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Carpal tunnel
syndrome
Do you suffer with wrist and hand pain,
tingling or numbness? Is it worse after a busy day on the
computer and relieved when you shake your wrist or run it under
the cold tap? If so, you could be suffering from carpal tunnel
syndrome.
The carpal tunnel lies at the front of your
wrist, formed underneath by the carpal bones and on top by the
carpal ligament, which links the bones together. Though this
small space run the tendons to the front of the hand and the
median nerve. Swelling of the tendons reduces the space in the
tunnel and this can squeeze the nerve. The result can be
numbness, tingling, pain and clumsiness of the hand. The
numbness and tingling tends to affect most of the fingers
sparing the little finger and half of the ring finger.
The syndrome is often linked with
activities involving repeated, awkward or vibrational hand use.
It is also more common during pregnancy, with diabetes, under
active thyroid, gout, or following damage to the wrist.
Treatment is often aimed initially at
avoidance of activities likely to induce pain.
Anti-inflammatories, cortisone injections, ice packs, and
electrotherapy treatments like ultrasound may prove beneficial.
Exercises aimed primarily at stretching the forearm flexor
muscles can also help. Diagnosis is important, so see your GP,
Osteopath, or Physiotherapist - manual therapy can help to
improve joint mobility, muscle tone and drainage of the wrist
and arm.
Self massage of the forearm, in a downward
movement can also enhance blood supply.
If the symptoms are persistent and not
relieved by these approaches, an operation may be needed.
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