Managing and Treating Carpal Tunnel Syndrome

Carpal tunnel syndrome is the most common peripheral neuropathy in medicine. In this article we discover what causes it, how it can affect performance and how to treat and manage the condition effectively.

Managing and Treating Carpal Tunnel Syndrome

Managing and Treating Carpal Tunnel Syndrome

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Carpal tunnel syndrome is the most common peripheral neuropathy in medicine. It's a condition that occurs when the median nerve (the main nerve running into the hand) becomes pressured or squeezed at the wrist – a junction known as the carpal tunnel. The mechanism of injury varies, but it's rarely to do with the median nerve itself and instead down to pressure on the nerve from inflammation of the ligaments and tendons surrounding the nerve, forcing them to put pressure on it [1].

In this article we're going to look at the problem and how best to manage the condition.

Time to read: 5 minutes

Key Points:

  • The causes of Carpal Tunnel Syndrome
  • How can we manage Carpal Tunnel Syndrome
  • How KYMIRA Medical can help manage Carpal Tunnel Syndrome

Carpal tunnel syndrome is the most common peripheral neuropathy in medicine. In this article we discover what causes it, how it can affect performance and how to treat and manage the condition effectively.

The causes of Carpal Tunnel Syndrome

One of the major issues is the frequency and volume of work the wrist does – especially in people who work at a desk and use their wrists a lot with a computer. Although it's not intense work, it's the fact that it's daily and goes on for hours at a time!

One of the activities which can exasperate the symptoms of carpal tunnel syndrome is long form typing. This is due to the frequent pressure on the wrists and the regular flexion and extension of the joint if it's held positions without support for a long time.

Research shows that the previous trauma or injury to the wrist that causes swelling, as well as thyroid disease, rheumatoid arthritis, and fluid retention during pregnancy can cause an increase is pressure on the median nerve. This impacts the conductivity of the nerve itself and potentially increasing the likelihood of carpal tunnel syndrome [2].

Sporting activity can be an exasperating factor too – there's a clear link between hand neuropathy and cycling, with ‘cyclist's palsy' a known condition. Cyclist's palsy occurs when pressure applied to the hand via gripping the handlebars on the bike traps the ulnar nerve. When studied, there is a clear link between distance cycling and motor latency in the nerves – this means it takes longer for signals to travel down the nerves [3].

The same study also noticed a worsening of the symptoms of carpal tunnel syndrome after cycling and linked long distance cycling to bringing about the condition in some cyclists. Essentially this means if you're a sufferer of CTS, be careful with cycling or perhaps reduce the amount you do.

Another study assessed the onset of carpal tunnel syndrome in wheelchair users, given they use their hands for locomotion, therefore increase the pressure and demands on the wrist joints on a daily basis.

The sample size was 72 athletes or 144 hands and carpal tunnel syndrome was found in 8% of the wheelchair based athletes [4]. To give these findings some context, the prevalence in the general population was found to be 2.9% across 2466 responders (4932 hands).

How can we manage and treat Carpal Tunnel Syndrome

At present, common treatments include icing the area to reduce inflammation, followed by heat treatment to improve mobility and movement in the area. There's an approach that includes therapeutic exercises for developing flexibility, strength, and endurance [5].

There is some evidence that neural gliding exercises can be helpful [6], but this is on a case-dependent basis. Some people will report excellent improvements, others less so. On the balance of evidence though, it's worthy of investigation for anyone suffering with carpal tunnel syndrome.

There are medical interventions including splints and in extreme cases, surgery. For anyone these should be an absolute last resort, especially the surgical route which will see you be out of action for up to 12 weeks [7], which will impact work and day-today life significantly.

How KYMIRA Medical can help manage Carpal Tunnel Syndrome

The two important elements of carpal tunnel syndrome management are reducing inflammation and improving mobility. The KYnergy fabric can help with both of these issues.

Infrared fabrics have been proven to manage inflammation [8], so help to reduce one of the fundamental causes of carpal tunnel syndrome. By keeping general inflammation in the area down, you're likely to prevent the problem either starting in the first place or keep the pressure on the median nerve down, therefore managing the pain.

The blood flow improvement via the stimulation of nitric oxide production is also a big help towards the problem. Nitric oxide is a vasodilator, which means it increases blood flow. By wearing KYMIRA clothing on an area you improve circulation to the target location, increasing mobility and movement, both of which are clinical goals of the treatment.

It'd be wrong of us to suggest that KYMIRA alone is the cure for carpal tunnel syndrome, but it will certainly benefit the issue and will be a more than useful addition to a treatment plan.

To see the products that will help treat and manage carpal tunnel syndrome specifically, click here.

Expand For References

[1] https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-sheet

[2] https://www.ninds.nih.gov/Disorders/All-Disorders/Carpal-Tunnel-Syndrome-Information-Page

[3] https://pubmed.ncbi.nlm.nih.gov/16000656/

[4] https://pubmed.ncbi.nlm.nih.gov/32360556/

[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1317755/

[6] https://pubmed.ncbi.nlm.nih.gov/27842937/

[7] https://www.bupa.co.uk/health-information/muscles-bones-joints/carpal-tunnel-release-surgery

[8] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993144/

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The mechanism of injury varies, but it’s rarely to do with the median nerve itself and instead down to pressure on the nerve from inflammation of the ligaments and tendons surrounding the nerve, forcing them to put pressure on it [1].\nIn this article we’re going to look at the problem and how best to manage the condition.\n\n\n\n\n\n \n\n\n\n\n \n \n \n\n \nTime to read: 5 minutes\nKey Points:\n\nThe causes of Carpal Tunnel Syndrome\nHow can we manage Carpal Tunnel Syndrome\nHow KYMIRA Medical can help manage Carpal Tunnel Syndrome \n\n\n\n\n\n \n\n \n\n\n\n \n \n \n Carpal tunnel syndrome is the most common peripheral neuropathy in medicine. 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This impacts the conductivity of the nerve itself and potentially increasing the likelihood of carpal tunnel syndrome [2].\nSporting activity can be an exasperating factor too – there’s a clear link between hand neuropathy and cycling, with ‘cyclist’s palsy’ a known condition. Cyclist’s palsy occurs when pressure applied to the hand via gripping the handlebars on the bike traps the ulnar nerve. When studied, there is a clear link between distance cycling and motor latency in the nerves – this means it takes longer for signals to travel down the nerves [3].\nThe same study also noticed a worsening of the symptoms of carpal tunnel syndrome after cycling and linked long distance cycling to bringing about the condition in some cyclists. Essentially this means if you’re a sufferer of CTS, be careful with cycling or perhaps reduce the amount you do.\nAnother study assessed the onset of carpal tunnel syndrome in wheelchair users, given they use their hands for locomotion, therefore increase the pressure and demands on the wrist joints on a daily basis.\nThe sample size was 72 athletes or 144 hands and carpal tunnel syndrome was found in 8% of the wheelchair based athletes [4]. To give these findings some context, the prevalence in the general population was found to be 2.9% across 2466 responders (4932 hands).\n\n\n\n\n\n \n \n \n How can we manage and treat Carpal Tunnel Syndrome \n \n \n\n\n\n\n \nAt present, common treatments include icing the area to reduce inflammation, followed by heat treatment to improve mobility and movement in the area. 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