This is the Top 3 Exercises for Carpal TunnelSyndrome. Carpal tunnel syndrome involves a nerve called the median nerve.The median nerve starts at C5 to T1 which is right here. So about the middle lower partof your neck. The nerve travels down your arm, down the front of your arm, in frontyour elbow and into the hand. It innervates or gives sensation to the thumb, index finger,middle finger and half of the ring finger. So that is your median nerve. That is the nervethat is problematic in carpal tunnel syndrome. The carpal tunnel is right here.So carpal means wrist bones. There is actually a little tunnel formed with a littlesheath over top where that median nerve goes
through. People with carpal tunnel syndromewhat they will see is they will have numbness in that area. Then this area righthere in the thumb is called the thenar eminence, that area will begin wasting away.What happens is frequently that is becoming pinched here. Also what can happenis you can get pressure on the median nerve in the neck, in this area right hereespecially with an elevated first rib. It can also happen down the arm as well. So these arethe top 3 exercises that we do for carpal tunnel syndrome. Frequent problems are this.This movement right here. If that is painful or causes numbness or tingling intoyour hands especially into this area, that is
carpal tunnel. That is called Phalen’s orreverse Phalen’s test. Exercise 1 that we do for carpal tunnel syndrome.To stretch the median nerve, you do palm up, hand down, elbow straight. Youshould feel a stretch right through here. Then what you can do is take your ear to theopposite shoulder. So you head is going away from you hand. In the we do a30 second hold. As people get more advanced, they put their hand on the walland lean the opposite way. 30 second hold, 3 times. Another thing that we do is a something calleda median nerve release and it goes like this: Hand stretched out, make a fist, first.Hold it for 5 seconds. Hand out straight,
hold 5 seconds. Make almost like a puppetposition, hold 5 seconds. Palm up, hold 5 seconds. Reach underneath, grab the thumb,pull back, hold 5 seconds. That is exercise 2. Frequently we will have peoplego through that 2 or 3 times. Exercise 3 is called a first rib stretch.What we do is this: we take a towel, if I have carpal tunnel on the right side, and I havesome sort of tightness right here in what is called the brachial plexus but basically righthere, this area. If somebody has carpal tunnel and they are going like this a lotespecially if they are a rightsided sleeper, this is an area that we want to address. You can getcarpal tunnel symptoms from pressure
on the median nerve right here. It is frequentlymissed even with an xray or an MRI. What we do is we put the towel directly onthis area which your first rib is right here. The towel is over top of your shoulder, pulldown, one arm in the front, one hand in the back. Then you lean the opposite direction.You are going to feel a really nice stretch right through here. In the here, wedo a 30 second hold, 3 times. That is the top 3 exercises for carpal tunnel syndrome.
Carpal Tunnel Syndrome Repair Surgery PreOp Patient Education Medical HD
Your has recommended that you undergohand surgery to treat carpal tunnel syndrome. But what exactly is carpal tunnel syndrome? The median nerve, which carries sensationto the thumb and first three fingers, passes through a natural passageway in the wrist.This opening called the carpal tunnel is formed by archshaped wrist bones and a connectingligament. Various conditions, such as pregnancy, injury,arthritis and changes in the tendons caused by repetitive motion can crowd the alreadynarrow tunnel, putting pressure on the nerve. This added pressure can cause a tingling sensationin the fingers and the thumb and may even
lead to numbness, pain and restricted movement.This combination of symptoms is called the carpal tunnel syndrome. Your Procedure: On the day of your operation, you will beasked to put on a surgical gown. You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operatingtable. Your will scrub thoroughly and willapply an antiseptic solution to the skin around
the area where the incision will be made. Next, the surgeon will numb the involved areaof the hand and wrist with an anesthetic, either with a local injection or by completelyblocking a nerve higher up on the arm. When the operative field is completely numbthe surgeon will make an incision. Skin and other tissue will be carefully drawnaside to expose the carpal ligament. Then the surgeon will cut the ligament, relieving pressure on the nerve that runsbeneath it. Finally the will close the incisionwith fine sutures.
A sterile bandage will be applied and a splintwill be put in place to prevent the wrist from moving while healing takes place.