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WRIST PAIN

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					     WRIST PAIN                               www.gotophysio.com

                                              CAUSES/RISK FOR                               WARNING SIGNS
                                              COMPUTER USERS
C
        arpal Tunnel Syndrome (CTS) is                                                         The first symptom is generally
        one of the most common and                                                             numbness and tingling (pins and
        potentially disabling injuries           Resting your wrist on the work                needles) in the palm, the thumb,
experienced in today’s office settings           surface or wrist rest when using              index, middle and half of the ring
where computer work in intensive. Your           the keyboard or mouse. Studies                finger
knowledge of symptoms, and potential             show that pressure applied to the
causes can help you avoid injuries, or aid       underside of the carpal tunnel is             Pain and aching in the same area
in the recovery from this and other              transferred into the tunnel itself.           of the hand as the numbness and
common Repetitive Strain injuries (RSIs).        Pressure within the tunnel doubles            tingling may also occur, with
                                                 with a wrist rest compared with               some radiation up into the forearm
The median nerve travels from the forearm        floating the hands over a keyboard
                                                                                               Awakening with a tingling
into you hand through a “tunnel” on the          Using the keyboard or mouse with              sensation and the need to “shake
underside of your wrist. Wrist bones form        wrist bent backwards, rather than             out” the hands to recover normal
the bottom and sides of this tunnel, and a       being straight. Typing with the               sensation
strong band of connective tissue called a        wrist bent backwards by about 80
ligament covers the top of the tunnel. This      degrees from the arm can increase             Hands falling asleep
tunnel also contains nine tendons that           your risk of developing CTS
                                                                                               Cold hands
connect muscles to bones and bend your           significantly
fingers and thumb. These tendons are             More than two hours of computer               Difficulty performing tasks such
covered with a lubricating membrane              use per day or binge computer use.            as holding a cup, turning pages in
called synovium, which may enlarge and           (deadlines, reports, projects)                a book, turning a door knob.
swell under certain conditions. If the           Lack of frequent, regular rest
swelling is sufficient it may cause the          breaks
median nerve to be pressed up against the        Poor posture
strong ligament which may result in
numbness, tingling in your hand,
clumsiness or pain in the palm and base of
the thumb.
                                                 Incorrect keyboard and/or mouse
                                                 height or positioning
                                                 Stretching and twisting to reach
                                                 keys or mouse while your wrists
                                                                                       M           ost RSI’s are preventable or
                                                                                                   curable if caught and addressed
                                                                                                   early. The key is to notice
                                                                                       trouble when it starts, and do something
                                                                                       about it. In general, the more intense and
                                                 are anchored on a wrist               frequent the symptoms, and the longer
                                                 rest/desktop                          they last, the more serious your injury is
                                                                                       likely to be.

                                                                                       If you think you are starting to develop
                                                                                       CTS, see your physiotherapist for
                                                                                       positioning advice, strengthening and
                                                                                       posture exercises, and treatments.

				
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