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How Physiotherapy Can Help Resolve Carpal Tunnel Syndrome?

B.P.T, M.P.T
Physiotherapist, Hyderabad
How Physiotherapy Can Help Resolve Carpal Tunnel Syndrome?
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.

Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.

The carpal tunnel pressure increase occurs when either of two things happens:

The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

hand pain or aching
pins and needles
numbness esp at night of with wrist flexing
weakness or cramping
perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.

Physical Therapy Treatment

Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn t help.
Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.

Things You Need To Know About Carpal Tunnel Syndrome!

Orthopedist, Mumbai
Things You Need To Know About Carpal Tunnel Syndrome!
When the median nerve that runs through the palm and forearm is twisted or squeezed, a condition called the Carpal tunnel syndrome (CTS) occurs. This carpal tunnel is a passage that is narrow and is present in the ligaments and tendons. This nerve is responsible for offering a feeling sensation to the palm, index finger, thumb, and the middle finger. A part of the ring finger too shares the same. The median nerve is compressed when the tendons are irritated. This leads to pain in the forearm and arm, palm, and wrist. Additionally, this condition can cause numbness and weakness.

How it begins?

This condition does not occur suddenly but gradually. In the initial stage, the sufferer experiences burning, itching, and numbness in the palm. The thumb, index and the middle finger feel these symptoms. The affected individuals may notice that the hands are swollen and rendered useless. You may feel pain and numbness in one or both the hands during sleep. Slowly, the numbness and pain keeps increasing and can be felt during the day. This is why you may want to shake off hands multiple times.

Factors responsible for this condition:

Various factors can trigger Carpal tunnel syndrome. If you have had any injury to the wrist in the past that caused swelling, you may suffer from this syndrome. For instance, a sprain or fracture can trigger a Carpal tunnel syndrome. A thyroid gland that is overactive or underactive, arthritis, and overactive pituitary gland, too, can cause this condition. If your occupation involves an excessive movement of the wrists or if your lifestyle involves excessive work stress and the use of vibrating tools, then also this syndrome may affect you. Compression of the median nerve or narrowing of the space for the median nerve are the two other reasons. Fluid retention during menopause or pregnancy can also result in Carpal tunnel syndrome.

Will you be at risk?

Women are more likely to suffer from this condition as compared to men because the carpal tunnel is smaller in the former group. The symptoms are first seen in the dominant hand. The high-risk group includes diabetics and people who suffer from other metabolic disorders. People who are working with industries that deal with manufacturing, cleaning, assembly, sewing, or poultry or fish packing mostly face this disorder.

What can you do?

Surgical and non-surgical treatment methods are available for Carpal tunnel syndrome. When you are diagnosed with Carpal tunnel syndrome, undergo the treatment as advised by the doctor. Wear a splint at nights. During days, when you see swelling or redness of the palm, apply cooling packs. Take breaks from work, if it involves pressurizing the median nerve or if there is any narrowing of the space. Chiropractic therapies, acupuncture, and yoga are known to offer relief as well.

Prevention techniques:

To prevent Carpal tunnel syndrome, always ensure you stay in the right posture. Use a fingerless glove as this keeps the wrist and palm warm. Take frequent breaks from the task that you are performing, especially the ones that require too much of the wrist movement. Job demands should be considered, however, rotating tasks with colleagues can provide an excellent relief. If your doctor feels that surgery is the only option left to provide relief, then you need to go for the same. With the two options of open release surgery or endoscopic surgery, you can expect symptoms to be relieved as soon as the procedure is conducted.
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Pain in spine and girdle after fall down from stair. D11 and D12 of backbone are compressed.

MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Pain in spine and girdle after fall down from stair. D11 and D12 of backbone are compressed.
Dear lybrate-user what is your age? What is the degree of compression? Can you share your Xray report Exact treatment of Compression fracture at d11 and 12 depends on the degree it has bend down and severity of pain you are having Proper treatment plan can only be suggested after seeing and Xray Till then no bending no heavy weight lifting no sports Extension Physio calcium and protein supplements etc.
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Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Finger Painyour finger pain can be due to various reasons our suggestion would be to do warm water bath to relieve from pain. If the pain doesn't subside please do ice therapy to reduce the inflammation from the finger.
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Reduce your weight according to BMI that is according to your height. Correct your posture while sitting ,standing and walking.
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I have a abnormal curve in the spinal cord. As I do not have pain or something else problem. But my body posture is little different from others. What is it? Is it Kyphosis or Lordosis? If yes then please tell me how to cure it?

Bachelor of physiotherapy
Physiotherapist, Gurgaon
I have a abnormal curve in the spinal cord. As I do not have pain or something else problem. But my body posture is l...
Use spine brace to reduce and stopped curve. Share spine x ray to determine its kyphosis or lordosis ,because curvature occured in both condition. So consult in msg for better conversation with your full history.
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Is there any treatment for curvature of spinal code? My mother is 64 year old. Once She had fallen down 10 year ago since then her back bone has 40% curved inside. And she is suffering from pain like sciatica and jhanjhanahat in her leg. She is also a hypothyroid patient. I want to know the treatment.

Bachelor of physiotherapy
Physiotherapist, Gurgaon
Is there any treatment for curvature of spinal code? My mother is 64 year old. Once She had fallen down 10 year ago s...
If in spinal cord a curvature formed then use orthotics for correct the posture. And for pain like sciatica and radiation with numbness consult to a physiotherapist who give you proper treatment to reduce the prob. I suggest you use physiotherapy and exercises programs. Few medicines which are helpful to reduce pain and radiation also included- Polytos tablet Q 10 tablet Ruse onn syrup Neuro forte. If any else query or confusion then feel free to contact.
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My spinal cord at it down side paining to much abdomen also paining to much what to do.

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take homoeopathic medcines,coxydyna,ur work psture and sitting posture could be giving pressure on coccyx bone must be pressing the nerve routes there.causing sciatica
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Carpal Tunnel Syndrome - 3 Ways To Prevent It!

MS - Orthopaedics, DNB (Orthopedics), MNAMS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Jaipur
Carpal Tunnel Syndrome - 3 Ways To Prevent It!
The human hand has multiple bones, tendons, ligaments and muscles which in unison help us to grip things and manipulate other objects to do our work. Within the wrist lies a narrow passageway on the palm side which houses the main nerve for movement of the nine tendons. These tendons help us to move our fingers individually and grip things or accomplish any task we want with our hands.

What is carpal tunnel syndrome?
Carpal tunnel syndrome is a condition where this nerve gets pinched due to a variety of factors and may have adverse effects. Some of the symptoms include tingling, numbness and pain with movements of the arm.

Causes of Carpal Tunnel Syndrome:
The nerve within the wrist which is known as the median nerve can be pinched due to a variety of factors:

Movements where the wrists are always higher and in an angle: Repetitive movements of the wrists where the hands are always at a lower angle, can increase the chances of carpal tunnel syndrome. This is usually a workplace related problem and thus be caused by bad hand posture.
Medical Conditions: There are certain medical conditions that may also trigger the onset of carpal tunnel syndrome such as diabetes, thyroid, menopause and other problems.
Pregnancy: Pregnancy has also known to cause carpal tunnel disorder as it can alter the balance of fluids within your body. However, other factors could also put your fluids in imbalance and cause problems with the median nerve.
Conditions that may cause inflammation: Certain conditions such as rheumatoid arthritis can cause the inflammation within the joints which might lead to the median nerve being pinched which in turn might lead to carpal tunnel syndrome.
Some Preventive Measures from Carpal Tunnel Syndrome:

Breaks from repetitive work: It is important for your wrists to have a break when you are doing repetitive tasks that might cause carpal tunnel syndrome. Relax and stretch your muscles within the break time
Wear wrist splints: These are support devices which can help correct problems for repetitive actions throughout the day while you are sleeping.
Take pain reliever if you start having chronic pains: If your wrist pain is not letting you functions normally, take a pain reliever such as ibuprofen or aspirin and go to a doctor as soon as possible for a more thorough treatment.