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Carpal tunnel syndrome is a fairly common disorder of work strain. There are many reasons for carpal tunnel syndrome, carpal tunnel syndrome formation work, often due to time due to excessive use of some tools, for example, shock tools, such as power saws, electric drills, etc., and if the keyboard and the excessive use of computer mouse.
Patients with carpal tunnel syndrome, hand and fingers will feel numbness or a feeling of swelling, and even irritation. At night when the situation may be even worse so that patients tend to wake up, put the palm-like swing as Shanshan Zi, or massage the palm, it can be mitigated. Routine such as eating, ing the newspaper, answer the phone, or hold the handrail and other activities will have a sense of paralysis. Beijing Hospital, Ministry of Health Orthopaedics Zhang Qiwei
Medical doctors may have a thumb and said that the feeling of the middle finger allergies or slow. Thenar muscle atrophy, weakness thumb on the palm. Wrist flexion test was positive. Electrophysiology of the median nerve conduction velocity of nerve damage symptoms.
Mild carpal tunnel syndrome by drugs, support or rehabilitation therapist with brake to control or treatment. Wall thickening as the wrist, carpal tunnel stenosis possible transverse carpal ligament incision decompression, but still need some rehabilitation patients, or patients can not best to restore hand function.
Open carpal tunnel release in the past 30 years, carpal tunnel syndrome has b


ecome the standard treatment. After 80 years since the 20th century during the endoscopic carpal tunnel release have been caused by a certain degree of controversy, many scholars have done a lot of clinical and basic research, that endoscopic carpal tunnel release has a small scar tenderness, short hospital stay, functional recovery as early as other characteristics, than the safety of open surgery. In the case of necessary conditions, endoscopic carpal tunnel release compared with open surgery safety, few complications and high patient satisfaction.
Our department has carried out such operations, the effect is very good.
Carpal tunnel syndrome 3 (rich) edit the entry summary
There is no summary of the contents of the directory welcome to add the edit summary - [hide] 1 Overof the mouse wrist tunnel syndrome pathology 2 3 how to treat the symptoms of carpal tunnel syndrome treatment steps 4, 5, Note 6 mouse causes the incidence of hand editing this section | Back to top Overof the mouse wrist tunnel syndrome pathology
Carpal tunnel syndrome, also known as delayed median nerve palsy, a "cumulative trauma disorder," syndrome, occurs in 30 to 50 age group office women, is the body of the median nerve into the palm of the meridians, the subject oppression resulting from the index finger, middle finger pain, numbness and other symptoms of powerlessness and thumb muscles. Carpal tunnel is a tube of bone fibers, the radial side of the majority of the angle of the scaphoid and bone; ulnar bone and the hook for the pea bone; dorsal to the skull, the scaphoid and trapezoid; palm side of the transverse carpal ligament to . Within the carpal tunnel flexor hallucis longus tendon, superficial flexor tendon that means the deep flexor tendon and median nerve. Carpal tunnel compression or reduce any capacity for any reason can be caused by compression of the median nerve and carpal tunnel syndrome. Coles malunion, anterior dislocation of lunate bone, soft tissue infection or traumatic edema, thickening of the transverse carpal ligament, ganglion cyst, lipoma, xanthoma, a number of systemic diseases such as obesity, diabetes, thyroid dysfunction, amyloidosis, or Reynaud disease can sometimes be combined with carpal tunnel syndrome. In the early lesions of median nerve edema and congestion, and gradually as a result of nerve compression within the ischemic fibrosis, nerve axon myelin sheath compression and the disappearance of the last nerve tissue into fibrous tissue, the neural tube disappeared and was replaced by collagen, as irreversible changes. The reason why this disease has rapidly become an increasingly common disease of modern civilization, mainly due to the rapid changes in modern lifestyle, more and more people are exposed every day for a long time, due to use of computers. The main cause is due to people using computers every day, such as prolonged exposure to the Internet family computer, repeat the typing on the keyboard and move the mouse, the wrist due to long-term intensive, repeated and excessive activity, gradually, a wrist paralysis and pain. If the symptoms of this long-ignored, may cause nerve damage, hand muscle atrophy.
Carpal tunnel syndrome is not only susceptible to computer users, frequent use of his hands a number of other workers such as musicians, teachers, editors, journalists, architects, miners and so may be suffering from this disease. Statistics show that women are the biggest victims of carpal tunnel syndrome, wrist control is because women are usually smaller than males, median nerve susceptible to compression. In addition, some pregnant women, patients with rheumatoid arthritis, diabetes, hypertension and thyroid dysfunction were also likely to suffer from carpal tunnel syndrome.
When you find that your hands have the following characteristics, it needs more attention, including: one or both hands feeling of weakness, numbness or fingers or palms to stimulate a sense of stiffness, wrist pain and thumb extended and there does not ease pain and so on. For disease prevention, should focus on creating a healthy built environment and the proper operation of the work of self-protection. Such as personal seat to be transferred to the appropriate height, people sitting there is enough space stretching legs and feet; Do not sit or stand for too long; sit at the back should be straight and close to the back, and do not cross your feet, so affect the blood circulation. Computer keyboard typing should be facing you, set aside if the ramp could cause excessive wrist bending tension; keyboard height and placed parallel to the distance from the body should be adjusted to a comfortable typing position with ease; the same time, 30 minutes per operation, should be suspended for a while, so hands and eyes to relax or rest properly. Do not forget to protect the body.
Edit this section | Back to the top of the symptoms
The clinical manifestations of carpal tunnel syndrome, median nerve compression main index finger, middle finger and ring finger numbness, tingling or burning-like pain was during the day and intensified at night after work, or even sleep, wake up pain; localized pain often radiating to the elbow and shoulder Department; thumb abductor poor, sometimes side objects, extract suddenly missed. Check: oppression or percussion transverse carpal ligament, increased pain when the wrist joint dorsiflexion; course the elderly, may have thenar muscle atrophy.
Wrist, palm side, the thumb, index finger, middle finger Ma occurs, pain, or accompanied by movement of the hand, weakness; increased pain at night or early morning, may radiate to the elbow, shoulder, and walk away the day after the mitigation activities; the weakening or disappearance of parts of the feeling; even a hand muscle atrophy, paralysis. If there is such a case, and for several days without relief, experts suggest, must go to regular hospital to see a doctor as soon as possible in order to make the diagnosis early, to take measures.
Clinically, some patients due to chronic disease, resulting in under the thumb of "big fish" muscle contraction; or intermittent skin appears pale, and cyanotic; In severe cases, there may be the thumb, index finger, cyanosis, necrosis or atrophy of finger ulcers become irreversible change. The feeling of the early dysfunction usually presents finger, often due to appear a few hours after falling asleep numbness or burning pain Erzhi wake up, relieved by activity. A small number of patients because of the emergence of a longer duration of neurotrophic disorders, the occurrence of thenar muscle atrophy, intermittent pale skin, cyanosis, severe cases, there may be the thumb, index finger, cyanosis, finger necrosis or atrophic ulcers. Check when tapping the middle of the volar wrist, causing numbness in median nerve area, pain, namely, positive Tinel sign. Extreme wrist flexion in some patients after 60 seconds, finger paresthesia increased, this is the Phalen test was positive. Use of blood pressure in the arm to the distal limb venous pressure can induce the expansion of symptoms.
It is understood that carpal tunnel syndrome occurs in 30-50 years of age, female to male 5 times. Incidence of those two hands are about 1/3-1/2 of the total number of patients, while the incidence of females and males with bilateral ratio increased to 9:1. As to why the incidence is much higher than men of women, one of the reasons women are more engaged in the tedious, fine, you need to frequently work hand the work of the more interesting second reason is because "women care about their bodies feel and easier aware of physical pain, the pain tends to "fuss", while men just the opposite.
Italian Study Group on carpal tunnel syndrome, Dr. L · Padua study suggests that: in fact, men and women in almost the same number of type of work, but men can hardly be diagnosed carpal tunnel syndrome. "Study of 740 patients showed that men tend to be less complaining about pain, often feels good hand function. However, neurological assessment, and their damage is more serious than women." L · Dr. Padua call, "men may only the symptoms of carpal tunnel syndrome has become very serious when the doctor. Therefore, many less serious cases to a missed diagnosis. can be speculated that men the incidence of carpal tunnel syndrome are underestimated. "
Edit this section | Back to top How to treat carpal tunnel syndrome
Although the treatment of this disease can be partially closed temporarily alleviate symptoms, but many can not simply be lifted. Should find out the cause of disease take appropriate therapeutic measures, such as anti-rheumatic therapy or surgical release and so on. Local patients can do their own heat or massage, massage force in the mid-point palm stripes, each 15 minutes, 1, 3 times, often to receive good results.
Treatment used in general, no more than oral blood stasis class or pain drugs, acupuncture, massage, etc.; there are some adjuvant therapy such as hyperthermia, namely through the spa, paraffin, ultrasound, or heat, etc., the give and electrotherapy pain relief, more experienced physical therapists will guide the patient to do home exercise, but the resulting effect is very limited.
Knife using laser acupuncture to "carpal tunnel" (carpal tunnel) within the fibrous tissue to release adhesions, median nerve compression to improve the situation, reduce the flexor muscles and flexor hallucis longus tendon of the constraints, so as to reduce or even eliminate the pain symptoms.
Specific treatment methods are:
First, external fixation, with obvious symptoms, or plaster splint with the wrist in slight dorsiflexion positi-2 weeks.
Second, carpal tunnel closed: The procaine and prednisolone (steroid) to do carpal tunnel injection, once a week, a total of 3-4 times.
Third, serving anti-inflammatory analgesic drugs.
Fourth, surgical treatment: non-surgical treatment fails or symptoms get worse or thenar muscle atrophy, surgical treatment should be carried out as soon as possible, such as cutting off transverse carpal ligament to relieve pressure on the median nerve. However, most patients with carpal tunnel closed the main anti-inflammatory analgesic drugs can be supplemented.
Edit this section | Back to the top of the treatment steps
1. Patient sitting
(1) Anrou points: Hegu labor relations intrauterine Yang River, about 1 minute per hole.
(2) Tuirou law. Patients with limb straight, palm inward. Hold the doctor suffering from elbow forearm hand, another hand thenar, thumb and index finger along the hand Lunar lung focus, hand-Shao Yin Heart Meridian and Pericardium line through the line by the finger, while rubbing repeatedly push the edge of the treatments 3 minutes. Then, the hand holding the risk of wrist, thumb, gently ease the other hand kneading radial wrist and hand for 2 minutes.
(3) credit extension method. Doctors who hold the limb distal forearm, hand, another hand holding the metacarpophalangeal Department, his hands slightly in the slow traction in the opposite direction while holding the hand of the metacarpophalangeal wrist dorsiflexion and wrist flexion appropriate activities 5-7 times.
(4) tremor law. Doctors who hold the limb distal forearm, hand, another hand holding the metacarpophalangeal Department, his hands slightly in the opposite direction in the slow stretch at the same time, the hand grip metacarpophalangeal tremor activity repeated 1-2 minutes.
(5) Le law. Hold the doctor left wrist, right food, the middle finger of the Section held hostage distal limb distal fingers, slippery hitch developed a "huskily." 2,3,4 refers to in turn. These are the Chihuahua Orthopaedic Hospital, rehabilitation therapy methods.
Edit this section | Back to Top Note
Hand numbness caused by many reasons, should be identified clinically. Such as cervical spondylosis, cervical disc herniation, spinal cord tumors and multiple neuritis.
How to prevent computer caused "carpal tunnel syndrome"
Maintain good posture is the operation the best way to avoid related injuries. Keyboard should be placed in a central location in front of the body to a high degree of near flat keyboard or mouse, you can prevent carpal tunnel injury; wrist position as flat keyboard, neither bend nor drooping; elbow angle should be greater than 90 work degrees, in order to avoid pressure on the median nerve within the elbow.
Forearms and elbows should be close to the body and relax as much as possible to avoid using the mouse body to lean forward; sure to use the mouse, wrist straight, sitting straight and the best use of quality back pad, feet should be flat on the ground or matting. Screen placed in front of the body height is appropriate not to move up and down the head, when the sitting is, the eyes should be parallel to the screen in a straight line, to ensure that the brightness of the display medium.
Stretch and relaxation during regular operator can slowly bend wrist repeatedly done for 10 seconds per hour; also continued to do 10 seconds per hour fist activities. Edit this section | Back to the top of the mouse causes the incidence of hand
Computer all day "occupied" people's hands, which makes the "mouse hand" (medically known as carpal tunnel syndrome), more and more people. Singapore's latest information shows that women are the biggest victims of carpal tunnel syndrome, and their men, affects about 3 times more than a good old fat from 30 to 60 years old. This is because the bones of women than men are small, hand development of congenital carpal tunnel than men small, the wrist of the median nerve more susceptible to compression injury.
Work on the computer tired eyes, waved his hand office workers often see paragraph Shuaishuai other hand, think it will be able to put aside the humble mouse in hand, it is in order to control the "mouse hand" approach alone temper and such a partial can not play a significant result, only the body's blood circulation and temper added to the body, ability to build local capabilities are progress and improvement.
The following is a control "mouse hand" in the body of a small gym, it is in accordance with the general temper of local dysfunction of such a principle, as long as taking a few minutes every day, we can effectively control the "mouse hand":
Section I: splayed feet, shoulder width, his hands thrown back 100 times.
Section II: Cross-step walk, plus the means in particular the Ministry of hand movements, similar to the dancing, accompanied by music better results, every 10 minutes.
Section III: hands and fingers crossed and flip, flip cross fingers, try to move too much from the top of the chest and back as far as possible from the head to stretch 100 times.
Section IV: After the arms, chest, hands extended, stretching back as far as possible to the horizontal directi00 times.
Section V: palms down, arms Stretch, do like geese flying acti00 times.
Section VI: right behind the shoulder with his left hand to the hook from; left behind, from the shoulder with his right hand to the hook, and for 30 seconds. Shoulong hands in the shoulder and fist clenched hard as possible into the air and sphis hands, repeat 100 times.
Need to look out for is, do all of the action, the very promotion of a true position of each opening, the chest, abdomen, hips, and should adjust to take a deep breath, that is, abdominal breathing. To know how to move slowly essentials, and step by step, the flow line, do not be too anxious. For those more easily triggered in patients with carpal tunnel syndrome and certain endocrine disorders such as pregnant women, patients with the disease should do so even a small gym. Edit entry Open Category:
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