3. Elevate the hands and wrists whenever possible if there is fluid retention coupled within the usual carpal tunnel symptoms, especially in the case of bone fractures, neurological disease, and pregnancy. 4. Keeping the body warmer will likely keep forearm and hand muscles looser, easing the compression of the median nerve. The body constricts tissues when it is cold, which only furthers exacerbates the compression factor of the median nerve. 5. Relax the hands and wrists often. We often never realize how much tension we are holding in our hands and wrists when performing basic daily tasks such as driving, writing, using our phones, typing on a keyboard, or gripping objects. Softening our hands and wrists during these activities can release muscular tension that contributes to the compression of the median nerve. 6. Take frequent breaks during a work shift. Carpal tunnel syndrome is often referred to as a repetitive-stress syndrome . Conclusion Surveying the research conducted on carpal tunnel syndrome indicates that this condition greatly affects the general population. It manifests itself in a wide variety of characteristics; massage therapy efforts may aid the carpal tunnel patient. Age, the repetitive nature of one’s occupation, and sleep positions hold strong correlations to the development of carpal tunnel syndrome. Orthopedic assessment testing may provide a therapist with a clearer clinical picture of their patient’s
Taking breaks allows muscles involved with compression of the median nerve to relax and avoid excessive inflammation. A 10-minute break per each 50-minute period of work is a general recommendation. With severe cases that involve a lot of pain, breaks up to 20 to 30 minutes per a 30 to 40-minute work load of is recommended. 7. Wearing splints will keep the anatomical structures of the wrist and hand in healthy alignment, easing restrictions and compressions of the median nerve. Carpal tunnel symptoms may worsen at night, thereby making it necessary to splint one’s wrists while sleeping. Splinting during the day may be necessary if one’s occupation involves dexterous hand motions, such as typing and writing. 8. If one’s forearms become achy, running cold tap water over the muscles or immersing the forearms in cold water for 30 seconds will help relieve inflammation. carpal tunnel case. Bodywork suggestions presented in this course will provide great relief and enhance treatment plans. Recommending self-care efforts to the carpal tunnel patient will augment therapy. Information presented is never intended to replace advice from a qualified medical professional. Please honor all requests of the physician and practitioners in the care of one’s health condition.
References Ashworth, N. (2018). Medscape. Carpal Tunnel Syndrome Treatment & Management. Retrieved from https:// emedicine.medscape.com/article/327330-treatment Biel, A. (2015). Trail Guide to Movement, Books of Discovery, Boulder, CO Butler, S., (2016). Self-Care for RSI. Carpal Tunnel Syndrome Self Care. Retrieved from https://www.selfcare4rsi. com/carpal-tunnel-syndrome-self-care.html Hindawi. (2014). The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality. Retrieved from https://www. hindawi.com/journals/sd/2014/962746/ John Hopkins University. (2018). Carpal Tunnel Release. Retrieved from https://www.hopkinsmedicine.org/ healthlibrary/test_procedures/orthopaedic/carpal_tunnel_release_135,29 National Institute of Neurological Disorders & Strokes. (2018). Carpal Tunnel Syndrome Fact Sheet. Retrieved from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome- Fact-Sheet Netter, F. (1997). Atlas of Human Anatomy, Novartis Publishing, East Hanover, NJ TSPT. (2018). Special tests for wrist / hand. Retrieved from https://www.thestudentphysicaltherapist.com/ Turner T. & Connelly, K. (2018). Drug Side Effects & Medical Complications. Retrieved from https://www. drugwatch.com/side-effects/ Washington State Department of Labor & Industries. (2018). Economic burden of carpal tunnel syndrome. Retrieved from http://www.lni.wa.gov CARPAL TUNNEL SYNDROME: A COMPREHENSIVE GUIDE FOR MASSAGE THERAPISTS Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Sheet found on page 100, or complete your test online at EliteLearning.com/Book 21. The median nerve stems from which nerve bundle along the spinal column? 26. Which term describes a “pins and needles” sensation, and often accompanies the tingling and numbness experienced
a. Cervical. b. Brachial. c. Lumbar. d. Cardiac. 22. Which type of bone fracture results from excessive compressive forces upon adjacent bones? a. Open. b. Closed. c. Buckle. d. Hairline. 23. The joint articulating the trapezium bone to the first metacarpal bone is a: a. Saddle joint. b. Pivot joint. c. Hinge joint. d. Ellipsoid joint. 24. Which portion of the median nerve innervates the thenar muscles? a. Anterior interosseous. b. Palmar cutaneous. c. Palmar digital. d. Recurrent branch. 25. Atrophy of which muscle group may likely be a first indicator of carpal tunnel syndrome? a. Hypothenar. b. Thenar.
by CTS patients? a. Lymphedema.
b. Radiopathy. c. Occlusion. d. Paresthesia. 27. Which exam will determine muscular activity within the carpal tunnel region? a. Electrocardiogram. b. Electromyogram. c. Conduction. d. Physical. 28. Which orthopedic assessment test indicates De Quervain’s
tenosynovitis? a. Allen’s test. b. Finger loop test. c. Phalen’s test. d. Finkelstein test.
29. Research spanning 2002 to 2006 (Chow, J; Thomas, A; McNally, S; Schmelzer, R; Park S; Quaglietta, P) indicates that ______ of patients return to their same jobs after surgery. a. 75%. b. 90%. c. 15%. d. 45%. 30. When locating the pronator teres muscle, the therapist locates this directly deep to which other muscle?
c. Extensors. d. Lumbricals.
a. Biceps brachii. b. Brachioradialis. c. Brachialis. d. Pronator quadratus.
Course Code : MTX01CT
Page 27
Book Code: MTX1323
EliteLearning.com/Massage-Therapists
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