Common Conditions Related to Hand or Wrist Pain
Carpal tunnel syndrome (CTS) is the compression of the median nerve resulting in pain, numbness, tingling, burning and weakness in the hand. The median nerve supplies sensation to our thumb, index finger, middle finger, and half of our ring finger which is where people with CTS typically feel changes in their sensation. Because this nerve also supplies muscles in our thumb, people with carpal tunnel syndrom can notice a change in grip and hand strength. Carpal tunnel syndrome is more common in individuals that are overweight, work with machinery, have jobs with repetitive movements in the wrist (e.g. typing), and during pregnancy. People commonly report relief of their symptoms by shaking their hands. Physical therapy from CityPT can help with the early detection and treatment of CTS to optimize work postures, educate on stretching and nerve mobilization techniques, discuss bracing options, and reduce repetitive activities.
Cubital tunnel syndrome is compression of the ulnar nerve inside the cubital tunnel which is located on the inner side of the elbow. If you have ever "hit your funny bone" then you have briefly applied pressure to the ulnar nerve. Compression of this nerve causes pain, numbness, tingling, and/or weakness in the pinky and ring finger of the hand as well as the inside of the elbow. Cubital tunnel syndrome can be caused by direct trauma, chronic pressure on the elbow, jobs involving long periods of holding the elbow bent, laxity at the elbow joint, repetitive motions involving stress at the elbow (overhead athlete). With a personalized therapy plan from CityPT, there is a high success rate in early treatment of ulnar nerve compression targeted at improving your mechanics with daily activities, proper nerve mobility, and exercise to help you return to your normal function.
De Quervain’s tendinitis is inflammation and irritation of two tendons in the thumb. These tendons can become more painful with use of the thumb, grasping tasks, and certain motions in the wrist. De Quervain's is typically caused by overuse from work and job duties requiring repetitive thumb and wrist motions. This condition is common in new mothers who must perform repeated motions with their hands and wrists to support and lift a newborn. A CityPT physical therapist can provide early diagnosis and treatment to help you return to your prior abilities by educating you on proper mechanics with lifting tasks, reducing repetitive motions, discussing bracing options, and education on a variety of anti-inflammatory options for this condition.
Tendinitis is chronic irritation of the tendons caused from abnormal posture, poor body mechanics, overuse, and/or prior trauma. A CityPT physical therapist can assist with tendinitis in all areas of the body by performing education to optimize mechanics with daily activities, stretch tightened areas, and strengthen weakened areas to provide appropriate balance within the body.