Steemit Learning Challenge-S22W1: Physical Therapy Intervention: Carpal Tunnel Syndrome
Hello friends I hope you are great I am happy to participate in another challenge that is very informative for me.
The word syndrome is Greek word which means running together. It's set of medical symptoms that are interrelated with one another.
Now what is Carpal Tunnel Syndrome (CTS)? This is commonly situation which mostly affects the hands and wrist areas. The median nerve that is running in the forearms and moved into hands, now the narrowing area in the wrist that is Carpal tunnel it has compression and pinched.
What are causes?
If we are working continuously in repetitive orders such as on mouse, computer screen or the work which continues with hand the condition is called repetitive motion.
What conditions may appear through repetitive motion of hands?
Carpal tunnel or the injury in wrist is responsible for compression of the median nerve.
If the more fluid is present due to menopause, pregnant women and perhaps due to thyroid condition may also cause the carpal syndrome.
Moreover arthritis, diabetes and thyroid issues are responsible for increasing the chance of carpal syndrome more frequently.
What are symptoms?
The most common symptoms are numbness in index, middle or half of the ring finger.
There is feeling of burning sensation and pain in hand, wrist or in the fingers.
Sometimes we couldn't hold the things as it causes weakness in the hands of often fingers.
How to diagnosis?
The doctor can assess the wrist, hand and fingers to check the reflex, sensation and holding capacity.
In order to check the nerve compression or injury Electromyography (EMG) can be done.
For checking speed and power of signal in median nerve Nerve Conduction Study (NCS) is performed.
Few tests are as follows which are used by physiotherapists.
Tinel's Sign: the doctor tapped the median nerve along with wrist if there is numbness situation in the fingers its indicates the carpel syndrome.
Phalen's Test: the doctor applied a mild pressure on the median nerves if the patient flexes their wrist, a numbness situation exist within the 30- 60 second is indication of carpal syndrome.
Flick's Test: if the doctor assess any pain sign on rapid flexes and extension of wrist.
Median Nerve Compression Test:the doctor check it by applying pressure on the medial nerve at the rest area and if the patient reports any sensation of pain or numbness in the fingers its indication of carpal syndrome.
Range of Motion Testing: the doctor assess the motion of wrist such as extension, flexion and adduction etc.
Wrist Extension Test: if the doctor ask the patient to extend their wrist and observe any symptoms of pain its clear indication of carpal syndrome.
Sensory Testing: this test is used to check sensation of fingers with the help of pinprick and touch vibration.
Muscle Strength Testing: the test is used to check the muscles strength in thumb muscles.
Arm prayer stretch
https://youtube.com/shorts/gBXYjmoBY64?si=P9nNbPfAvEv2lXEB
This exercise is performed by the stretch in which arm and wrist are kept in tension and pain is reduced if it exists.
Median nerve glide
It's done by keeping hand straight and hand immobilize and neck is rotated in both directions.
https://youtube.com/shorts/itgT5tfLnAk?si=76116E3fInxCRqqO
Stretch of CST
https://youtube.com/shorts/YUJ_O2K8Uqg?si=lknLb9JvGwk8ojQu
Thank you dear friend for giving us chance to study about the Carpal tunnel syndrome and also to diagnosis it well. @ashkhan I found it very effective.
I would like to invite my friends @m-fdo, @jannat12 and @mdkamran99 to take part in the challenge.
Thank you for understanding the lesson and sharing your assignment; I hope that you will enjoy this week's lesson and try to implement it in your life if you see any such case.
Observations
Task 1 (2.6/3)
You have shared a great knowledge about carpal tunnel syndrome, its symptoms, cause, but didn't add its types. There are 4 types that I explained in the lesson. Acute, chronic, primary and secondary. A bit more depth require to complete the answer. I appreciate your effort.
Task 2 (3/3)
In the second question, you tell us about how you have to assess a patient by doing physical examination, history taking, special tests and investigations. Excellent.
Task 3 (3.6/4)
You try the CTS stretches, median nerve glides and arm prayer stretch exercises. You did the thumb stretch, arm prayer stretch correctly. But in median nerve glides it would be better to add gifs if you don't want to show your face while sharing video on YouTube. Always remember to apply heat pack before performing exercises to relax the muscles and reduce stiffness. I appreciate your efforts.
Overall you made a great attempt to answer all the questions. I appreciate your efforts. But next time try to avoid the above written suggestions. Keep learning and try to implement your knowledge to the people suffering from carpal tunnel syndrome or any type of wrist. Thank you.
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11.89 STEEM,
11.89 SP
Hello friend greetings to you, hope you are doing well and good.
Being a doctor it would be too much easy for you to get to the depth of this disorder. This is the reason you have explained everything here too good and make it very much clear for us to understand it. I have injured it few months ago and now I am doing Alhamdulillah. I have recovered it through these exercises at gym.
I wish you best of luck in the contest dear friend. Keep blessing.