Do I have carpal tunnel syndrome? We provide two simple tests Phalens and Tinel test to try at home
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- Опубликовано: 11 окт 2024
- Do you have Carpal Tunnel syndrome?
In my physical therapy clinic carpal tunnel syndrome is one of the conditions we see in our patients and the most common peripheral neuropathies. Generally this condition affects older individuals over 40 years of age and women are more frequently affected than men. The median nerve passes through this closed compartment along with the flexor tendons and vascular structures. We often have symptoms of median nerve compression after passing through this tunnel but the median nerve can be compromised or "pinched" at sites along the arm or at the cervical spine. A thorough clinical examination paired with nerve conduction studies can ensure at one point the median nerve is compressed at what stage of injury. In some cases you may have multiple sites that are affecting how these nerve functions discussed in the work by David Butler. What does that mean? You can have other sites that can "pinch" or "compress" the nerve at the elbow, humerus, pronator muscle, and flexor digitorum profundus. Similar to a water through a hose that is stepped on has decreased flow this same affect occurs in nerves.
What are sign and symptoms?
It is commmon to have tingling, pain, and numnbess in the thumb, index, and middle finger that makes up the areas of the hand that the median nerve provides sensation. At night pain it is common that these symptoms worsen therefore bracing can help with the management of night pain.
How do we diagnosis Carpal Tunnel Syndrome?
We suggest trying these two tests to give you an idea if you may have Carpal Tunnel using the Phalens test and Tinels Compression test. In the video if you test positive for one or both you should seek a orthopedic evaluation from your doctor to see what options you may have.
Our approach is to identify the repetitive activity that might be triggering these symptoms with frequent stretching breaks.
In addition taking NSAIDS, topical, B vitamins, turmeric, gentle stretches, night splinting can be an effective strategy in the early stages of carpal tunnel.
Common stretches to treat Carpal Tunnel Syndrome the following:
-Pec minor stretches, cervical stretches scalenes, cervical retractions, wrist flexor/extensor stretches are many of the recommended stretches. Also,
getting up every 30-60 min to allow 3min break to break the cycle can be beneficial. Another exercises is gentle nerve gliding can decrease symptoms and improve comfort.
All this being said if you have underlying problems controlling daibetes, Hypothyroidism, and RA can make these approaches less successful.
If not responsive to conservative treatment or have weakness in thenar region, sensation loss 2 point discrimination, abnormal nerve conduction studies, and no response for a year you may be surgical candidate.
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Hello, doctor. I am from Brazil and all the doctors I went to diagnosed me with tendinitis, but thanks to your videos, I learned that I am feeling better and I am improvising some treatments like using something to immobilize my wrist. I am glad that my case is not serious. Thank you for the videos.
Great to hear!
Little known facts! Check out how the median nerve can be compressed in other areas besides the well known Carpal Tunnel. We discuss how the nerve functions and can be confused with a neck problem. #carpaltunnel#Carpaltunnelsyndrome#tomwillemann#apexorthorehab
@Lennox Callen keep us posted
I've been feeling numbness in my right arm and pain in my fingertips, as well as tingling in the right side of my neck, sometimes from moving my wrist and sometimes from moving my neck. The numbness is constant. My physician told me it was most likely carpal tunnel and a hand specialist told me the same thing, although both of those tests showed no change in symptoms for me. My hand specialist told me that theres different symptoms in everyone though. In the past few days though I've noticed some light numbness in my right leg too, leading me to believe that the problem might be in my neck and is radiating down. What do you suggest i do about this?
You definitely have to make sure the neck isn’t involved since you have neck complaints.
I am awaiting a hospital appointment regarding carpel tunnel. I have done both these tests and both gave me tingling after afew seconds.
However, tingling also always appears in an area on my lower and upper arm too. Could this be a neck issue aswell? Or is that a symptom of carpel tunnel too
I would mention that during the evaluation and have someone look at that. Could be a neck issue
I work in assembly. My issue is when I lay down, or am sitting here typing on my phone, right hand goes numb (median) and experiences dull pain in the fingers and thumb, not the wrist. Any other case, I have no symptoms, even when I'm at work.
seems like a neck/shoulder/chest case for me? I'm puzzled, never dealt with this before
Are the tests positive I showed?
I’m 21 and I’ve been diagnosed with this in both of my hands and the doctor wants to operate me and I don’t know what to do 😩
Did you get a second opinion? Did you See a physical therapist ?
@@apexmovebetter yes, my physical therapist gave me therapy for two weeks and put me a medication to get down the inflammation in the area and give me pills, everything got well for a couple of months but it returned and he told me that surgery is what’s left
@@angelimardejesus7164 do you have any home exercises from the PT? If it went away it may again. Definitely second opinion. Did they address work duties and possible triggers are for your carpal tunnel symptoms? Did the PT look at your neck?
@@apexmovebetter no, they did not look at my neck. It went away with the injection in my hand but he told me that the injection is not good for using it always.
I don't know if I have it or not but this morning I woke up and I wasn't able to fully open up my hand also I can't lift up my hand and show you my palm as if waving to you my pinky and ring finger will slightly stay down very slow to move my fingers this is on my right hand
That is typically an ulnar nerve distribution of pain not the median nerve affected in Carpal tunnel. I would seek an evaluation.
What are the exercise or carpal tunnel
I woke up suddenly on a Wednesday night two wks ago with pain numbness tingling loss of motor function in both my hands. I'm trying exercises but I'm so debilitated with 4 small kids. It came out of no where. Right hand is defo worse than left. But left isn't far off. I wake up constantly with terrible pain in palms and tingling and numbness. . I've been given anti inflammatories and on a long waiting list for nerve conduction test. Am I at risk of permanent damage to nerve? How can it have happened bilaterally so suddenly. I'd appreciate any feedback, thanks for videos
I would be concerned about the neck with that sudden onset. Make sure you push for a diagnosis and push for the test if thinks worsen.
Please I need help.I have had carpul tunnel surgery in both hands/arms. It did nothing, I have a dbs for cervical dystonia which helped but carpul is taking over im in constant pain and weakness. Why would I get this on both sides at basically the same time. Im sure it has to do with my neck
Worth a look. Have you seen a therapist recently?
@@apexmovebetter No p.t. but just realized Apex is from New Jersey Im in Massachusetts guess ill have to find something closer but any advice would be much appreciated. Im sure its my neck problem to begin with but they said it wasnt and I dont know if I trust them is half the problem. Thank you
what if i sleep on my wrist, is that a cause?
He or she referring to your Doctor.
osu players wya
Hum?
Yes
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@@N0_Glory hum?
@@apexmovebetter its a really hard rhythm video game and people make jokes all the time about getting carpal tunnel.
Get to the point
Hum?