Heed the early warning signs of Carpal Tunnel Syndrome

Rich-DefalcoThe hand and wrist are the most active and intricate parts of the upper extremity. Due to the high levels of demand they are vulnerable to injury, which may ultimately lead to functional difficulties involving fine motor skills of the hands.

A repetitive strain injury may be at play, which is an “overuse” syndrome that results from excessive use of the hands to perform a repetitive task, such as typing, writing, or clicking a mouse. Over time these injuries may become chronic which may affect job tasks and daily household activities. The two most common repetitive strain injuries of the hand and wrist are Carpal Tunnel Syndrome and De Quervain Tenosynovitis.

Carpal Tunnel Syndrome (CTS)
CTS is the most common peripheral neuropathy affecting the general population. It most commonly occurs during middle and advanced age and affects women twice as frequently as men. The syndrome is characterized by pain, numbness, or tingling in the palm of your hand and typically favors the thumb, index, and middle fingers. The reason for this pain pattern is because the median nerve travels through the carpal tunnel and has nerve endings that supply this area of the hand, and if compressed symptoms will arise. Reasons for compression include fluid retention, infection, or excessive use of the fingers causing swelling of the tendons. Pain and tingling at night is also very common as well as other activities such as typing on a computer, buttoning up a shirt, or holding a coffee cup.  This pain and tingling is sometimes relieved if you massage or shake your hand quickly. If early signs of CTS are not treated, weakness may develop over time and grip strength will diminish.

1De Quervain Tenosynovitis
This disorder is the most common overuse injury involving the wrist. A case series suggested that De Quervain tenosynovitis affect women up to 6 times more than men and is associated with the dominant hand during middle age. Each of the muscle tendons that cross the wrist are surrounded by a synovial sheath that helps glide the tendons during wrist and hand movements.  The muscle tendons on the thumb side of the wrist (abductor pollicis longus and extensor pollicis brevis) share a common sheath.  If these muscle tendons are over-used, friction will occur between these two tendons causing tendon sheath thickening and inflammation.  Pain, tenderness, and swelling on the thumb side of the wrist is a common presentation. Individuals who regularly use a forceful grip coupled with a downward motion of the wrist (ulnar deviation) may be prone to having this condition. Activities including turning doorknobs, jar lids, or screw drivers may increase the pain.2

Ignoring these two conditions may lead to chronic problems down the road, which will ultimately affect everyday activities including dressing, gripping, writing, and other daily functional activities. If caught early, activity modification, splint use, and prescriptive therapeutic exercises and modalities are conservative ways to manage these two conditions. Chronic or severe cases of CTS or De Quervain Tenosynovitis may require corticosteroid injections or surgical decompression to allow the muscle tendons to glide freely.

These two conditions along with other wrist pathologies are treated by the experts here at Professional Rehabilitation Services. At Professional Rehabilitation Services we pride ourselves in distinction, and one of our Board Certified Orthopedic Physical Therapists will pursue an individualized treatment approach to your needs. Less than 5% of physical therapists in South Carolina are board certified in orthopedics. So if you or someone you know is having hand and/or wrist pain or another musculoskeletal pain , seek the consultation of a physical therapist at one of our four locations, or see your physician for a referral to one of our facilities.

At Professional Rehabilitation Services, we treat a wide variety of neuromusculoskeletal conditions using the latest in evidence based therapies provided by highly credentialed physical therapists.   In addition to being licensed physical therapists, our providers have additional specialty certifications and training in orthopedics, manual therapy, sports, strength and conditioning, vestibular treatment, and dry needling.  For further information on these wrist injuries or other related topics please contact Richard DeFalco, DPT, OCS, CSCS, CWcHP at Professional Rehabilitation Services (Myrtle Beach) (843) 839-1300, Brian Kinmartin, PT, DPT, MTC, STC, OCS (Pawleys Island) (843) 235-0200, Richard Owens, MPT, OCS, Cert. SMT (Surfside) (843) 831-0163, or Kristen Lies, DPT (Murrells Inlet) (843) 314-3224; or visit our website at www.prsrehabservices.com where you can learn more about the company and even download a referral form for your physician to fill out.

Comments

comments

CCU men, women score soccer shutouts on road

CCU men, women score soccer shutouts on roadThe Coastal Carolina men's soccer team had not played another [more]

Florence fallout again pulls plug on Friday night lights

Florence fallout again pulls plug on Friday night lightsHurricane Florence 2, Horry County Schools 0. That appears to be [more]

Strand golf courses race to re-open in wake of storm

Strand golf courses race to re-open in wake of stormMyrtle Beach area golf courses, spared the worst of Hurricane [more]

SCHSL extends season but plans for Strand still afloat

SCHSL extends season but plans for Strand still afloatThe SCHSL's executive committee voted unanimously Tuesday to extend the [more]

Pelicans Young, Swarmer claim Cubs' POY awards

Pelicans Young, Swarmer claim Cubs' POY awardsMyrtle Beach Pelicans infielder Jared Young was named the Chicago [more]

Chants blow out Camels in front of Hurricane Florence

Chants blow out Camels in front of Hurricane FlorenceJust four days removed and 142 miles away from its [more]

Coastal baseball signs first BA Top 25 recruiting class

Coastal baseball signs first BA Top 25 recruiting classFor the first time in Coastal Carolina baseball program history, [more]

Hurricane Florence throws local sports scene a curve

Hurricane Florence throws local sports scene a curveIn response to the impending arrival of Hurricane Florence and [more]

Coast FA brings home five titles from Rock Hill Classic

Coast FA brings home five titles from Rock Hill ClassicCoast FA returned to the beach with five championship and [more]

CF boys finish second, MB girls net third at CCU meet

CF boys finish second, MB girls net third at CCU meetThe Carolina Forest boys finished second and the Myrtle Beach [more]

Chants explode in second half to cruise past Blazers

Chants explode in second half to cruise past BlazersCoastal Carolina football used a number of big offensive plays [more]

No. 4 Seahawks light up scoreboard, beat Braves

No. 4 Seahawks light up scoreboard, beat BravesThe No. 4-ranked Myrtle Beach football team celebrated Neon Night [more]

No. 6 Chiefs struggle their way past revitalized Sharks

No. 6 Chiefs struggle their way past revitalized SharksWithout raising his voice, without screaming his face red or [more]

Panthers take big win over Hoggard to stay unbeaten

Panthers take big win over Hoggard to stay unbeatenJackson Weatherwax knew he had the ball. Late in the fourth [more]

Football Roundup: Tigers, Saints fall, remain winless

Football Roundup: Tigers, Saints fall, remain winless* Hartsville 35, Conway 0: The Tigers (0-4) remained winless [more]

Golf: Sharks top Seahawks; Panthers knock off Braves

Golf: Sharks top Seahawks; Panthers knock off BravesThe three-time reigning state champion St. James girls golf team [more]

Chants hungry for first win in home opener vs. Blazers

Chants hungry for first win in home opener vs. BlazersThe Coastal Carolina football team will open up its 2018 [more]

Volleyball: Tigers improve to 6-0 with win over Bruins

Volleyball: Tigers improve to 6-0 with win over BruinsThe Conway High volleyball team improved to 6-0 Thursday by [more]

Week 3 Previews & Picks: MB has old score to settle

Week 3 Previews & Picks: MB has old score to settleMyrtle Beach junior quarterback Luke Doty has had this week's [more]

Tennis: Lady Panthers open season with win over Aynor

Tennis: Lady Panthers open season with win over AynorThe Carolina Forest girls tennis team served up a victory [more]

Chants move up in polls after acing UAB tourney

Chants move up in polls after acing UAB tourneyAfter posting back-to-back shutouts, Coastal Carolina's Chris Datallo has been [more]

Golf: Sharks claim second place at Palmetto Preview

Golf: Sharks claim second place at Palmetto PreviewThe three-time defending state champion St. James girls golf team [more]

Braves, Lady Chiefs finish runners-up in XC openers

Braves, Lady Chiefs finish runners-up in XC openersMetrolina Christian Academy of Indian Trail (N.C.) swept the Chief [more]

Saints' season put on hold due to low numbers, youth

Saints' season put on hold due to low numbers, youthOne year after a breakthrough season, the Christian Academy of [more]

Close loss closes curtain on long season for Pelicans

Close loss closes curtain on long season for PelicansIn the final game of the 2018 season, the Myrtle [more]

CCU men, women score soccer shutouts on road

CCU men, women score soccer shutouts on roadThe Coastal Carolina men's soccer team had not played another [more]

Florence fallout again pulls plug on Friday night lights

Florence fallout again pulls plug on Friday night lightsHurricane Florence 2, Horry County Schools 0. That appears to be [more]

Comments are closed.

© 2018 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach