Carpel Tunnel Syndrome: Episode 65

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Carpel Tunnel Syndrome: Episode 65

  • In this episode: Carpel Tunnel Syndrome – symptoms, causes, types of treatment and who you should see first for treatment (it’s your local physical therapist).

  • Chip Review: Burts – Guinness (10:36)

  • Trivia question of the week: What is the national animal of Scotland? (08:57)

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Brief except from the episode:

 
Carpal Tunnel Syndrome is common. The big symptoms are tingling, numbness, pain and weakness in the hand. Symptoms are caused by compression of the median nerve. Historically this was thought as solely due to compression at the carpel tunnel, your wrist.
What we have found is that typically symptoms are caused by what is called a double crush. This means there is compression on the nerve at multiple sites. Most often at the neck and wrist. But compression can also occur at the shoulder or elbow as well.
Treatment wise we tend to work on mobility, especially at the neck and wrist. It is also important work on strength. Mostly of postural muscles shoulder, neck and upper back. Manual therapy at the wrist , neck, elbow and shoulder can also be beneficial.
In the past nerve gliding was thought to be a highly valuable treatment but over the last few years the evidence does not support its use. At times someone might benefit from it but it is no longer a go to treatment technique.
Carpel Tunnel Syndrome is sometimes treated with surgery. What is becoming apparent is that most cases do not benefit from surgery anymore then they do for physical therapy alone.
If you suspect you are dealing with Carpel Tunnel Syndrome go to your local physical therapist and have it checked out. The sooner you can take compression off the median nerve the sooner you will start to feel better.

Other episodes you might enjoy:

De Quervain’s Tenosynovitis: Episode 56
Wrist Pain: Episode 41
Radicular Pain: Episode 22
 

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