Wrist

Lady with wrist pain

Carpal Tunnel Syndrome (CTS)

Tingling and pain occur in the palm of the hand and all the fingers including the thumb, except the little finger - the 5th digit is always excluded. Pain with tingling and numbness occur in these areas.

Entrapment occurs with irritation of the nerve as it passes under the bone arch of the carpals (hand bones) at the wrist. This can occur with overuse or injury to the wrist or with fluid retention, for example in pregnancy. 

If you have these symptoms, you should seek manual therapy treatment as a first line of action. Recent research has shown physical and manual therapies to be similarly effective to surgery in the medium and long term for improving pain and function but with better results in the short term. In addition to this, if you are experiencing symptoms in both hands, it is likely that there is some involvement of nerve irritation at the neck. We have seen a number of patients who have had bilateral CTS surgery and still have symptoms receive relief from their symptoms with treatment only to the neck.

If you are suffering from Carpal tunnel syndrome or would find out more, call the clinic to book an appointment or speak to one of our practitioners. 

Repetitive Strain Injury/RSI

These are injuries sustained from repetitive tasks, most classically in the upper half of the body and often associated with work.

They are characterised by;

  • Pain,
  • Stiffness
  • Restriction.

Manual therapies including deep tissue massage and manipulation can be extremely effective for the pain relief. Rehabilitation exercises will also be prescribed which will decrease the risk of a reoccurrence. We will also help you understand the activities that are causing your problems and help you modify them in order to help you get better.

So if you would like to book an appointment or would like to know more information then please call the clinic today.

Stenosing Tenosynovitis / trigger finger.

Commonly known as “trigger finger” or “trigger thumb” it is characterised by the tendon becoming caught as it tries to slide through the system of pulleys that hold it in place. This can occur with a thickening of either the pulley or the tendon itself. When the tendon then manages to pull through, the finger snaps into a “trigger” position rather than moving smoothly. This can be associated with pain and a popping or snapping noise.

Trigger fingers are common with conditions such as gout, rheumatoid arthritis and diabetes. Sometimes they can occur with occupations or hobbies that involve repeated strong gripping activities. Sometimes it occurs with no obvious cause.

Treatment will usually includes the use of splints, ergonomic advice, anti-inflammatories and may involve injections.

If you require more information on this condition then please call the clinic today.