How do you know if you have
Carpal Tunnel Syndrome
How many of you have had tingling pain in your wrist and hand that has woken you up in the middle of the night? This may be an indicator that you have carpal tunnel syndrome (CTS).
CTS is related to repetitive flexion and extension of the wrist entrapping the median nerve within the carpal tunnel.
This happens when either the carpal tunnel contents increase or the size of the tunnel decreases.
Size of Contents increase:
2. Scar Tissue
3. Systemic Conditions such as Diabetes, hypothyroidism, rheumatoid arthritis and pregnancy (all cause swelling)
Decrease of tunnel size:
1. Bony changes due to arthritis
2. Lesions like cysts
3. Callus formed after fracture
Other contributing factors could be a vitamin b6 deficiency or it could be inherited.
Doctors may suggest a night splint, anti-inflammatories, steroid injections or surgery. Surgery is an average of only 50-65% successful because CTS is misdiagnosed quite a bit.
Other sources of wrist pain could be:
1. Cervical vertebrae radiculopathies
2. Thoracic Outlet Syndrome
3. Pronator teres syndrome
4. Trigger point referral
The Phalen’s test is a huge indicator of CTS. If you have pain while performing this test, schedule an appointment!
Massage will help address the edema to give temporary relief of CTS symptoms. It can also help trigger points that may be causing the symptoms.
You will want to do several self-care treatments as well. Ice as much as possible. Ice baths are particularly helpful. Stretch your wrist flexors. Strengthen your extensors. Do self-massage on your forearm. Make sure when seated at your computer that your wrists are in neutral and your elbows, hips, and knees are at 90 degrees.
Acupuncture and chiropractic are also great to add to your holistic wellness plan as well as massage.