Connect with us

Health

Pursuit Physiotherapy- Managing and Preventing Carpal Tunnel Syndrome

Published

6 minute read

Carpal tunnel syndrome is one of the most commonly diagnosed repetitive strain injuries. It occurs when the median nerve, which is the main nerve that travels down the inside of your forearm to your hand, becomes compressed or irritated as it passes through the carpal tunnel at the wrist. The carpal tunnel is an opening formed by ligaments and bones on the inside of the wrist which allow tendons and nerves to pass through it.

The problem is that this passageway is narrow and can be easily obstructed by local swelling and inflammation, usually from overuse or direct trauma. For example, repetitive work or leisure activities that involve a lot of gripping or use of the flexors (inner forearm muscles) can cause inflammation of the tendons. Similarly, long hours of computer work with improper ergonomics can cause excessive pressure on the inside of the wrist.

The common symptoms of carpal tunnel syndrome are numbness, tingling, or burning sensations in the palm of the hand and fingers, often accompanied by skin sensitivity and grip weakness. As the symptoms worsen people often experience sharp, shooting pain from the inner wrist up the forearm and decreased ability to use the affected hand.

Our treatment strategy is geared towards reducing the pressure on the carpal tunnel area and allowing the median nerve to function properly again. We are able to use a number of different treatment strategies such as:

  • Joint mobilization – stiff joints around the carpal tunnel can cause narrowing of the passageway and compression of the median nerve and flexor tendons. Using manual techniques we will loosen stiff joints and work to restore normal mobility and range of motion in the wrist and hand bones, taking pressure off the nervous tissue.

  • Soft tissue release – it is important to release tight muscles in the forearm and hand that may be compressing the median nerve and contributing to nerve pain and tightness. We can use a number of techniques to achieve this such as massage, cupping, acupuncture, and IMS.

  • Ergonomic correction – we will work with you to determine how to optimize your ergonomic set-up for work or home to minimize strain on your body. A brace may also be recommended to manage symptoms at work or at night. A brace will keep your wrist in a neutral position and prevent the wrist from flexing and compressing the carpal tunnel.

There are also a number of prevention strategies that you can use to reduce your risk of developing carpal tunnel syndrome:

  • Optimize your ergonomic set-up – position your keyboard and mouse so that your wrists are neutral and not hyperextended or flexed. Also be aware of your posture and try to keep your neck, shoulders, and back in a straight and relaxed position. Ergonomic equipment may also be useful especially for people who spend long hours at the computer. For more detail see the full blog on correct ergonomics.

  • Take regular breaks from repetitive activities – prevent tension and strain from building up in your tissues by planning regular breaks for stretching and changing position.

    Seek help from a physiotherapist at the first signs of pain; don’t wait for it to get worse.

Carpal tunnel release surgery is also an option for chronic cases that do not completely resolve with physiotherapy; however it should be seen as a last resort. A course of physiotherapy treatment is always recommended before having an invasive procedure.

**It should be noted that NOT ALL WRIST AND HAND TINGLING IS DIAGNOSED AS CARPAL TUNNEL SYNDROME. Your nervous system is a continuous network of tissue, therefore nerve compression or irritation in other areas of the body such as the neck, back, shoulder, or elbow can contribute to or cause your hand symptoms. Especially if your condition is bilateral (symptoms on both sides), it is likely that body parts other than your wrist and hand require treatment.

As physiotherapists we are trained to comprehensively assess and diagnose your body as a whole and treat all the factors contributing to your pain. We can help ensure you get thorough treatment to eliminate your symptoms as quickly as possible and prevent it from becoming a chronic condition. Don’t try to treat it yourself off the internet! Leave it in the hands of the trained experts.

Read more from Todayville.

More from this author

Fraser Institute

Bill Maher is right about Canadian health care

Published on

From the Fraser Institute

By Mackenzie Moir

Recently, popular American comedian and talk show host, Bill Maher, took aim at some of Canada’s public policy failings in one of his monologues. In entertaining fashion, Maher highlighted our high housing costs, unemployment rates and “vaunted” health-care system.

Indeed, citing work published by the Fraser Institute, he explained that after adjusting for age, Canada spends 13.3 per cent of our economy on health care (2020), the highest level of spending by a developed country with universal coverage that year. And that Canada has some of the poorest access to timely appointments with family doctors when compared to our peers.

Unfortunately, while that’s where his segment on health care ended, the bad news for the Canadian system doesn’t stop there.

On top of Canada continuing to be one of the most expensive universal health-care systems in the world, we get little in return when it comes to both available medical resources and wait times. For example, among high-income countries with universal health care, Canada has some of the lowest numbers of physicians, hospital beds, MRI machines and CT scanners.

And in Canada, only 38 per cent of patients report seeing a specialist within four weeks (compared to 69 per cent in the Netherlands) and only 62 per cent report receiving non-emergency surgery within four months (compared to 99 per cent in Germany).

Unfortunately, wait times in Canada aren’t simply long compared to other countries, they’re the longest they’ve ever been. Last year the median wait for a Canadian patient seeking non-emergency care reached 27.7 weeks—nearly three times longer than the 9.3 week-wait Canadians experienced three decades ago.

This raises the obvious question. How do other countries outperform Canada’s health-care system while also often spending less as a share of their economies? In short, their approach to universal health care, and in particular their relationship with the private sector, departs drastically from the approach here at home.

Australia, for example, partners with private hospitals to deliver the majority (58.6 per cent) of all non-emergency surgeries within its universal health-care system. Australia also spends less of its total economy (i.e. GDP) on health care but outperforms Canada on every measure of timely care.

Even with restrictions on the private sector, Canada has some limited experience that should encourage policymakers to embrace greater private-sector involvement. Saskatchewan, for example, contracted with private surgical clinics starting in 2010 to deliver publicly-funded services as part of a four-year initiative to reduce wait times, which were among the longest in the country. Between 2010 and 2014, wait times in the province fell from 26.5 weeks to 14.2 weeks. After the initiative ended, the province’s wait times began to grow.

More recently, Quebec, which has some of the shortest wait times for medical services in the country, contracts out one out of every six day-surgeries to private clinics within the publicly-funded health-care system.

Maher’s monologue, which was viewed by millions online, highlighted the key failings of Canada’s health-care system. If policymakers in Ottawa and the provinces want to fix Canadian health care, they must learn from other countries that deliver universal health-care at the same or even lower cost, often with better access and results for patients.

Continue Reading

Health

Transgender activists are threatening the author of scathing UK report on child ‘sex changes’

Published on

Dr. Hilary Cass, author of the Cass Review, YouTube screenshot

From LifeSiteNews

By Jonathon Van Maren

That a female physician has been advised to stop taking the bus or the train because she might be assaulted by trans activists for attempting to protect children from a horrifying – and ongoing – medical scandal should be shocking to us all.

Dr. Hilary Cass, the 66-year-old physician who led the team behind the 366-page Cass Review, has become a target of trans activists as the repercussions of her findings reverberate through the political and medical establishment. The abuse is not confined merely to online; she has been advised not to use public transport for her own safety. 

In an interview with the Times, Cass stated that critics of her report are putting children “at risk” by spreading “straight disinformation” and that criticisms, thus far, have been “completely wrong.” One Labour MP accused Cass of ignoring “100 transgender studies” in her findings. This, says Cass, is disingenuous in the extreme. 

“I have been really frustrated by the criticisms, because it is straight disinformation,” Cass told the Times. “It started the day before the report came out when an influencer put up a picture of a list of papers that were apparently rejected for not being randomized control trials. That list has absolutely nothing to do with either our report or any of the papers.” 

“If you deliberately try to undermine a report that has looked at the evidence of children’s healthcare, then that’s unforgiveable,” she continued. “You are putting children at risk by doing that.” The 100 papers that were allegedly “left out” of the report, Cass noted, were each individually examined by her team of researchers, who “pulled the results from the ones that were high quality and medium quality, which was 60 out of 103.” 

Cass’s crime, of course, is that her report debunks the transgender narrative. She has been encouraged, she told the Times, by the impact of her report in many quarters – but the response elicited from trans activists has been “pretty aggressive” and she noted that the vitriol spiked each time the Cass Review reported something “people don’t like.”  

“There are some pretty vile emails coming in at the moment,” she said of the profanity-laced digital missives coming her way. “Most of which my team is protecting me from, so I’m not getting to see them. What dismays me is just how childish the debate can become. If I don’t agree with somebody then I’m called transphobic or a TERF [trans-exclusionary radical feminist].” 

When asked if the vitriol was wearing her down, Cass responded: 

No… it’s personal, but these people don’t know me. I’m much, much more upset and frustrated about all the disinformation than I am about the abuse. The thing that makes me seethe is the misinformation. I’m not going on public transport at the moment, following security advice, which is inconvenient.

Indeed, six clinics, she said, refused to share research into the impact of puberty blockers – Cass called their reaction “coordinated” and “ideologically driven” and noted that “they were not particularly friendly to us when we approached.” 

Although Cass will not be carrying out the recently-announced review of adult gender clinics, she did condemn GenderGP – which we have reported on in this space several times – for continuing to advertise and prescribe puberty blockers, noting that the “care” provided by Dr. Helen Webberley “certainly doesn’t come anywhere near anything one would recognise as adequate in terms of a proper assessment and exploration.”  

That a female physician has been advised to stop taking the bus or the train because she might be assaulted by trans activists for attempting to protect children from a horrifying – and ongoing – medical scandal should be shocking to us all. The last few years have desensitized us to this sort of behavior. Fortunately, it appears that the Cass Review’s findings are having a seismic impact on the debate trans activists desperately tried to avoid, nonetheless. 

Featured Image

Jonathon Van Maren is a public speaker, writer, and pro-life activist. His commentary has been translated into more than eight languages and published widely online as well as print newspapers such as the Jewish Independent, the National Post, the Hamilton Spectator and others. He has received an award for combating anti-Semitism in print from the Jewish organization B’nai Brith. His commentary has been featured on CTV Primetime, Global News, EWTN, and the CBC as well as dozens of radio stations and news outlets in Canada and the United States.

He speaks on a wide variety of cultural topics across North America at universities, high schools, churches, and other functions. Some of these topics include abortion, pornography, the Sexual Revolution, and euthanasia. Jonathon holds a Bachelor of Arts Degree in history from Simon Fraser University, and is the communications director for the Canadian Centre for Bio-Ethical Reform.

Jonathon’s first book, The Culture War, was released in 2016

Continue Reading

Trending

X