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Pain Profile: Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition that causes pain, numbness and tingling in the hand and arm. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed or squeezed at the wrist. The carpal tunnel is a narrow passageway of ligaments and bones at the base of the hand, through which the median nerve and tendons pass.


Signs and Symptoms of Carpal Tunnel Syndrome:

When the median nerve becomes compressed, it can cause a range of symptoms, including:

  • Pain or discomfort in the hand, wrist, and forearm: People with carpal tunnel syndrome may experience pain or discomfort in the hand, wrist, and forearm, particularly in the thumb, index, and middle fingers.

  • Numbness or tingling: Carpal tunnel syndrome can cause numbness or tingling in the hand and fingers, particularly in the thumb, index, and middle fingers. Some people may also experience a burning sensation.

  • Weakness: Carpal tunnel syndrome can cause weakness in the hand, making it difficult to grip objects or perform tasks requiring fine motor skills.

  • Wrist pain that wakes you up at night: Many people with carpal tunnel syndrome experience symptoms that are worse at night, particularly wrist pain that wakes them up from sleep.

  • Hand stiffness: Some people with carpal tunnel syndrome may experience hand stiffness, particularly in the morning.

What causes Carpal Tunnel Syndrome:

Carpal tunnel syndrome occurs when the median nerve in the wrist becomes compressed or squeezed. The exact cause of this compression is not always clear, but several factors can contribute to the development of carpal tunnel syndrome:

  • Repetitive hand movements: Jobs or hobbies that require repetitive hand movements, such as typing, sewing, or assembly line work, can put pressure on the median nerve and contribute to carpal tunnel syndrome.

  • Anatomy of the wrist: The anatomy of the wrist can also contribute to carpal tunnel syndrome. People with smaller carpal tunnels or thicker tendons may be more susceptible to developing the condition.

  • Inflammatory conditions: Conditions that cause inflammation in the wrist, such as rheumatoid arthritis or wrist fractures, can compress the median nerve and cause carpal tunnel syndrome.

  • Fluid retention: Fluid retention during pregnancy or menopause can cause swelling in the wrist and compress the median nerve.

  • Medical conditions: Certain medical conditions, such as diabetes, hypothyroidism, and obesity, can increase the risk of developing carpal tunnel syndrome.

It's important to note that carpal tunnel syndrome can have multiple causes. In many cases, it may be a combination of factors that contribute to the development of the condition.

How can Myotherapy be used to treat carpal tunnel syndrome:

  • Soft Tissue Therapy: Myotherapists may use soft tissue therapy techniques such as massage, trigger point therapy, and myofascial release to help relieve muscle tension and improve circulation to the affected area.

  • Stretching: Myotherapists may use stretching exercises to help improve the range of motion and relieve pressure on the median nerve.

  • Joint Mobilization: Mobilization techniques may improve joint function and reduce inflammation in the wrist and surrounding structures.

  • Nerve Mobilization: Myotherapists may use specific techniques to mobilize the median nerve, which can help relieve compression and reduce symptoms.

  • Education: Myotherapists can also provide education on proper ergonomics, posture, and other lifestyle factors that can contribute to carpal tunnel syndrome.

It's important to note that Myotherapy may not be effective for all cases of carpal tunnel syndrome, and it's important to consult a healthcare professional for proper diagnosis and treatment.