Carpal tunnel syndrome Working at the computer: The correct hand position for prevention and relief

carpal tunnel syndrome work cure treatment symptoms curpal

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What to do if you have work restrictions due to carpal tunnel syndrome? In most cases the cause remains unclear. Pain, tingling, and numbness may occur in the fingers and thumb. Diagnosis is based on physical examination and, where appropriate, nerve function studies or occasionally magnetic resonance imaging (MRI) or ultrasound scans. Usually symptoms can be treated with pain medications, splints, corticosteroid injections, or surgery. (See also Overview of Hand Diseases).

carpal tunnel syndrome work cure treatment symptoms curpal
Hand training at work. Focused concentrated young woman using fitness equipment at workplace, female office worker exercising with silicone grip ring to strengthen fingers, hands, wrists and forearms

The carpal tunnel is a narrow passage through which nerves and tendons pass to the wrist, formed by adjacent tendons, ligaments and bones. The median nerve is located on the inner wrist and runs through the carpal tunnel. It is responsible for the sensations in the thumb, index finger, middle finger and the thumb side of the ring finger.

Carpal tunnel syndrome primarily affects women between the ages of 30 and 50 and can affect one or both hands.

Carpal Tunnel Syndrome Work – Causes

Carpal tunnel syndrome occurs due to compression (pinching) of the median nerve caused by swelling of the tissue around or in the carpal tunnel or by strands of connective tissue that form on the inner wrist. Pregnant women, diabetics, people with hypothyroidism, certain forms of amyloidosis, rheumatoid arthritis and people who perform strong movements with extended wrists for work purposes are at increased risk of carpal tunnel syndrome. Prolonged vibrations or repeated work with strong wrist movements, such as Some behaviors, such as using certain power tools, have been linked to carpal tunnel syndrome. In most cases, however, the causes remain unclear.

The correct keyboard position

Incorrect posture at the computer keyboard can cause or worsen carpal tunnel syndrome. To avoid injury, the wrist should be kept straight so that the line from the hand across the joint to the forearm is straight. The keyboard should be low enough so that your hand is lower than your elbow. A support can support the wrist.

carpal tunnel syndrome cure treatment symptoms curpal
Carpal tunnel syndrome Working at the computer: The correct hand position for prevention and relief

Symptoms of Carpal Tunnel Syndrome

Carpal tunnel syndrome causes unusual sensations, numbness, tingling and pain in the first three fingers and the fourth finger on the side of the thumb. It can affect the entire hand and occasionally cause pain and tingling in the forearm.

Sufferers are sometimes woken up at night by pain, numbness and tingling in the hand. These symptoms can be relieved by shaking your hand.

Over time, little-used muscles on the side of the thumb can weaken and atrophy (atrophy).

Diagnosis of carpal tunnel syndrome

  • Physical examination
  • Sometimes nerve conduction studies
  • Occasionally imaging procedures

Diagnosis of carpal tunnel syndrome is usually made by examining the hand and wrist. Additional tests such as nerve conduction studies or advanced imaging tests such as MRI or ultrasound may be performed, particularly if surgery is being considered.

Treatment of carpal tunnel syndrome

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  • Treatment of the underlying disease
  • Sometimes corticosteroid injections
  • Occasionally operations

Relief can be achieved by avoiding excessive wrist strain or pressure on the median nerve and by correctly positioning the computer keyboard. Wrist splints that keep the wrist in a neutral position (especially at night) and mild pain medication may also help.

Wrist splints can relieve the pain caused by carpal tunnel syndrome by keeping the wrist in a neutral position.

Treating underlying conditions such as rheumatoid arthritis or hypothyroidism can occasionally relieve symptoms.

In cases of severe pain or numbness, or when muscle weakness or atrophy is severe, pressure on the median nerve can be relieved through surgery. This loosens the connective tissue strands that press on the median nerve.

If carpal tunnel syndrome is diagnosed, it is important to act quickly and take appropriate measures to treat the symptoms. Symptoms can vary from patient to patient and range from pain in the fingers to numbness in the wrist and hand. The Carpal compression test can play an important role in diagnosing the syndrome because it can identify possible narrowing or irritation by applying pressure to the nerve in the carpal tunnel.

Sources

1. German Medical Journal – https://www.aerzteblatt.de/archiv/188575/Karpaltunnelsyndrom-Manuelle-Therapie-ist-ueber-ein-Jahr-so-wirksam-wie-OP

2. Focus.online – https://unternehmen.focus.de/karpaltunnelsyndrom-symptome.html

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