Tunnel syndrome wrist wrist hand. The symptoms and treatment of folk remedies, the operation

Carpal tunnel syndrome refers to lesions of the peripheral nervous system or tunnel neuropathies. They make up 50% of all diseases of the peripheral nerves.

Under a complex syndrome involve violations of both sensory and motor functions, as well as associated with metabolism and nutrition of tissues. Tunnel - is narrow anatomical structure, located in the bone, tendon, muscle, peripheral nerves which are situated. The syndrome develops in the subscapular nerve, on the shoulder, armpits, wrist hands in the elbow area.

types of diseases

Carpal tunnel - a space bounded by a groove and wrist flexor retinaculum. Through the channel runs the median nerve, which belongs to the mixed nerves because it has a branching motor and sensory nerves.

Defeat nerve compression-ischemic or compression, occurs between bonded, retaining muscle tendons, which are necessary for bending the fingers and hands and three bone walls. Therefore, when there is a syndrome of defeat as a motor and a sensitive hand function.

Often the term "channel tunnel syndrome" is identified with chronic trauma of the constant voltage, and it already belongs to the large group of diseases tunnel neuropathies:

1. Suprascapular nerve neuropathy. At the same time the defeat of developing pain in the forearm, the shoulder joint.
2. Diseases of the peripheral nerves in the armpit area. Pain is thus formed in posteroexternal humerus. In this case, there is often a paralysis of the flexor of the middle finger.
3. carpal tunnel syndrome. Formed by the clamping nerve, located in the core duct.
4. Neuropathy of the ulnar nerve. Formed as a result of prolonged compression of the ulnar nerve during prolonged bed rest mode, long retention arm in a bent position (when using a telephone, work for computer). At the same time develops pain in the elbow.
5. Violation of the radial nerve and its branches. Thus there is a paralysis of the fingers, extensor brush disturbed sensitivity in the forearms, back of the hand.

   

These diseases are associated with their professional activities, are more common in people whose work is due to chronic over-voltage, performing similar movements:

• tenosynovitis;
• myositis;
• epicondylitis shoulder;
• bursitis;
• osteocondritis of the spine;
• snap a finger;
• glenohumeral periarthrosis syndrome.

Among all the diseases tunnel syndrome is 3 times more likely to develop in women after age 40 than men.

Stage and grade

tunnel or carpal tunnel syndrome is manifested by reduced sensitivity to stimuli, spontaneously there is a feeling of burning, tingling, tingling and pain in the affected area of ​​the median nerve.

According skill proposed in 1992 year, the disease stage stand 3:

1. Stage 1. The emergence of occasional short-term pain symptoms in the wrist at night or during specific movements: driving a car, hold objects, physical monotonous work performed with one hand.
2. Step 2. Constant feeling of tingling, pricking, accompanied by swelling of the limbs. Studies show electro-nerve conduction disorders.
3. Step 3. The constant violation of sensory and motor function of the hand. Thenar muscle atrophy (elevation at the base of the thumb).

symptoms

hand wrist carpal tunnel syndrome is characterized by night and morning pain, numbness of fingers, except the little finger, puffiness hands. Soreness often manifested in the 1-3 fingers, but rarely all at once. The symptoms are worse when raising arms and weakened when lowering. On palpation of the median nerve of the wrist joint is felt pain radiates to fingers.

The main symptoms are:

1. Numbness and tingling in the hand, an unstable hold objects in his hand.
2. Complaints of pain not only in the fingers, but also in your palm. often gives pain in the forearm, neck and shoulder.
3. Increasing pain after exposure.
4. The most common lesion occurs in the right hand and place in a heavy degree.
5. Muscle weakness, often a loss of motor function of the hand.

Causes of

Tunnel neuropathy often occur against the background of:

• endocrine disorders;
• articular diseases (rheumatoid arthritis, gout);
• hormonal changes during pregnancy, menopause;
• acceptance of oral contraceptives.

The syndrome occurs in healthy people, which is facilitated by:

• professional microtrauma;
• venous congestion, as a result of the work of the standing;
• swelling of the tissue caused while squeezing the nerve, when the swelling during pregnancy.

An important role in the development of tunnel syndrome plays a cold temperature. Doctors noticed that the number of patients with tunnel syndrome increased during the autumn-winter period.

Diagnostics

carpal tunnel syndrome brush is determined with the help of diagnostic methods:

1. Tinel test. Identifying pain when tapped on the median nerve.
2. Test Falena. Checking flexion and extension of brushes 90 °. During rotation of the brush is determined by the degree of pain and numbness for 60 seconds.

In order to determine the degree of impairment of nerve conduction in the course of treatment carried out other studies:

• X-rays;
• Ultrasound, during scanning physician evaluates the integrity of the nerve trunk, nerve circuits, the state of tissues that surround it;
• electroneuromyography, the results of which set the severity of lesions.

When to see a doctor

At the first signs of numbness, tingling, taking place in the morning, but by noon passing, we should pay attention to them. If to this is added the night symptoms of numbness in all his fingers, except the little finger, should visit a doctor-neurologist.

Sometimes the syndrome is manifested immediately severe pain that does not pass in the daytime and at night. The pain continued for a long time, do not respond to analgesics reception - this is also a reason for visiting the doctor.

prevention

Primary prevention methods relate primarily exercises for the hands, the correct organization of the workplace:

1. Monitor the posture, the right to equip the workplace.
2. When the seat is necessary to make sure that the line drawn between the waist and hips, to form a right angle. The back while sitting should be based on the chair or stool, shoulders should be relaxed.
3. It is necessary to monitor the position of the hands in the workplace. Brushes should be in a position directly in relation to the forearm, when printing needs palm brushes, especially for those who work a lot on the computer.
4. For those who spend a lot of time at work sitting down to do a warm-up for the hands: a fist, shaking off, rotational movements with your fingers.
5. It is advisable to arrange physical activities at work. Doctors recommend doing 4-5 minute breaks every hour.
6. Select for comfortable furniture: office chair should have an adjustable height, comfortable armrests, to minimize hand movements. It is desirable to have a special support under the hand when working at the computer, so that it remains in a relaxed state.
7. Keep your hands warm. To avoid undercooling particularly during exercise.

therapies

Tunnel syndrome is treated by conservative methods, which include:

• Correction of labor, physical activity to relieve symptoms;
• imposition of tires on hand wrist;
• analgesics reception;
• use of drugs that inhibit the activity of substances that transmit excitation of the nervous system;
• Use antiedematous preparations;
• nonsteroidal antiinflammatory drugs for the treatment of pain;
• physiotherapy (UHF, RAS);
• acupuncture;
• physiotherapy.

In severe cases, with no effect on the use of drugs, glucocorticoids are used as injections (blockades). Surgical treatment is used in muscle atrophy.

Medications

Groups drugs used in the treatment tunnel neuropathies:

drugs group	Name	Price in rubles.
analgesics	Neyralgin Aspirin	300 150
anti-inflammatory	Ksefokam ibuprofen	200 100
antiedematous	L- lysine aescinat	1500
venotoniki	flebodia	500
antioxidants	aktovegin	400
Glucocorticoids for blockades	kenalog diprospan	250 190
B vitamins	Neyrobion pyridoxine	250 24

To reduce the swelling of limbs used diuretic herbal remedies: chamomile teas, cranberries, parsley.

For load limitations prevent twisting and flexing arms advisable to wear wrist tire. Restoration of mobility and the full functionality of the hands occurs after 2 or more weeks.

Traditional methods

Well help compress on the basis of herbal medicines:

1. Warmed castor oil rubbed on the wrist for 15-20 minutes. Then wrap the arm warm flannel cloth and leave for 1 hour.
2. Mix ½ cup of sea salt in a deep bowl with warm water. Dipped in her hand and hold for 20 minutes.
3. Mix equal amount of olive oil with apple cider vinegar. Massaging wrist rubbed into it a mixture of 15-20 min. Then wrap a warm hand with a cloth and leave for 20 minutes.

Daily intake of 1 tbsp. l. linseed oil, rich in omega-3 fatty acids help reduce inflammation.

Turmeric has anti-inflammatory properties, is a good home remedy:

1. Add 1 tbsp. milk 1 h. l. turmeric powder, 1 tbsp. l. honey.
2. All mix thoroughly, slightly warm.
3. Taken daily for 1-2 times a day.

It relieves pain Homeopathic Arnica-based ointment. Painful place smeared 3-4 times a day, a course of treatment for 2 weeks.

Operating methods

Carpal tunnel syndrome is treated by brush method using a radical operation. The indications for it are the poor results of glucocorticoid therapy, permanent numbness, muscle weakness.

During open surgical incision is carried out in the carpal tunnel, and then is cut bundle to increase spatial channel, this occurs at the expense of release of nerve compression.

In the postoperative period performed physiotherapy, appointed nerve stimulators, mud. Postoperative recovery sometimes lasts for months. May cause infections, nerve damage, loss of muscle strength due to hand cut ligament.

About 80% of patients after surgery restores your hands, but a second operation is needed in some cases.

There is an endoscopic method of surgery. The operation is performed with minimal skin incision and insertion of the cannula into the carpal tunnel. Via cannula a special scalpel eliminated squeezing median channel. It is minimally invasive and effective operation.

Other methods

Under the supervision of a physiotherapist conducted exercises to stretch and strengthen the beam wrist. Subsequently, light exercises you can do at home on their own.

Well help methods:

1. Warming trays of paraffin. Methods similar to warming of the wrist by means of hot water. But the wax retains heat much longer, and the effectiveness of the above procedure.
2. Treatment with UHF.

Massage the wrist, which is the traditional method of treatment accelerates blood circulation, relaxes the muscles. Massage 2-3 times a day with the use of oils, olive or coconut. When the massage is contraindicated in severe pain.

Well help acupressure and acupuncture. On the wrists and elbows are special points by clicking on which you can relieve the pain.

possible complications

In case of delayed treatment in the later stages of the disease develops atrophy in thenar muscles, elevation at the base of the thumb on the hand.

The muscles that control the fingers begin to weaken, it appears to reduce the force of squeezing between the thumb and forefinger, there are difficulties of fine motor skills of hands. All together leads to serious violations of the functional activity of the hands.

Tunnel syndrome - one of the most common neuropathies of the upper extremities.

Risk factor acts as a big load on the hand wrist with repetitive movements. Identification of early signs, timely treatment will reduce the time to predict disability and quality outcome.

Author: Anna Belyaeva

Registration of the article: Vladimir the Great

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