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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