Karpal Tunnel Syndrome
You’re working on the computer, ignoring the numbness of the fingers and palm that lasts for a while . Suddenly, a chilling pain crosses the wrist the hand or finger followed across. Only passer cramp from fatigue? Maybe, but it can easily be carpal syndrome.
The carpal tunnel is a narrow channel in the wrist, through which it passes between the other structures and the media nerves. It controls the movement and sensitivity of the thumb and first three fingers of the hand. When it is pressed, it causes numbness, weakness and pain at the buffet. This is called carpal tunnel syndrome.
Syndrome develops gradually. At first it usually occurs during the night or after awakening. The feeling is usually “like a slap in needle”. During the day you can investigate that you have no power to hold things by hand, like a phone, or while driving. The palm and finger movement usually helps. With the progression of the disease, you will lose strength in the first three snout fingers. Later pain is announced. They can appear in two palms, but usually at the beginning in the dominant hand.
Usually it appears more often to womens. The most frequent risk factors that affect the deterioration of carpal canal syndrome are diabetes, rheumatoid arthritis, pregnancy, obstruction or hand rupture.
Although long-term use of the keypad is thought to be the main cause of carpal tunnel syndrome, it is actually three times more common in occupations using vibrating devices.
At first the symptoms are temporary, but in time they get worse. If left untreated, it may cause weakness and shrinkage of the muscle of the snout. Delayed treatment can cause irreparable damage, regardless of the way it is handled.
Before deciding on the treatment mode, the doctor will usually require a nerve implant called Electromyonorography or EMNG, which records the nerve function and its degree of damage. This recording is performed by a neurologist.
When the symptoms are lighter, it is recommended to carry an orthosis, especially at night. Orpheus in combination with anti-inflammatory medicaments, such as ibuprofen or naproxen, relieve pain. In the most advanced cases, an inflammation around the nerve is applied, which reduces inflammation
When surgical intervention is needed, it is usually performed on a daily basis without a hospital stay. During operation, pressure is released from the nerve and in most cases eliminating this problem. Sometimes after the operation there is a door and difficulty in the movement of the wrist, so it is recommended that the hand for 24 hours be kept above the heart rate. Ortho is also recommended to be carried over several weeks after operation. Ortoza is designed in a way that allows the movement of the fingers, one thing that is recommended during this period. Symptoms usually retreat within two months after surgery, but sometimes they need 6 to 12 months to fully rehabilitate.
An important aspect of treatment is also physical therapy. Loss of muscular mass from pressure on the nerve requires constant exercises to restore the muscular strength of the hand and full function.
Some studies have resulted in new knowledge about different aspects of treatment. Acupuncture and Yoga Exercises in the upper body and neck have yielded better results than night-time or night-time transfusion – this is for small to medium compression cases in the nerve of the snout.
Although there is no definite way to prevent carpal tunnel syndrome, some things can help:
Good posture of the body
Ergonomic workplace tools (those that have the proper design of the part that is caught, to prevent injuries)
Movement and occasional finger and thumb exercises
A few minutes of prolonged relaxation of the hands and feet, the back and the change of position during work