Carpal tunnel syndrome (CTS) is a condition caused when pressure is applied to the median nerve as it passes through the wrist. When playing a musical instrument, especially for hours at a time for several days in a row, the fast repetitive movements of the fingers can cause the tendons—all nine of them—that travel through the carpal tunnel to rub together, creating friction. This leads to heat and eventually swelling or inflammation, which manifests as pain, numbness, and tingling. Without treatment or modifications to your practice schedule, it is likely the numbness/tingling in your hands and fingers will gradually worsen and may even completely prohibit you from playing your instrument.
We must accept that every tissue in our body has a certain capacity or threshold, and if it is exceeded, problems will surface, and there are factors that can make some of us MORE SUSCEPTIBLE to CTS. Some of these differences include female gender, age over 50, hormone imbalances (low thyroid function, diabetes, and others), birth control pill (BCP) usage, pregnancy, obesity, and manually intensive jobs. Personality can even play a role—if you’re someone who will push yourself to play through the pain, then your risk for CTS is greater.
Because both hands are typically required to play an instrument, it is more common than not that BOTH hands may eventually become symptomatic if you don’t practice some VERY SIMPLE preventative “tricks of the trade.” So what are those tricks?
Take 30-60 second mini-breaks every hour during your practice sessions to stretch. Simply BEND your wrist and fingers back as far as you can with your other hand or against a wall (fingers pointing downward) and try to touch your palm to the wall. Hold the maximum stretch for five to ten seconds and repeat until the forearm feels looser (usually three to four times).
Another “trick” is to wear a cock-up wrist splint at night since we cannot control our wrist/hand position when sleeping. When the wrist is bent to its maximum, the normal pressure inside the carpal tunnel increases six times or more, which can REALLY irritate the median nerve.
Doctors of chiropractic can teach you proper exercises, fit you with a wrist splint, AND check to make sure pressure on the median nerve isn’t the result of dysfunction in other anatomical areas along the course of the nerve, such as the neck.
So, if you are experiencing wrist pain, numbness, hand weakness, and carpal tunnel symptoms and you type in pain management near me, you may find Coast Chiropractic Centers with Dr. Timothy Harcourt, me, comes up.
You may wonder, “Do I need an MRI scan of my neck or wrist.”?
What is carpal tunnel syndrome?
You may have a “funny feeling like a numbness frequently called paresthesia. Even a handshake may be painful or weak. Some people have prescribed chemicals that may temporarily reduce the numbness but not fixing the problem. The numbing in the fingers can be annoying and even debilitating.
Also, if you feel arm pain it may indicate things are getting worse and may indicate a bulge on the disc or worse yet a herniated disc in your neck. Persistent or worsening pain intensity and/or frequency necessitates a visit to see a professional.
Call me, Dr. Tim Harcourt, at (239) 278-3344 and mention this article for an awesome discounted first visit to include history, exam, and adjustment or Class IV high-intensity laser treatment.
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