Tingling sensation and numbness from thumb to middle finger at night, pain during gripping in the further course as well as muscle loss in the area of the handball are typical symptoms, which are connected with a so-called carpal tunnel syndrome (KTS).
The cause of the complaints is a narrowing of the so-called median nerve. It is a nerve of the peripheral nervous system, responsible for motor skills and sensitivity.
The Pain Specialists med. Petra Bracht and Roland Liebscher-Bracht see the causes of the discomfort caused by the carpal tunnel syndrome in overstressed tendons, which swell and thus no longer have enough space in the tendon sheath. Osteopathic pain therapists, trained according to Liebscher and Bracht, can relieve the associated pain quickly, effectively and sustainably – and avoid surgery.
What exactly is a carpal tunnel syndrome?
The carpal canal or carpal tunnel is the space between the carpal bone and the carpal ligament above it. Tendons and the median nerve run in its interior. The median nerve provides sensation to the thumb, index, and part of the middle finger and controls certain hand and finger muscles.
Symptoms arise when the nerve is damaged. The carpal tunnel syndrome is a common condition that occurs in older people, with women three to four times more often than men.
How is carpal tunnel syndrome created?
A carpal tunnel syndrome occurs when the carpal tunnel is narrowed and the tendons and nerves are too small. As a result, the pressure in the tunnel increases on the nerves and the capillaries, which supply him with blood. It creates a damaging undersupply of the nerve with oxygen and nutrients, by what its function suffers and it is permanently damaged.
Such a bottleneck can have different causes. For example, stress, rheumatism, and metabolic disorders can swell the tendon sheaths. This can happen in pregnancy. However, a bottleneck in the carpal tunnel may also be due to anatomy or may result from fractures of the radius or carpal bones. Osteoarthritis can also play a role, as do other changes in the wrist that affect the carpal tunnel. The rate of carpal tunnel syndrome is high, but it may also be acute.
The development of carpal tunnel syndrome is also fostered by false or excessive stress: If the wrist is bent heavily, as in riding a bicycle, for example, this reduces the blood flow. Inflammation of the tendon sheath due to heavy loading can lead to thickening so that they require more space and contribute to carpal tunnel syndrome. Shortening movements, such as the increased use of hand or thumb – keyword SMS thumb – can lead to muscle tension and swell the tendons.
A lot of writing, whether with the pen or the computer, or sports do not affect the formation of a carpal tunnel syndrome as the temperature. On the other hand, one-sided stress on the wrist due to a recurrent kinking of the hand – such as in manual work – has a positive influence on the occurrence of carpal tunnel syndrome. An increased risk of contracting carpal tunnel syndrome can be found in diabetics, pregnant women and rheumatics.
“Slumped,” aching and tingling fingers, which can normalize after a short time and can radiate to the arms or thumb and middle finger, mark the beginning of the carpal tunnel syndrome. Rubbing or shaking the hand can alleviate the symptoms.
Complaints are often noticeable at night because sufferers sleep with their wrists angled. In the course of progress, there are ongoing, even painful, painful symptoms. If nerve damage occurs as a result of carpal tunnel syndrome, this has significant effects on the motor functions and the muscles of the thumb and hand in conjunction with a loss of power during gripping.
How is carpal tunnel syndrome diagnosed in the doctor?
Whether the complaints are carpal tunnel syndrome, a doctor can diagnose relatively easily. He will take a close look at both hands and perform various tests that focus on the mobility of the hand and fingers or whether sensory disturbances are present. Can movement trigger the pain or is the median nerve sensitive to knocking?
Does deafness or discomfort occur in the area of the thumb due to strong bending? This is usually followed by electrophysiological examinations, with which the conduction velocity of the nerve is tested and with whose result conclusions about the degree of nerve damage can be drawn.
If the cause is osteoarthritis, an X-ray examination can provide clarity. In a tendon sheath inflammation sonography, i.e., ultrasound, or magnetic resonance imaging (MRI) are performed in hand – also to exclude a tumor as the cause. Also, electromyography can be used to test the electrical activity of the nerve.
Treat carpal tunnel syndrome according to Liebscher & Bracht without surgery and medication
Imaging techniques in medicine have a major disadvantage. None of these methods are the causes that cause damage to the wrist: Excessive tension of the muscles and fascia from the forearm to the fingers can be read on any radiograph and no image on an MRI. They contribute significantly to the symptoms associated with carpal tunnel syndrome because they swell the tendons in the carpal tunnel.
It creates pressure on the nerve and associated pain. The medicine completely ignores them in the treatment of carpal tunnel syndrome and follows strictly their “schema F,” which often leads to a treatment spiral that ends in surgery.
Pain in connection with carpal tunnel syndrome, however, arises precisely from these false voltages, which are caused by overloading of the wrist and the surrounding muscles and always recurring movements. For the pain specialist Roland Liebscher Bracht, it is no solution to repair carpal tunnel syndrome with painkillers, anti-inflammatories, or even an operation, even if an operation makes sense in a few cases. The treatment according to Liebscher & Bracht begins before the operation and aims at the relaxation of muscles and fascia.
The pain specialists assume in their treatment approach that a not exhausted, but anatomically applied movement potential cause pain in the wrist area. With manual therapy via the “72 Liebscher & Bracht Osteopressure Points” and targeted exercises, the “27 Liebscher & Bracht exercises” as well as the fascia roll massage, patients can alleviate the pain of the carpal tunnel syndrome, which, according to Liebscher & Bracht, does nothing other than an alarm signal indicating impending damage is triggered in the brain. In more than 90 percent of cases, a clear pain reduction already succeeds after the first treatment session.
Medication and surgery – the traditional approach to carpal tunnel syndrome
Conventional treatment will provide a splint and possibly anti-inflammatory drugs such as cortisone for a limited period – either via tablets or syringes. Relievingly, sufferers also describe treatment with ultrasound waves. However, if symptoms such as numbness or loss of muscle function persist and sufferers become severely distressed, a physician will discuss open or endoscopic surgery. The band structure, which limits the carpal tunnel upwards, is split, more space is created and the pressure on the structures diminishes. The complaints then usually subside quickly. But you can not fix muscle breakdown already done.
Treat carpal tunnel syndrome to relieve pain
1. Anti-inflammatory envelope with ginger
Numerous anti-inflammatory medicinal plants can be of great benefit. This includes, for example, ginger.
For the envelope, you need two tablespoons of grated ginger, eucalyptus, and peppermint. You can use essential oil or make a tea yourself, the effect is the same.
Simply brew five leaves of each plant and two tablespoons of grated ginger with a glass of hot water and then refrigerate in the refrigerator.
Then moisten a cloth with the mixture and place on the painful area for half an hour. This will provide relief.
2. Anti-inflammatory envelope with rosemary and cypress
Make an infusion of two sprigs of rosemary and a glass of water and chill.
Massage the painful area first with cypress oil, which has a strong anti-inflammatory effect. Then make an envelope with the cold rosemary tea. With it, you can treat carpal tunnel syndrome.
3. Envelope with fenugreek flour
Have you already heard of the excellent features of fenugreek? This herb is also called Fenugreek. It has a strong anti-inflammatory and analgesic.
This medicinal herb contains niacin, vitamin B3 and flavonoids, which you can benefit from in diseases such as osteoarthritis or arthritis.
The flour is mixed with hot water until a thick paste is formed. Once this mixture is a bit cooler, simply apply to the sore wrist. You will feel great relief.
4. Treat Carpal Tunnel Syndrome: Nutrition Tips
Nutrition also plays a major role in relieving inflammation.
At the same time, it’s about strengthening certain nerves, cartilage and bones with certain nutrients.
In the morning you can start with a spoonful of flaxseed oil, which works well against inflammation, as it contains a lot of vitamin B6.
Rice, green leafy vegetables, chicken breast and bananas, as well as juices of grapefruit, pineapple and oranges should not be missed.
They provide valuable antioxidants, minerals and vitamin B. Also, the juice from kale and apple can help you. Drink this three times a week.
5. Ergonomic measures
The use of mobile phone and computer strain the wrist heavily. Therefore, try not to sit too long on these devices and choose an ergonomic keyboard that will do its best to protect the wrist as much as possible.
Gentle hand exercises are also recommended: rotate the wrist for one minute or slightly stretch the thumb with the other hand for one minute.
This is good, so as not to lose flexibility and resolve the tension. The exercises should always be gentle and short.
This disease can not be reversed. In worse cases almost always requires surgery. But with these tips and home remedies, you can treat the carpal tunnel syndrome to relieve the discomfort.