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Fitness

Carpal Tunnel Syndrome: Common Sense Prevention


Author:

Mary Fischer, MS, PT

Beth Israel Medical Center, New York, NY

Medically Reviewed On: June 11, 2001

For many years, repeated strain disorders have been the fastest growing category of occupational illness reported in surveys published by the Bureau of Labor Statistics. You may think that sitting at a keyboard all day is easy work, but it's not. If you were to stand up and do knee bends for eight hours every Monday through Friday, you can imagine how your leg muscles and joints would feel. It is no different for your arms, wrists, and hands.

Repetitive strain injuries, or RSIs, occur from repeated physical movements that do damage to tendons, nerves, muscles, and other soft body tissues. There are a number of RSIs associated with the hand and wrist. Tendonitis, bursitis, and carpal tunnel syndrome are the most notorious RSIs among those who overuse the small muscles in the wrist and forearm.

The long thin muscles in the forearm are called the flexor and extensor muscles, and they actually originate at the elbow. Together with the median nerve, the tendons in our arms run down through the carpal tunnel at the wrist and out into the fingers.

With overuse of the small muscles in the hand and arm, the tendons in the wrist may become inflamed and swell. This is called tendonitis. If the tendons are swollen in the carpal tunnel, they can push against the median nerve, which can lead to carpal tunnel syndrome.

If you spend the majority of hours in your day using your hands, there are a few RSI symptoms to look out for. As with any inflammatory problem, the goal is to catch, and treat the problem early. Symptoms include:

  • Tightness, discomfort, stiffness, soreness or burning in your hands, wrists, fingers, forearms, or elbows.
  • Tingling, coldness, numbness in hands
  • Clumsiness/loss of strength or coordination in hands
  • Pain in the wrists or hands that wakes you up at night
  • Feeling a need to massage hands/wrists
Common Sense Tips For Hand and Arm Health
Good hand and arm position at the computer can help you to avoid pain in your forearms and hands.

Your body and the keyboard

  • Your chair should be at a height that allows you to type with your arms hanging in a 90 degree angle, shoulders relaxed, with elbows close to your sides
  • Neutral position: wrist and forearms should be in a comfortable, straight line, so that your wrist is not flexed or bent in any way
Wrist rest

  • The wrist rest is for wrist resting. Do not rest the tendons in your wrist on the rest as you type
  • The rest helps you maintain the wrist's straight, neutral position, with no torquing or bending of the wrist and hence the carpal tunnel
  • The rest should be padded without sharp or hard edges
  • The rest should be wide enough to support wrist and palm
  • The rest should be the same height as the front edge of your keyboard

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