The carpal tunnel syndrome is an extremely common disease in the adult population, with prevalence in women.
The carpal tunnel syndrome is easy to diagnose and is due to the fact that the level of the wrist the median nerve, tendons and vessels shall run in a tunnel or an enclosure formed by a semicircle of small bones, enclosed by a ligament rather robust and said handheld little elastic ligament.
This space normally formed to protect internal structures from micro-trauma of the hands, becomes too small and August when they come to create specific inflammatory or degenerative.
In the inflammatory tendon sheaths may thicken the bones and degenerative cases tend to warp space shrinking tunnel. Here is found that the median nerve compressed by giving painful or unpleasant events in the first three fingers of the hand, up to the total loss of sensitivity of the same.
This is just one of many possible diseases that commonly affect the hands. In succession, frequency and age of onset are the trigger finger, it is of inflammatory disorders of the sheath of the flexor tendons to thicken and not flow more normally a precisely determining step during the movement of flexion-extension.
Moving towards the older population among the most common diseases are primarily the paintings evolved rizartrosi or osteoarthritis of small joints of the hands, often characterized by rigidity and deformation of the fingers. In this case we speak of deforming arthritis of hands and the tendency to this problem often shows a positive family history. The fingers slowly in small joints swell and deform the tendon or periarticular nodules.
It is said that the hands reveal the age of people more than the appearance of the face. Now then there is botox, face lift, and the various punturine it is even more evident. The hands, as I said my first teacher of Tai Chi, are the first joints to grow old "you have to treat them when they are young."
I think it is an important point often overlooked and which could greatly reduce the occurrence of these diseases especially at an early age. Once we had given up 50 years old and without expectation of life, now is the dawn of a new expressive possibilities. Do not prematurely aging hands is of fundamental importance for our welfare and our autonomy.
The first thing to do is be aware of the unnecessary and often uncontrolled force present in our hands during any activity. It 'must be aware of how much tension on the wrist and then download it on your fingers so completely unaware. If then our work leads us to use them a lot, it is possible that the problems arise even earlier.
Excessive tension discharged in the hands, is present during various acts such as when we are driving a car or an object when we clean with a rag. Any action requires dexterity always a fact which in turn require a closure or semi closure of one or more fingers. Here is that these structures tendon and muscle in the long run in the absence of stretching exercises and a proper compensation extension stiffen and begin a slow process, sometimes inflammatory, degenerative sometimes.
The tension lasted understood as the shortening of the tendon and the formation of areas of tissue thickening, stiffness produces progressive and sometimes pains as a sign of stagnation of chemical mediators of inflammation. Predominating inflammation or stiffness, a condition was deteriorating the other, in fact, the stiffness increases inflammation increases the stiffness and inflammation.
The sheaths of the flexor tendons can swell causing the phenomenon of trigger finger or narrowing the carpal tunnel, the tendon of abductor pollicis shortened so as to determine the bird's beak deformation, as well as all the fingers can become stiff and gradually always be less active and passive elastic extension up to a fixed position in semi flexion with various and multiple deformations.
What to do? avoid reaching this point is certainly the first recommendation, but how?
Be polite to control muscle tension and attention is critical and requires a training and training in listening to the body in its different parts. Learning to relax and breathing are totally oblivious to things in our society, is thought to be as easy as drinking a glass of water but not so require long and careful work of consciousness that only ancient traditions and disciplines are able to give.
There are many specific actions in the present martial arts training, massage techniques or their own bellydancing requiring a lightness and softness of the wrist. These movements are almost always considered difficult to perform for us Westerners totally unaccustomed to this particular gesture.
The second recommendation is to avoid unnecessary effort as possible, the heavy bag is replaced with a trolley. To open a plastic bag, a bottle or keep your hands does not strive in vain, cunning use some more, can opener, pichiettate on board, perforated container, used scissors (not your teeth!). So even if you can use your hands without difficulty consciously use all possible aids risparmiarele. When you find bottles or boxes that open with difficulty, make a complaint to the manufacturer, you do a favor to all those people who have mobility problems including older hands.
Protect your hands to work, and use gloves as soon as possible, the haste and laziness are not good adviser and much less self-denial at work and sacrifice. The goal is to reduce the limit to the minimum possible and repeated microtrauma 'entry of cold-dampness. Bringing together six dishes or six bottles to make there first saves nothing but consume only one of the most valuable tools in your hands. Working in the cold and wet without gloves is another form of lack of protection of your hands.
The third recommendation is the 'daily running exercises the fingers and hands are a great and mighty strength and prevention of diseases of the hands. Open and extend the fingers and wrists is to open the carpal tunnel actively stretch the flexor tendons and their respective sleeves. If your thumb open (alleged) no longer forms an angle of 90 ° with respect to the other fingers, and if the remaining four fingers extended passively not reach anywhere near an angle of 90 ° with the wrist you already have a start of rigidity.
Finally, if you have pain and limitations or deformities of the hands are very useful addition to the execution of movements, even the application of deep transverse massage on small joints, the palms of hands working well on the tendons and sheaths of the flexor muscles of the fingers and on 'addutore thumb. The massage can be more effective when performed with specific herbal gel analgesic action and able to move the blood.
Finally, the targeted use of moxibustion on the painful points after training by qualified personnel are a powerful way to reduce the cold and moisture accumulation within the small joints of the hands as well as promoting blood circulation and thus reduce the stagnation of the local mediators of inflammation.
Se ancora tutto questo non basta e il disturbo doloroso è importante l'agopuntura e la tecnica della miofibrolisi sono ottimi strumenti terapeutici. In particolare la miofibrolisi con i ganci consente non solo di lavorare sui muscoli flessori rilassandoli ma anche di eseguire una sorta di intervento diretto, quasi chirurgico sui tendini senza però alcun bisogno del bisturi. La recente messa a punto di strumenti a vibrazione ea percussione consente inoltre una sorta di interventi di apertura e liberazione del tunnel carpale molto efficaci talora anche già dalla prima seduta.
Questi trattamenti se eseguiti correttamente e in condizioni non troppo avanzate possono sostituire efficacemente gli interventi chirurgici sul tunnel carpale e sulle guaine tenosinovitiche ingrossate talora proposti in prima istanza. In questi casi i risultati ottenuti sorprendentemente si mantengono per lungo tempo anche a trattamento sospeso.
Related Articles: