Carpal tunnel syndrome is a condition that causes numbness or tingling in the hands and arms besides other symptoms. Carpal tunnel is basically a narrow passage on the palm side of the wrist. This condition is caused when a nerve in the carpel tunnel is compressed. Since this median nerve runs up through the hands to the forearm, it affects the arms as well. Not only does it cause nerve pain, but also results in limited functionality of the thumb.

To prevent this syndrome, one needs to understand its causes. We have discussed some of the primary causes below:

Issues with the thyroid hormone: Hypothyroidism, an imbalance or lack of thyroid hormones in the body, can create problems that lead to issues with the overall musculoskeletal system. An over-active pituitary gland can also cause issues that affect mobility and motor skills. This can lead to or exacerbate the carpal tunnel syndrome.
Arthritis: Arthritis causes swelling and inflammation of joints and tendons, which tend to increase the symptoms of carpal tunnel. Eventually, arthritis can also lead to compression of the median nerve and other structures in the wrist, thereby leading to carpal tunnel syndrome.
Pregnancy or menopause: During pregnancy as well as menopause, women experience tingling or numbness in their hands, which is believed to be caused by carpal tunnel. Experts say that when a fluid called oedema builds up in the tissues around the wrists and other parts of the body, it puts a pressure on the median nerve, leading to pain.
Work pressure: Experts believe that behaviours can increase the risk of carpal tunnel. The other instances which cause this syndrome include physical labour, using mechanical tools and repeated stress to the wrist. However, various studies suggest that there isn t any direct association between using a computer and carpal tunnel syndrome. It may just cause different forms of hand pain.
Imbalance of body fluids: Fluid retention in the body increases the pressure within the carpal tunnel, which irritates the median nerve. This is common during pregnancy and menopause as discussed earlier.
Obesity: One of the significant risk factors for this syndrome is being obese. So be careful about gaining excess weight.
Other conditions: Certain conditions like hormonal imbalance, diabetes and kidney failure may increase the chances of carpal tunnel syndrome. It also occurs in people who usually have narrow carpel tunnels. In some cases, it is inherited and is passed from one generation to the next.
Inflammatory conditions: Illnesses that end up in inflammation, such as rheumatoid arthritis, can affect the lining around the tendons in the wrist and put pressure on the median nerve.
Fractures: A fracture in the wrist can cause narrowing of the carpal tunnel and irritate the nerve. 

Carpal Tunnel Syndrome - Most Common Causes

The human body is so amazing yet sometimes, it is delicate. The condition of cervical spondylitis is one of the examples of this being the case. It is also known as cervical disc disease and is reputed to cause a pretty large amount of pain! That being said, it is not as if this pain cannot be reduced. After all, physiotherapy can make almost any situation better and this is pretty much the case with cervical spondylitis, as well!


Neck traction happens to be one of the popular methods prescribed by physiotherapy to help people who are suffering from cervical spondylitis pain. What is done in this process is that the neck is extended but at a very slow rate. While this may not seem like much itself, why this helps is that it goes a pretty long way in taking a lot of pressure off the discs of the spine. While it is true that neck traction is a thing which can be performed at home, it is very important to check with a professional physiotherapist to make sure that the technique that one is practicing is faultless so as to make sure that any painful accidents are not allowed to take place and make the situation worse than it already is!


Physiotherapy is all about engaging in activities which help make the condition better. So, when a person has cervical spondylitis pain, the therapist will spend some time with him or her so that the neck can be slowly adjusted and this will help the range of motion of the person s neck improve by quite a large margin.


There are quite a few other ways to go about relieving the pain caused by cervical spondylitis by making use of physiotherapy. For example, deep tissue massage does have a large number of fans who swear by it. This is also the case when it comes to electrical stimulation. As a matter of fact, both of these are quite popular as a means to get the patient in the right condition for healing exercises to have their full effect.


After all the effort which is put in by the person by the way of exercise, it can be said to be important that he or she makes use of a cervical pillow, which is more commonly known as a neck pillow and a cervical collar, which can help the process of realignment. With correct physiotherapy, cervical spondylitis pain will soon be history!


How Can Physiotherapy Help Alleviate Cervical Spondylitis Pain?

Joint pain is considered to be one of the first few signs of aging. According to the science of Ayurveda, joint pain is triggered mainly by an accumulation of toxins in the body. These toxins can create an imbalance in the doshas which in turn can cause pain and inflammation on the joints. Along with joint pain, a person is likely to experience a loss of flexibility, weakness, tenderness and enlargement of the joints.

Unlike some popular forms of medication that focus on relieving the pain, Ayurveda addresses the root cause of the issue. Panchkarma aims at cleansing the body of toxins and clearing blockages in the body s digestive and circulatory system. This helps the vatta dosha flow easily through the body and reduces pain associated with arthritis etc. Panchkarma can be defined as a collection of five ayurvedic techniques. These are:

Vasti or Medicated Enema: Vasti aims at removing toxins and waste products from the body through the colon. In doing this, it cleanses the digestive channels and improves circulation of air or the vatta dosha in the body. With better circulation, joint pain is effectively reduced. An enema also nourishes the body and gives it the strength to rebuild tissues while boosting the immune system.
Abhyanga or Full Body Massage: This technique helps I the removal of toxins from deep tissues within the body. It pacifies the vatta and nourishes the body while simultaneously reducing stress and enabling better quality sleep. A full body massage also helps calm the body both physically and mentally.
Potli or Poultice Massage: As the name suggests, a potli involves massaging the body with medicated herbs tied together in a tiny bundle that has been warmed with medicated oils. This potli is then used to massage the entire body. This technique helps relax the muscles of the body and soothes the aggravated vatta dosha. It is very effective when it comes to providing relief from joint pains caused by arthritis, spondylitis, muscle cramps etc.
Pizhichil or Rich Oil Massage: A rich oil massage involves subjecting the body to streams of lukewarm oil that has medicinal properties while simultaneously softly massaging the body. This type of massage helps relieve tension and stress and is a very effective remedy against joint pains. It is highly recommended in the case of rheumatic diseases.
Svedana or Steam Bath: A steam bath helps cleanse the body both physically and mentally by aiding in the removal of toxins through sweat and calming the mind. It also helps soften the muscles and tissues and dilates the channels in the body.

Joint Pain - How Panchkarma Therapies Can Help You?

Endoscopy refers to inserting microscopic cameras into the body through tiny incisions which throw up pictures of the inside of the body onto a screen. Endoscopy has been used for diagnostic purposes since the 1970s. Endoscopy for surgery has become popular from the 1990s.

Endoscopic spine surgery is a state-of-the-art surgery technique which involves micro incisions and minute tubes that cause almost no damage to surrounding tissues and muscles. It is a minimally invasive surgery and it is also called a pinhole surgery.

What are the advantages of endoscopic pinhole spine surgery?

There are a lot of reasons why doctors opt for an endoscopic surgery-

  It is also called Minimally Invasive Spine Surgery (MISS) because it causes little blood loss
  Recovery is almost immediate. A person can resume everyday activities within a week
  Very little pain around the surgery region so minimum pain medication is needed.
  No muscle or bone is removed.
  Since screws and rods are not used, full mobility of the spine can be restored
  The wounds are minute and do not usually require stitches and thus no ugly scars are left after the wounds heal.

What are the characteristics of an endoscopic spine surgery?

  The surgery is performed under local anaesthesia
  The person is discharged within 24 hours of the surgery
  The incisions that are made are microscopic

What are the different types of endoscopic surgery?

Endoscopic discectomy:
It is the least invasive of all spinal surgeries. It is used for treating herniated discs. Endoscopy reveals images of the spine. Through the same tunnel, surgery tools are inserted and the bulging or herniated disc is pulled out with a grasper. The wound does not always require stitches to close it.

Endoscopic Laminotomy:
This a substitute for open laminotomy. The camera helps locate exactly where the target area is. Then an incision is made below and above the lamina to relieve the pressure compressing the nerve.

Endoscopic facet rhizotomy:
With microscopic cameras, the nerves causing pain are identified and then the laser is used to numb these nerves which relieve pain. This type of surgery can also remedy a previously botched spinal surgery, facet joint arthritis or facet joint pain

Endoscopic foraminotomy:
This type of surgery again uses microscopic surgical tools guided by a tiny camera to enlarge a narrowed neuro of spinal nerve root canal to give it more room to move about without being compressed.

Endoscopic Spine Surgery & Pinhole Technique!

Cervical spondylosis is a medical term that indicates the wear and tear of the spinal discs of the neck. With the shrinkage and dehydration of the discs, evident signs of osteoarthritis develop in an individual. Visible bony projections of the edges of the bones also become conspicuous. This condition is extremely common and deteriorates with age. It is estimated that an average of 85 percent of people has crossed the age of 60 is affected by cervical spondylosis. While most patients fail to identify any symptoms, but those who do reports pain, stiffness, uneasiness, numbness etc.

What are the possible causes of cervical Spondylosis?
Dehydrated discs: Discs are the cushions between the vertebrae and the spine. Once a person reaches the age of 40, through natural progression, the spiral discs start shrinking and drying up. This allows more bone-to-bone interaction between the vertebrae.

Herniated discs: Age plays a crucial role and affects the outer covering of the spinal discs. Cracks become visible leading to a condition known as the herniated discs. This condition can press the nerve roots and the spinal cord.
Bone Spurs: Disc degeneration leads to the production of extra bone to support and strengthen the spine. This is a misguided effort that can affect the nerve root and the spinal cord.
Stiff ligaments: Ligaments are tissue cords that connect bones. The ligament can become stiff after attending a certain age. Some of the typical symptoms of this condition include loss of bowel movement, numbness of the hands, feet, arms etc, lack of coordination and difficulty in walking.
What is the homeopathy approach?
Homeopathy takes a holistic approach towards treatment. The remedy selection is based on the individualization theory and the specific symptoms encountered by the patient. The aim of homeopathic treatment is to ensure that cervical spondylosis is eradicated from its root rather than just eliminating the symptoms. Before prescribing a medicine, a homeopathic expert considers various aspects such as the location of pain, basic cause of the current condition, extension and modality of the pain. Some of the important medicine that can treat this condition are mentioned below:

LachnanthesTinctoria: This medicine is prescribed to those who are suffering from a still neck and a dislocated pain. There is a feeling of chilliness in between the shoulders and the pain increases while lying down.
Phosphoric acid: This medicine is prescribed when the pain is boring in nature. The lifting of objects sharply increases the pain and the patient suffers from occasional nerve exhaustion. The condition improves after a nap.
Paris Quadrifolia: This medicine is prescribed when the pain moves downwards. There is a feeling of ache, bruising and stiffness in the arms and the shoulders.

Cervical Spondylosis And Its Effects With Homeopathy Efficacy!

Pain is unpleasant suffering caused by injury or illness. Back pain may be sudden/constant, dull, severe or not responding to short rest and medication. Constant pain in back in any region of spine for more than few days to weeks needs intervention.

Pain which is intense especially at night requires urgent visit to a specialist.

Sudden onset of pain in back with or without injury needs urgent attention.

Back pain with difficulty in walking, pain while getting up from position of comfort, pain during change of posture or pain after prolonged sitting (for work) can lead to serious permanent damage, if left untreated.

Pain which travels to one or both legs may be due to pressure on the nerve/s and if left untreated for long can lead to permanent weakness or damage.

Pain associated with numbness, tingling or weakness in legs, especially below the knees, commonly called Sciatica, needs to be investigated. Various spinal ailments can lead to weakness in one or two limbs or all four limbs. There may be associated or isolated numbness (loss of sensation to touch, pain or temperature) without back pain.

Numbness, tingling or weakness may be the only symptoms without any complaint or without history of back pain.

Problems related to bladder control which may be difficulty to control, hesitancy in passing or dribbling of urine. There may be associated constipation. Loss of bowel/bladder control is caused by pressure on spinal cord &/or nerves which may be due to injury, infection, disc prolapse or tumor.

Sudden swelling and redness in back usually happens after an injury or accident but sometimes are signs of underlying severe illness.

Loss of normal shape/curvatures of spine can present with or without pain. It can lead to forward, sideways or rarely backward bending.

Unintentional weight loss, loss of appetite, evening rise of fever or disturbed sleep with associated back pain/weakness/numbness needs visit to a specialist.

When Should You See Your Doctor in Back Pain?

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