If you ever experience pain, tingling, or numbness in your hand and fingers, specifically the thumb, index, and middle fingers, then you may want to get checked for Carpal Tunnel Syndrome (CST).
CTS is a fairly common problem resulting from pressure on the median nerve by the transverse carpal ligament, a broad band of tissue that wraps around the wrist. This compression is most often the result of repetitive movements of the wrist and fingers such as typing, assembly line work, sewing, etc. It also seems to show up alongside 50 other conditions such as hypothyroidism, rheumatoid arthritis, diabetes, and is even a common side effect of pregnancy. While we most often associate this pain, tingling, or numbness in the wrist and hand as an obvious sign of compression of the median nerve in the wrist, i.e. Carpal Tunnel Syndrome, it’s important to also rule out other possible causes, including nerve compression at the neck, shoulder, or upper arm. You see, this median nerve is a branch of a much larger nerve coming from the spinal cord. So, while passing around and through the numerous structures on the way to the fingers, it can become compressed at any point, resulting in the same symptoms as Carpal Tunnel Syndrome. This is why it’s so important to get a proper diagnosis so the real cause of the symptoms can be treated effectively. Once CTS has been diagnosed, there are a number of movement and position modifications that can help take pressure off the nerve and ease your symptoms.
• Use a splint to keep the wrist in a neutral position
• Use a support under the wrist when typing or using a mouse to keep the wrist neutral
• Don’t overextend or flex the wrist frequently
• Rearrange your space if needed to decrease the need for wrist flexion or extension
• Loosen your grip when grasping items
• Take frequent breaks throughout any task using the hand and wrist to stretch and move in different directions
Swelling is a big culprit in Carpal Tunnel Syndrome. The pressure on the nerve creates inflammation, resulting in swelling that only adds to that pressure. Because of this, your doctor may recommend antiinflammatory medications, or even steroid shots in severe cases, to reduce the swelling. Oftentimes, just getting the swelling under control can take enough pressure off the nerve to let the healing process take place and ease the symptoms greatly. If these modifications and medications aren’t quite doing the trick, the next step is often a recommendation for physical therapy to begin a regimen of exercises and stretches that can help.
If this still doesn’t resolve the issue, the next step is often surgery. This can be done 51 with an open incision or endoscopically, but either way, the most common surgical procedure involves cutting that transverse carpal ligament to allow more room for the median nerve to pass through without pressure. While Carpal Tunnel Syndrome is a fairly common condition, that doesn’t mean you have to suffer with it. Use these tips to ease any current discomfort and hopefully prevent any more!
Many clients find it comforting to talk for the first few minutes of a massage, especially their first few sessions as we’re getting to know each other and build the trust that is really important to a great therapeutic relationship. Then as they get more comfortable, the conversations get shorter and shorter, and sometimes go away completely. For some clients, a large part of the relief they get from their massages is the ability to vent and get everything off their chest to someone they can trust, so they spend the entire massage chatting.
What you need to understand, is that as your massage therapist, my job is to facilitate your healing, in whatever way you need me to, within my skillset of course. For some that means silence, for others it means talking, and others are anywhere in between.