anyone know what to do for someone who is experiencing pain in wrist and tingling in fingers adn hand? seems likely this person has incipient carpal tunnel due to a job she used to have. any suggestions to help alleviate it?
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Re: carpal tunnel
Mon, March 17, 2008 - 7:38 PMFirst would be to get an accurate diagnosis.
To know if it is actually carpal tunnel syndrome causing the symptoms?
It could be that. It could be many other causes.
Does this person have fluid retention for any reason? Overweight? Either condition can in itself cause pressure to build in the area of the carpal tendons and wrist, which can create symptoms of pain.
Or could be caused by injuries to the neck, shoulder or of course wrist & hand. If there is a misaligned or herniated disc, excessive tension or injury in neck or shoulder this too can create pain via the nerve path which can be felt sometimes in the wrist and hand.
Similar entrapment of nerve or blood vessels can occur if the pectoralis minor or scalenes are causing an entrapment.
Then of course there is the wonder product of repetitive use easily found in modern life, which can evolve into cts. Basically the muscles, tendons and / or synovial sheaths hypertrophy / enlarge in an anatomical space designed for smaller counterparts.
Obviously in such cases first is to cease doing whatever action(s) are causing or furthering such repetitive damage.
May be helped by various routes.
Some people are quick to turn to surgery for corrective action. Even when other less invasive or expensive means could help. Sometimes maybe thats the best route? I will leave that up to other more relatively experienced people to offer.
May be useful to have some focused massage to help remove fluid buildup and release adhesions and scarring of tissues? Depending on where the body is at.
Differing opinions on immobilization or mobilization. One aspect of this worth considering is posture, not only when writing, typing or other frequent daily activities. What about when sleeping? Some people tend to curl their arms and wrists inward when sleeping, which can aggravate such a condition over time. In such cases, using some type of brace to keep the wrist straight so there is no tension or pressure put on the joint & soft tissues could be useful. Hopefully that would self-correct sooner than later by awareness of posture and persistence.
This is at least a simple overview and some considerations. There are others as well.
I am sure there are others in this tribe who can offer other options & suggestions as well.
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Re: carpal tunnel
Mon, March 17, 2008 - 7:45 PMAs a former musician, we used to have to deal with this often -as well as folks on the job.
It depends on if it's just a matter of blood or fluid flow or actual damage. We used to put our hands at our sides while standing and clinch our fists tight for about 3-5 seconds and release. Repeat several times. Then with hands at sides open and close several times to increase fluid flow. We used to do these stretching exorcises too.
www.eatonhand.com/hw/ctexercise.htm
www.ninds.nih.gov/disorders...tunnel.htm
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Re: carpal tunnel
Mon, March 17, 2008 - 8:22 PMso many needless surgeries are performed due to this
go to the source, or your spinal cord/back. the 17th thorax is a known culprit in this.
i know this sounds quite crazy, but even tho it may appear the SYMPTOMS are in the wrist/hand/elbow, and logically it appears you over use and overextend this part of the body, it must be?
stretching is paramount, but mostly to relieve/release the back
try an INVERSION table. this also may be from a previous injury, that has nothing to do with your arms.
i have studied with some quite accomplished bodyworkers.
the worst injury is one that appears to be healed, but then shows up again in another part of the body.
ie; neck to back, back to shoulder, front shoulder to...other side
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Re: carpal tunnel
Tue, March 18, 2008 - 7:40 AMI have carpal tunnel, from poor ergonomics at my desk. (I'm not nearly tall enough for all of the "one-size-fits-all" office furniture.)
My advice – treat with heat, icy hot / tiger balm, aspirin as needed.
Go to a chiropractor for diagnosis and treatment. Skip the surgery. A chiropractor can move everything back into place – mind you, it's not an instant one-trip process. Depending on how bad you are, it can take several visits to get back to normal, and then you'll have to have "maintenance" visits to keep it that way.
Most of my carpal tunnel was caused by my neck being out of whack after having whiplash 3 times. Neck to shoulder to elbow –> wrist pain.
It's cheaper than surgery – even in the long run – because it requires no absence from work, no recovery time. ("But it doesn't fix it once and for all." Niether does surgery. I've known people who have had to have the surgery several times.) -
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Re: carpal tunnel
Tue, March 18, 2008 - 12:29 PMOne aspect worth considering if going to a chiropractor however, is that if they just move bones back in place so to speak, without addressing the actual muscular & tendon condition, then continued visits for readjustments may indeed be required.
Since the bones are being manipulated without focusing on the condition of the muscles, tendons and ligaments which are often what is causing the bones to be misaligned in the first place.
If you have overly taught or otherwise contracted or lax muscles, tendons or ligaments they will keep acting on the bones accordingly until their condition is positively attended to.
Some type of soft tissue manipulation such as bodywork, which some chiropractors, naturopaths, etc in addition to massage therapists can do, may be needed to reduce adhesions, binding, scarring, laxity or general muscular tension. If more complete resolution is desired. -
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Re: carpal tunnel
Tue, March 18, 2008 - 12:36 PMTrue, but any GOOD chiropractor will give you advice on stretches and exercises to do daily (whether we actually do them daily is another thing) to keep the bones in place, addressing the muscle issue.
However, something like carpal tunnel – it's going to be a continued maintenance issue regardless of muscles – unless you just stop using your arm completely.
And, on top of that, I've found out that having carpal tunnel, even if it's being addressed, will hinder you from a lot of exercises that most people can do. You'll suddenly be one of the people having to come up with and do modifications that no one else in the room is doing. Push ups? Not so much. That REALLY flares the wrist area. Some weightlifting is off the list.
Any time you encounter a new exercise that uses the hands or wrists, do it half-assed to start with, just to make sure you can do it at all.
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