Steemit Learning Challenge-S22W1; Carpal Tunnel Syndrome"

Assalamu Alaikum

_{I am @shadow04
From #bangladesh🇧🇩}

🥰 Dear Friends 🥰

How are you all? Hope everyone is well. Alhamdulillah, I am also very well. Today I appeared in the ongoing Steemit Learning Challenge- S22W1: Physical Therapy Intervention: Carpal Tunnel Syndrome for joining the contest.At the beginning of the contest I would like to thank @ashkhan ma'am for giving us such a beautiful contest.

Device :Realme 8w3w location code https://w3w.co/haunting.offhand.steamships

✅ What's carpal tunnel syndrome? Write in your own words after getting knowledge from the lesson post.

Carpal tunnel syndrome is a problem in the body where multiple factors cause compression on our median nerve and it runs through a narrow passageway called the carpal tunnel to the wrist. As a result, it causes pain in our wrists, fingers, numbness and other problems.

Causes of Carpal Tunnel Syndrome

There are many reasons for carpal tunnel syndrome but some of the main reasons are mentioned below:-

Median nerve compression.

• This is the most common cause of Carpal tunnel syndrome. which leads to our wrist through a narrow passageway called the carpal tunnel.

Perform repetitive tasks.

• Carpal tunnel syndrome is caused by doing the same work continuously, i.e. repetitive work that puts pressure on the wrist (eg typing) or working with objects that vibrate all the time. These activities cause nerve damage and muscle weakness.

Injured wrist

• Lifting a heavy object or any other injury to the wrist creates a damaging effect on our median nerve.

Hormonal changes cause

• This problem is more noticeable in women due to hormonal changes at different times in women's life due to certain reasons.

Other diseases of the body

• The risk of carpal tunnel syndrome increases if the wrists are kept away from work due to diabetics, arthritis existing for a long time in our body.

Carpal tunnel shape

• If our carpal tunnel is smaller in shape than the median nerve.

Symptoms of Carpal Tunnel Syndrome.

Some of the main causes of Carpal Tunnel Syndrome are mentioned below:-

1.Numbness & tingling sensation.

• Numbness and tingling sensations are experienced due to nerve compression in the thumb, index and middle fingers.

2. Pain

• Hands, wrists and fingers feel quite painful. And especially at night time this pain is intense.

3.Muscle weakness

• This problem is mainly aggravated by doing a task repetitively, during which we feel discomfort even while typing.

4. Pain when doing normal activities

• Slight but sharp pain in the hand during activities that require movement of the wrist.

Types of Carpal Tunnel Syndrome

There are basically four types of carpal tunnel syndrome. They are mentioned below:-

1. Acute CTS

• An injury to the wrist can cause sudden onset of symptoms of Carpal Tunnel Syndrome.

2. Chronic CTS

• Repeating the same task over a long period of time causes this problem. Eg:- Typing.

3. Primary CTS

• This type of CTS usually occurs without any specific medical problem. This problem is mainly caused by doing any work that puts pressure on the wrist for a long time.

4.Secondary Carpal Tunnel Syndrome

• This type of CTS is usually due to various medical conditions. For example :- Pregnancy, Diabetes, Thyroid etc.

✅ How would you diagnose a carpal tunnel syndrome? Any clinical investigation or assessment tests?

In the modern medical system, doctors use several methods to diagnose Carpal Tunnel Syndrome. They are mentioned below:-

1.Physical Examination

• Thorough full body examination by an experienced physician.

2.EMG

• Measuring the electrical activity of muscles.

3. Nerve Conduction Study (NCS)

• Measuring muscle strength and speed.

Clinical Investigations

1.Medical history.

• In this case the doctor will first tell the patient about his problems in detail or he will ask some questions. For example, since when did this pain start, is there any specific reason for the pain, i.e., does the pain start after doing any particular activity, how intense is the pain and how long does the pain last, etc.

2. Lifestyle

• The doctor can also ask questions such as what kind of lifestyle the patient follows, what is his job, what kind of pressure is created on the wrist in those jobs.

Physical Examination

• In physical examination, doctors can better understand the patient's wrist problems by performing several tests on the patient's hands and wrists.

Special Test

Some special tests are done as clinical test for Carpal Tunnel Syndrome in Physiotherapy. eg :/

1. Phalen's Test

• This test is done to diagnose problems caused by pressure on the median nerve in the hand.

In this case, the patient has to keep the palms of both hands together as recommended by the doctor, leaving the elbows as much as possible.

2. Flicks Test

• In this case, the patient should try to reduce the pain or discomfort before seeking medical attention. Usually patients refer to the relief of their problems by flicking their hands, so it is called the Flicks Test.

3.Reverse Phalen's Test

• In this case, keeping the palms of the hands together, the wrists should be extended in opposite directions as per the advice of the doctor.

4.Tinel's Sign

• It is used to identify presence of nerve regeneration or nerve compression. In this case, doctors tap the patient's fingers along the median nerve, and if there is compression of the nerve, the patient expresses a tingling sensation.

Median Nerve Compression

• Compression or compression of the median nerve at the wrist.

✅ Try to practice at least 3 exercises that you have learned from the lesson. Share images, gifs or videos while practicing preferably gifs or videos.

Wrist Rotations

•For this first I my my two hands Stretched forward, then first put the thumbs of both hands on the palms and then make a fist through the remaining four fingers and rotate the wrist first several times to the right and then several times to the left.