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With so many people working for hours on computer, we are seeing more and more people with wrist and hand pain. Using information just mentioned above, examine muscles that move hand. The muscles of forearm originate at, or near, elbow. They then insert in hand and wrist. The muscles on top of arm are called "extensors", and muscles on underside of arm are called "flexors". When flexors contract hand is pulled into a fist, &/or hand moves down. When extensors contract hand &/or finger are pulled up. If you grip your forearm with your opposite hand, then wiggle your fingers, and open & close your hand, you will feel flexors & extensors contracting. Also, if you move your hand side to side you will also feel muscles that are responsible for that motion.
These are very powerful muscles, and they are being used repetitively for many hours daily. After work if you go home and play tennis, or piano, crochet or play computer games, you are again contracting these muscles over and over. Eventually you have pain at your wrist, and you are told you have carpal tunnel syndrome. In reality you have repetitive strain injury (RSI) of forearm muscles.
At Carpal Tunnel Treatment Center we use an analogy that helps our patients understand why pain is felt so far from spasm. If you pulled your hair at end you wouldnąt feel it there, you would feel it at scalp where it inserts. If you pulled it for a very long time you would eventually get an inflammation, swelling, and pain would radiate away from point of insertion. Exactly same thing is happening in your wrist.
When muscles of forearm contract, and stay in contracted position due to spasms, strain is put on insertion point at wrist. Eventually you end up with an inflammation and swelling. Since all flexor tendons travel through carpal tunnel, they cause pain and swelling in that area. You are diagnosed with carpal tunnel syndrome, but quickest and easiest therapy is to release muscle. Surgery will open bridge to carpal tunnel, but muscles will still be putting strain on insertion points.
Another muscle that has a serious impact on carpal tunnel is muscle of thumb. This is meaty muscle that is felt at base of thumb, called Opponens Pollicis. The Opponens Pollicis originates at ligament that forms bridge of carpal tunnel, and it inserts at base of your thumb. When this muscle contracts you draw your thumb in toward your palm. You use this muscle many thousands of times a day and you never stretch it. It is extremely common for this muscle to contract, and stay in shortened position. When that happens it is pulling hard on bridge to carpal tunnel and is pressing down on median nerve. You now experience numbness in your thumb and first two fingers. Releasing tension in this muscle will also release pressure on median nerve.
It is vital to work on muscles of forearm. Each individual muscle spasms needs to be worked out. These are deep muscles, a light massage wonąt be as effective as deep muscle therapy. Proper therapy, and stretching all of muscles, has proven to completely heal this condition without surgery.
Zev M. Cohen MD, is Medical Director of the Carpal Tunnel Treatment Center. Dr. Cohen,an expert on carpal tunnel syndrome may be reached at www.aboutcts.com Julie Donnelly LMT is the Principal Therapist Carpal Tunnel Treatment Center.She has authored "How To Be Pain-less…A Beginner's Guide to the Self Treatment of Muscle Spasms". She may be contacted at julie@aboutcts.com