Carpal Tunnel Sundrome

The carpal tunnel is located on the anterior aspect of the wrist.  The floor of the carpal tunnel is formed by the carpal bones andthe roof is formed by the transverse carpal ligament.

A number of anatomical structures namely eight long finger flexor tendons with their synovial sheaths (a layer of synovial membrane around the tendon) & the median nerve coarse through this limited space underneath the transverse carpal ligament.

Inflammation of the tendons and synovial sheaths within this space can lead to carpal tunnel syndrome, ultimately by compression of the median nerve.

WHO IS AT RISK FOR CARPAL TUNNEL SYNDROME?     

  • wrist fracture / dislocation
  • rheumatoid arthritis; obesity; thyroid disorders
  • extension of the wrist using keyboard
  • repeated wrist flexion e.g. in racket sports
  • pregnancy & menopause
  • more women than men

 

 

WHAT ARE THE SIGNS AND SYMPTOMS?

Tingling, numbness and parasthesia (“pins & needles”) over the thumb, index and middle finger, and the radial side of the ring finger

Weakness of the thumb’s pinching muscles, which are controlled by the median nerve

 

 

HOW CAN A BIOKINETICIST HELP?

We incorporate stretching and strengthening exercises to relieve symptoms of carpal tunnel syndrome by releasing pressure on the tendons and strengthening of the muscles to ensure the muscles to be less susceptible for injuries and help to prevent further injuries.  Stretching of the muscles around the wrist can help to relieve the tension from the tendons in the carpal tunnel. Strengthening of the muscles around the wrist will improve grip strength to prevent things from falling and drop out of your hand due to the weakness of the thumb’s muscles.

REFERENCES:

NORDSTROM, D. L., VIERKANT, R. A., DESTEFANO, F. & LAYDE, P. M. (1997). Risk factors for carpal tunnel syndrome in a general population. Occupational and Environmental Medicine, 54: 734-740.

PALMER, K.T., HARRIS, E. C. & COGGON, D. (2007). Carpal tunnel syndrome and its relation to occupation: a systemic literature review. Occupational Medicine, 57: 57-66.

PRENTICE, W. E. (2011). Principles of Athletic Training: A Competency-Based Approach (14th Ed.). New York: McGraw Hill.

PRUTHI, S. (2014, April 2). Diseases & Conditions: Carpal Tunnel Syndrome. Retrieved from www.mayoclinic.org. Mayo Foundation For Medical Education & Research.

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