Carpal Tunnel Syndrome Dr Romina Ghassemi D C

Carpal Tunnel Syndrome Dr. Romina Ghassemi, D. C. Founder, Think Healthy (866) 866 -2225 | www. Bax-U. com

Dr. Romina Ghassemi, D. C. Founder, Think Healthy (866) 866 -2225 www. Bax-u. Com info@bax-u. com Click here to take the survey.

What is Carpal Tunnel Syndrome? ● ● ● Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand arm It occurs when one of the major nerves (the median nerve) is squeezed, irritated, compressed, or inflamed as it travels through the wrist In most patients CTS gets worse over time so the earlier it’s diagnosed and treated the better

How Neck Problems Stimulate CTS ● Pain from nerves or joints in the neck can radiate pain or tingling to the shoulder blade or hand. ● Carpal tunnel syndrome can be felt at the shoulder in addition to the hand due to resulting from a “pinched nerve” at the wrist ● These conditions end up overlapping pain as well as other symptoms

Carpal Nerves

Thoracic Outlet Syndrome Thoracic outlet syndrome is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. ● Symptoms: ○ Muscle wasting in the fleshy base of your thumb ○ Numbness or tingling in your arm or fingers ○ Pain or aches in your neck, shoulder or hand ○ Weakening Grip

Anatomy of Carpal Tunnel Superficial flexors of the forearm Medial epicondylitis, golfer's elbow Median nerve (C 7 -C 8) Pronation of forearm at the proximal radioulnar joint, flexion of the forearm at the elbow joint Flexion and abduction of the hand at the wrist joint Flexion of the hand at the wrist joint Tenses palmar aponeurosis Median nerve (C 8 -T 1) Metacarpophalangeal and proximal interphalangeal joints 2 -5: Finger flexion Ulnar nerve (C 7 -T 1) Flexion and adduction of the hand at the wrist joint

Symptoms ● ● Burning Tingling Itching Numbness in the palm/fingers

Self Test: Phalen’s Tinel’s

Carpal Tunnel Syndrome Exercises ● ● ● ● Active range of motion Finger exercise Wrist stretch Tendon glides Grip strengthening Wrist flexion exercise Wrist extension exercise

How to Avoid CTS ● Keep wrists straight or in a neutral position. ● Avoid holding an object the same way for long period of time ● Adjust your desk, chair, and keyboard so that your forearms are level with your work surface. ● Wear a splint at night to keep your wrist straight while sleeping ● Minimize repetitive hand movements. ● Alternate between activities or tasks to reduce the strain on your hands and wrists.

Posture and Carpal Tunnel Syndrome ● ● ● Bad posture causes your shoulders to slump forward, affecting the position of your arms and hands which leads to awkward wrist position and increase the risk of developing carpal tunnel syndrome Slouching also pressure on the nerves in your neck, which can lead to problems in your wrists and hands. Good posture will help you maintain a better wrist position, especially if your job requires sitting at a computer for long periods of time.

Wrist Techniques ● Rest the fingers, hand, and wrist whenever possible ● Keep wrists straight or only slightly bent ● When working on a computer make sure that the mouse and keyboard are positioned comfortably

Rounded Shoulder and TOS ● ● When the shoulders round, and the head shifts forward, the muscles in the neck and shoulders compress the nerves that run from the neck to the hand requires a stable base at the neck and shoulders in order to function properly Weakness caused by inactivity and poor posture ultimately causes the hand forearm muscles to be overworked causing nerve compression in the neck and shoulders while also causing compression in the hand forearm. This results in tingling, pain or numbness in the hand, wrist and arm.

Wrist bands & Braces

Kinisio taping

“An ounce of prevention is better than a pound of cure. ” Try these effective BAX-U braces. Benefits: ● Adjusts shoulder position without compressing delicate arteries and nerves ● Corrects poor posture & slouching ● No pinching or chafing ● Incognito, hidden subtle and thin ● R&D with USA universities www. BAX-U. com 866 BACK

Good Night’s Sleep

Pillows

Radiating Pain from Neck to Fingers www. BAX-U. com 866 BACK

Chronic Neck Stiffness & Aches www. BAX-U. com 866 BACK

Posture Support

Thank you! Wednesday Wellness TRIGGER FINGER, locking or catching when you bend and straighten your finger stenosing tenosynovitis Click here to take the survey. Dr. Romina Ghassemi, D. C. Founder, Think Healthy (866) 866 -2225 www. Bax-u. Com info@bax-u. com