiropractors are equipped to deal with this problem and can offer many sufferers with relief. Treatment by chiropractor can include ultrasound or low level laser to help reduce inflammation, electro therapy to strengthen weak muscles of the forearm, soft tissue massage to stretch contracted tissues and, of course, adjustments of the dysfunctional joints of the wrist. Your chiropractor may suggest that you wear a splint or support, particularly at night, to aid in the decompression of the carpal tunnel. Your Ventura Chiropractor will also give you specific exercises to stretch and/or strengthen muscles of the forearm and hand.
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SherryD
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