Carpal tunnel syndrome Rehabilitation of surgery for tunnel syndrome

Carpal tunnel syndrome abo carpal tunnel syndrome abo tunnel neuropathy of the median nerve on the carpal tunnel (carpal tunnel) - the compression of the median nerve on the carpal tunnel (in the carpal tunnel) by the transverse wrist ring. The most widespread neuropathy as a result of the delay on the hands. Sponsor to be with middle-aged children, often with women. Half of the vipads have two sides, a little more turns on the dominant ruts.

Code for MKH 10 carpal tunnel syndrome G56.0.

Causes carpal tunnel syndrome.

"Classical" syndrome of the carpal tunnel is too chronic.

These are the causes of carpal tunnel syndrome:

• Trauma, often tied to the robot: repeated hand or wrist; re-squeezing the brush, trimming the tools; non-manual position hands and wrists, especially stronger wrist flexion; straighten the grip on the wrist; robot with vibrating tools.
• Primary reasons: obesity; it can be hourly for the hour of vaginosti; mucopolysaccharide V; tuberculous tenosynovitis; Diabetes mellitus; hypothyroidism; acromegaly; amiloidosis; carcinomatosis; rheumatic polymialgia; Rheumatoid arthritis; gout.

"Gostry" syndrome of the carpal (carpal) canal buvaє in the edge of the rіdko. Yogo symptoms appear quickly and rapidly.

reasons:

• Thrombosis of the middle artery.
• Bleeding or hematoma of the transverse wrist band.

Symptoms of carpal tunnel syndrome.

1. Loss of sensitiveness in the eyes of the sickly one in the hand. Bіl can go up the hill on the rutsі, inіdі right up to the shoulder. Lokalizatsiya oniminnya zvivay on the hollow surface of the 1st, 2nd, 3rd fingers of the hand and the intermediate side of the hollow.
2. Weakness of the hand, especially when clenched into a fist. May be atrophy tenara great finger on the hollow surface of the brush).
3. Lack of hand and hard with precise hands.
4. Hypersthesis (increased sensitivity) in the 1st, 2nd and 3rd fingers, the most is rotated in the fingers.
5. Phalen's test: squeezing the hand into a fist for 30-60 seconds, until pain appears, or pokolyuvan.
6. Tenelya's symptom: numbing over the carpal canal of the wrist and poking in the zone of innervation of the median nerve on the hand.

Diagnosis of carpal tunnel syndrome.

For everything you need to spend differential diagnostics shiynoi radiculopathy on aphids mid-row disc... For this, it is necessary to have an MRI scan of a wide ridge. It is also necessary to turn on the tenosynovitis (fired) the tendon of the mucous membrane, to insert the thumb, and the short extension of the thumb. Even more important is the role in the diagnosis of electrical neuromography of the median nerve, as well as in the diagnosis of damaged roots and the tendon of the hand from the carpal tunnel syndrome. Aleelectroneuromyography in 31% of cases may be normal. Obov'yazkovo need to zrobit the ultrasound area of ​​the carpal tunnel. On ultrasound, the structure of the median nerve is visible and the transverse wrist ligament, which can be worn out.

Lіkuvannya carpal tunnel syndrome.

How about carpal tunnel syndrome? I will say at once that the syndrome of the carpal tunnel is not vilikuvati in the minds of the people at home.

The treatment of carpal tunnel syndrome can be conservative and surgical. Prior to conservative therapy, it is possible that symptoms have appeared recently and do not seem to have a pronounced character.

Conservative therapy includes spokiy, intake of refineries (non-steroidal anti-pyretic agents), sterile drugs, anti-inflammatory drugs (drugs that reduce nerve-muscle wires), vitamins, vitamins in groups ) into the wrist channel.

In case of ineffectiveness of conservative therapy, frequent relapses and manifestations of severe recurrent symptoms, surgical treatment is indicated.

Attack on a picture for zbіlshennya Size for access to the median nerve

Operation carpal tunnel syndrome is called neurolysis of the median nerve in the carpal (carpal) canal.

In case of a bilateral lesion of the median nerve, call the side to operate with a greater swelling of the pain. However, with an important nerve injury, if there is already a weakness and an oniminnya, it’s worthwhile to relate to a larger “healthy” side, so that you do not want the maximum nerve renewal on one side. In some cases, it is difficult to perform a surgical procedure in one hour from two sides.

Technique of the operation of the field at the visibility of the growth on the hollow surface of the hand of the bridle of the obvious line, as it is triangular from the middle between 3 and 4 fingers, touching the line edge of the intertenar fold, the palm not behind the scalp line Rise to repair at the distal carpal fold. Dovzhina rozrizu to lay down from the village of Penzlya, which can be trivial until the thumb. It is then carried out on the outside of the transverse wrist ties and the application of sutures on the wound.

During the operation, analgesics are indicated, in the form of ingibitorium cholinesterases (drugs that can affect the nerve-muscle conduction), and the drugs for the treatment of microcirculation and vitamins V.

obmezhennya physical navantazhennya on hand stretching 2-3 times. Dalіkuvalnі physical culture and physiotherapy.

Shvi means about 10 dobu.

literature:

1. Neurosurgeon / Mark S. Grіnberg; per. from English - M .: MEDpress-inform, 2010 .-- 1008 p.: Il.
2. Practical neurosurgery: Essential for patients / Ed. B.V. Gaidar. - SPb.: Hippokrat, 2002 .-- 648 p.
3. Topical diagnosis of malaise nervous system/ A.V. Trіumfov. - 15th ed. - M .: MEDpress-inform, 2007 .-- 264 p.: Il.
4. Al-Zamil M.Kh. Carpaline syndrome. clinical neurology... - 2008. - No. 1. - P.41-45
5. Govenko F.S. Surgery of the ear of peripheral nerves. - SPb.: Fenix, 2010. - 384 p.
6. Odinak M. M., Zhivolupa S.A. Injury and injuries of the peripheral nervous system (treatment of clinical and experimental evidence). Kerіvnіstvo for lіkarіv. - SPb.: SpetsLit, 2009 .-- 367 p.
7. Russell S.M. Diagnostics of the ear of peripheral nerves. Per. from English - M .: BINOM, 2009 .-- 251 p.

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Carpal tunnel syndrome is a stun that develops in case of median nerve trauma or median nerve injury in the middle of the carpal tunnel of the hand. At the same time, the collapse and the sensitivity of the fingers of the hands will collapse (the first three and the part of the fourth fingers are being fought).

The syndrome of the carpal tunnel is involved in professional illnesses, some of them often develop in people of singing professions, the activity of which is tied to the monotonous dexterity of the brush. For example, for musicians, kravts, secretaries (practice with a computer mouse and keyboard).

Carpal tunnel syndrome has two possible uses: carpal tunnel syndromeі tunnel syndrome... If I want the rest of the name, it’s not called virne, some of the most common tunnel syndromes (for example, gliboids lactic nerve).

Statistics

Due to the data of young dzherel, carpal tunnel syndrome occurs 3-10 times more often in women, but not in choloviks.

The peak of the disease is falling for 40 to 60 years. However, tse zovsim does not mean that people of a young age are not sick to a sickness: according to statistics, 10% of those who are younger than 30 years old.

To get involved, people who work today and many years on computers are most sick to develop carpal tunnel syndrome. Approximately up to one s doslidzhen, vin є in a cutaneous slug. The most risky is given to corystyuvachi, for some hours the robot with a keyboard and a computer target, the brush is extended by 20 ° or more. Carpal tunnel syndrome is obviously a "young" ailment. Forwardly becoming ill, similar to the carpal tunnel syndrome, describing the English surgeon Ser James Paget in 1854 when a patient with a fracture exchange list on the wrist.

Crumbs grow out of place, but ailments can grow in robots, so that monotonous ruhs can be seen.

Well, in our hour, if the personal computer is mіtsno vіyshov in life bitch people, Carpal tunnel syndrome is not the nature of the epidemic. However, science does not stand on the point. Chudova is new for active personal computer users: a special platform has been broken up and a literal computer Misha with a magnetic ring has been broken, as I show the hands of the people. Stylish new product tunnel syndrome, So and for the prevention of its development.

Budova and Robot Nerves

Entering from the nerve cells, the sprouts go up at once and set up the bundles - the nerves.

In sukupnost, all the nerves form the peripheral nervous system, spinal cord organs and tissues. Moreover, the dermal nerve is leading to its length or organ.

Budova nerve cells (neurons)

tilo nervous cells revenge the core, and the call is surrounded by a wall, as it is stored in two balls of fat. Chemists should use only words in the cellar, which can be found in fats (for example, kissen).

neurons dull Rіznu form(Kulyastu, spindle-like, spindle-shaped, spindle-shaped), as well as a number of growths. Neurons are always sensitive (send impulses from organs and transmit them to the CNS);

Tilo nervovoi clitini not issued before reproduction (submission) and renewal when updated. However, when the axon is cut, or the dendrite of the clitin, it will prevent the renewal of the folded spine (growth).


Axon and dendrites

axon- a large outgrowth of the nerve cell, which transmits the stimulation and information from the neuron to the organ of a tissue (for example, m'yazam).

Most nerve cells have only one axon. However, it can be extended to a small number of gillocks, which can be associated with other cells: oily, nervous, or hairy. I will also call the synapse of the axon from the target cell. There is a synoptic gap between axons and cells.

At the end of the axon's skin throat, it grows as if it is a chubby with a special speech - a mediator. Until the singing moment, I’m in the “sleeping” camp.

The name of the majority of axons is covered by Schwann cells (showing an adaptable and vital function), as they establish a myelin (cerebral) sheath. Mіzh Schwann cells є Ranvier overcrowding is the area where the myelin sheath is degraded. However, in some axons from the outside, Schwann cells are lack of fiber.

For the peripheral nervous system, muscle fibers are characteristic.

dendrites- short growths of neurons, in addition to some wines, we will take information from the cells to the organisms and their nerve cells.

budova nerve

Name the nerve of the trioma as balls:

1. Endoneurium, in which to pass the capillaries (other vessels), to live the nerves of the fibers.
2. Perineurium, "odd" bundles of nerve fibers, splinters to avenge collagen (block is the basis of the fabric), which has a healthy function.
3. epinevri - call ball, Statements from the great fabrics, which will drain the nerve.

Nerves are transmitting impulses from the brain, as well as from the spinal cord to the cells of the organs and tissues.

How can a nerve impulse be transmitted?

How do you get an impulse transmission?

In the norm, the axon is in a calm state and does not conduct impulses. In this case, the caliber is moved in the middle of the axon, and the sodium is named (roughly, how I would like to put the cell into a salty space).

However, for an hour I enter an impulse to the axon from the dendrite, the situation changes: the sodium moves in the middle of the axon, and the other goes out. As a result, the internal center of the axon is charged for a short period of time with a positive charge, which leads to a surge of sodium in the cell. Ale with a lot of kaliy prodovzhu vikhoditi z axon.

Timing an hour, they expand into the middle cells of the axon, changing the penetration of the membrane, in such a rank, to the extended pulse. When you pass through the singing point in the axon, the nerve cells will not accept the “command” to relax, so you will turn into a camp of calm.

Such a transfer to an impulse is sufficient (for example, a signal, messages from the brain, to reach the hand through chilina). However, the zavdyaki of milky shells win quickening, the splinters "jump" through the Ranw intervals.

However, the impulse is guilty of spending a day on the cell. For many wines, having reached the point of a neuron, they can take advantage of the bulbs of mediators, who will take them to the synoptic field. Distant mediators can use special receptors on the target organ-target (mucus, zalozi and іnshі). As a result, we see the action: collapse with hand, fingers, turn of the head and so far.

Anatomy of the hand, wrist and front

All the brushes of the brush are made between the slopes, the tinkles and the muses. The zavdyaki chomu become mossy in the brush, which is controlled by the nervous system.

beforehand - a part of the hand of a people, which is folded from two pipe-parts (dovzhina is loaded over the width): a promenade and a littovo. Z above there is surrounded by a lіktyovy hinge, and below - by the wrists.

Budova and the function of the median nerve

The median nerve is repaired in the area of ​​the shoulder with the glocks, fixed by the fibers spinal nerves(Shosty-eight shiiny and first breast). We heat straight to the brush, ale on the equal shoulder and the little holes of any throat are not allowed.

Having reached the area of ​​the front (from the right to the hand), the middle nerve goes to the side of the throat. We can pass through the carpal tunnel before the transverse ring of the wrist and straighten on the ends.

For its course, the middle nerve of the onset of the muzzle:

• Superficial and glibous fingers, which are visible for the second-V fingers
• M'yaz, yaka spriy zginanyu and wrapping beforeplichchya - round pronator
• M'yaz-zginach of the wrist - zginaє and bring the brush
• M'yaz, zginati nigtyov phalanx of the first finger
• Dovgu palmar m'yaz, scho zgina brush and stretching the longitudinal aponeurosis (wide tendon plate, yak covering the mouth of the hand from the hollow surface)
• Square m'yaz, yaka is visible for the wrapping of the brush and before
• M'yaz, how to bring the thumb of the brush
• M'yaz, yaka protistavlyaє the great finger of the hand to all
• M'yaz, zginati thumb
• M'yazi, yakyut II-III fingers.

From the areas of innervation, the middle nerve takes part in the inner and outer side of the hand, the inner side of the fingers, brought to the bottom of the fingers of the hand of the first finger, wrapped around the hand and in front of the front.

The middle nerve is also an inner nerve on the hollow surface of the brush of the first, probable and middle, as well as parts ring fingers, And on the til surface of the hand is the crust of the fingernose phalanges of the common and middle fingers.

In such a rank, the middle nerve will be secured like a ruch, so is the sensitivity of the hand.

Causes of the median nerve injury

Trial of the robot at the computer

However, it has been carried out until it has been shown that not all frequent corticosteroids of a personal computer develop carpal tunnel syndrome. For this reason, you need to talk about it. For example, the most often risky people, such as the III-IV stages of obesity (for fat, the sound of the wrist canal sounds), the child becomes (anatomically larger, the higher wrist canal) and deeds.

Arthritis: rheumatoid, psoriasis or gouty arthritis, as well as rheumatic fever with lesions

Far in an hour, the world is overwhelmed by the current of the main ailment, the old globular cartilage... To that, the stench draws in its elasticity, there are tremors on them. As a result of the step-by-step cartilage, the repair is erased, and in some cases of the cartilage, the brush is exposed. These snakes lead to the bend of the cartilage and the growth of the sloped surfaces. To that, deformations occur, as a result of which it is normal to break down Anatomy Budova hand and carpal tunnel.

Wrist injuries

However, systemic corticosteroids may be more numerous side effects(For example, sleep deprivation, vyrazok virazok in the bowel and intestines). That will become stagnant with protection, especially when people are ill (for example, for a child with diabetes). In addition, the stench is attributed to the activity of the immune system, which, if the infection is evident, does not have a stench.
Є One more uncomfortable moment: when corticosteroids are crushed, the “ricochet” syndrome may develop: all symptoms are rapidly turning around.

mіstseve lіkuvannya

The introduction of likarsky sumis

At the carpal tunnel, behind the help of a special dovogo head, a lykarska sum of an insensitive (lidocaine or Novokain) with a corticosteroid hormone (Diprospan or hydrocortisone) is injected. As a rule, after the introduction of leaks into the empty carpal tunnel, pain and symptoms of ailment will become known in an hour. However, in deyaky vipadkah you can do it, but after 24-48 years, step by step change.

With such a method, people are already ill at ease. If the symptoms are not familiar, then another two procedures should be carried out with a two-step interval between them.

In case of recurrence of sickness (when symptoms appear again), the course of treatment should be repeated.

Mistsevі compresses with a folding warehouse

One of the options in the warehouse:

• Dimexide - 50 ml
• Roschin lidokainu 10% - 2 ml, or Novokainu 2% - 30 ml
• Roschin hydrocortisone - 1 ampoule
• Water - 30 ml

The warehouse can be prepared in a cool place and stored for a long period of time.

Carpal tunnel syndrome: surgery

Meta engaging - lowering the grip on the median nerve by expanding the lumen of the carpal tunnel.

Є two types of operations, which are carried out during the meeting of the masses of the sick:

After the operation is carried out on the wrist area, a bandage should be applied to the wrist bandage. Physiotherapy and gymnastics are the main methods of treatment (due to the loss of fingers with a fixed wrist).

After 3 months of operation, the function of the brush will be updated by 70-80%, and after 6 months it will increase.

The writing of ailments can be turned to its own kind of special kind of performance. However, if you don’t change your mind (it’s correct to do the work of the work, to fix the problems), there’s a high risk of relapse (turning the symptoms in sickness)

non-drug treatment

with hypothyroidism hormonal therapy is indicated: L-thyroxine, Eutirox.

with climax Physiological or individual (vision of students) for a particular therapy is assigned hormonal drugs, Scho revenge estrogen (female hormone). However, it’s also possible to get rid of it for thinking that the rest of the menstruation in the woman’s bullet didn’t get worse, at least 10 times, but it didn’t meet 60 times.

As women are menstruating, If you take hormonal anti-inflammatory drugs, you may have developed carpal tunnel syndrome, then you will skate, or change to another drug.

lykuvannya red diabetes is directed to zapobіgannya stribkіv rіvnya tsukru in a broach dob. Oskіlki itself in a wide range of vypaduyutsya at the great number of speech, like ears of neurons. However, the likeness of its own particularity in fallowness is of the type of ailment.

With type I diabetics, insulin is recognized (short, long or middle day). Dose-up and the scheme of overstatement is individual, to lay down in the blood of the gravity of the fallout.

In type II diabetics, sucrose-negative drugs (Glucophage, Metformin) are used, which increase the sensitivity of the cells to insulin, and reduce the appropriate level of glucose in the middle. In addition, the stink can reduce the level of glucose in the liver, as well as the moisture in the intestines.

With the sparing of the private function, the preparation will freeze up, which will stimulate the release of the cells with insulin. The chain of origin sulfonylsecovini: Chlorpropamide, Glikvidon and іnshі.

Indifferently to the type of diabetes for the polyphenia of tissue harvesting, preparations of thioctic acid are recognized (Thiogamma, berlitionu). The stench will dye the glucose absorption with tissue, knit together radicals (unstable molecules, which will cause normal cells to organisms), especially cells of the nervous system.

with chronic nirkova lack education is aimed at improving the function and blood circulation in nyrkas, in the development of a new age in the body and in dairy products in the exchange of bilkiv.

For the sake of stagnation, the preparations develop blood supply and blood circulation in other vessels (for example, Warfarin, Angioflux).

In some cases, it is recognized as a part of it (in fallowness as a step of saving the function of nirok).

Sorbents (polysorb, enterosgel and іnshі) are used for vivedennya of kintsev products.

With a high arterial vise, preparations become stagnant, such as regulating this: іngіbіtori APF(Diroton, Captopril), calcium antagonists (Verapamil) and іnshі.

In case of turns of nirkovy deficiency (III-IV stages) of the ailing one, switch to the unit of a piece nirka.

physiotherapy procedures

However, not being sensitive to their efficiency, not everyone can do it.

General indications of physiotherapeutic procedures

• fluffy processes
• availability
• important III stage heart failure
• Be-like infectious-viral ailment during the period
• An important overbig of a tsukrovy diabetus
• announcements arterial vise- the time is counter-indicative. For yogo normalization procedure can be carried out.
• the presence of a cardiac stimulator
• Epilepsy with frequent convulsive seizures, asteria and psychosis
• Reduced health of blood thickening and strength to bleeding
• Variations in heart rhythm disturbance: the importance of blinking arrhythmias (quickness of the heart rate and the atrium is out of sync) and extrasystole (in case of a number of impaired heart rhythm)
• Recognition of gnaynichkovyh firing on shkіrі

ultraphonophoresis

After an hour of the procedure being injected onto the body, you should seek the help of ultrasonic pins, as they take the penetration of the lykarsk people in the middle of the cell.

In addition, the ultrasound itself is useful: expanding the judgment and accelerating blood flow in the capillaries. The breeders are changing because of the pain, the swelling and the blooming of the hematomas change.

Yak lykarskі zobi stasosovutsya Dimexidum, zestboluyuchy, hormones and іnshі drugs. Vinatok - deyaki lіkuvalny drugs, Yaki ultrasound ruinu: novokain, vitamini group B, ascorbic acid and іnshі speech.

Tsіlі - reduction of pain and heat, acceleration of renewal of tissue.

showing

• Injury of the musculoskeletal apparatus: osteochondrosis, arthrosis, arthritis, (illness of sudin)
• Active tuberculosis of the legends
• Individual intolerance to drugs for phonophoresis

A collection of medical practitioners wipes with a disinfectant wipe for a shkiri, which is used for procedures. Give the factory a Likarskiy zasib to the school, put the butt to the smallest unit injected, which gives ultrasound hvili.

The triviality of one procedure is from 10 to 30 minutes. Course - 8-12 sessions. Through a few months, if necessary, the course of treatment is repeated.

Shock-khvilova therapy

As a result, blood circulation will increase in the amount of delay, pain will change, and sensitivity will be renewed. Moreover, through a series of procedures, I can fix the growth of cysts, and in the middle of the battle the growth of new judges.

The method of laying is effective, but when you pick it up right away, you can use it to get the result, like the operation.

tsіlі

Likuvannya of hospitals and chronic pains, injuries, diseases of the musculoskeletal system (osteochondrosis, arthritis and others) and the nervous system.

showing

• Arthrosis, arthritis, osteochondrosis, grids and protrusions of mid-spine discs, p'yatkov spur
• Stone in zhovchny mikhury and nirkah
• Over the years
• Injuries of soft tissues: muscle, ligament, tendon
• Scar tightening of the ligaments, tendon and ligaments, so that the ruffs (zginannya, razginnya) in the cicework are interlaced
• Pain during blows, fractures, stretching
• Descriptions and trophies
• chronic m'yazy bill, Scho winikє through trivale and frequent transportation

(Dodatok to zagalnykh)

For up to 18 rockies, some of them are badly going on the parish zones and kistok. Todi yak, when їkh zhkodzhennі develop nezorotnі vymeni, which negatively mean on the development of the skeleton of the child.

Methodology

The medical assistant will help the ailing child to wipe the couch, then wipe the dilyanka, disinfect and disinfect it. We'll use the localized apparatuses in the fallowing areas from the region to the stagnation and discomfort (there is a program). Gave a special gel to the shkira, for which the butt of the sensor is poured into it before the injection, which will do the necessary for the medicinal impulses.

The course of lіkuvannya - 5-7 procedures, dermal conditions 20-30 hilines. The procedures are carried out at intervals of 3-7 days. Nearly 90% of the sick have a liking for a disease, which is more important than polishing in the camp. If necessary, the course of treatment should be repeated through a few months.

Close

It is not possible to inject with shock waves on the area of ​​the head, intestines, great blood-bearing deaths and legends.

Prevention of carpal tunnel syndrome

Otzhe, how are you going to work with the mechanism of development of ill health?

have your roboche misce
Take the height of the computer table in such a rank, that on the same surface there were some people of the style. It’s like this is an hour of robots (a friend or a computer bear) before lying quietly on the tables or on the doorstep, and not being in the adjoining camp. To that, the hands of the hands are loosened up for an hour, and the hand in the wrist area does not bend. In this case, do not appear on the canal during insertion and do not pinch the median nerve.

In addition, for an hour, the robot will be able to achieve that, across the length of the shoulder, until the stegon is routed at 90 °, and the edge between the shoulders and in front of them is also set to 90 °.

Do not wrinkle or pinch. Follow the team so that the head does not retract from the shoulder.

Take a manual keyboard and computer Misha
As soon as the robot is rooting out the hands correctly, then the hands are lying calmly over the working surface, so the ruffs are in them. However, if the keyboard is raised high, then the trim of the hand is brought over it in an advanced position. In such a position, it is possible to apply the option to the carpal tunnel. To that, it is more beautiful to add a special kilimok for hands, or keyboard for nahilom.

Pidberit the computer Misha, so the robot "kicked" in the middle of the hour. So the hand gets tired less and is relaxed. For people who already have developed carpal tunnel syndrome, special computers are broken up, such as the shape of a joystick. When robotic with them, the carpal tunnel is practically not imposed.

In addition, there are special kilims for a computer mish, like a roller (more beautifully vibrate with a gel) on the wrist. At such a preset hour of the robot, the wrist canal is located in a straightened station and is minimized.

The position of the hands during the robot

Install the box and the height of the monitor

In such a rank, for an hour, the robotic text is on the line of sight. Oskilki, if the monitor of the rosetting is low, then it is brought up gradually to head down, if it is high, then it goes up. With such collapses, blood circulation in shyny vіddіlіі hands.

Є I have a friend who, for the author of the rock, monotonous robots with microcircuits at the factory, has contracted her tunnel syndrome of the wrist, which is very important. I would like to help with the statty.

With carpal tunnel syndrome, abdominal pain may be present conservative methods, So і promptly involved. It is easy to see how to fit in with the pinching of the median nerve with folk remedies, pharmaceutical preparations, for help, the right to massage.

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There are nuances of robots at the computer, as they allow the development of the carpal tunnel syndrome. Eliminate the symptoms of illness and the idea of ​​†‹вЂ‹ in some cases to go to surgery. Familiarizing ourselves with the witnesses of people, as they poured neuralgia.

What about carpal tunnel syndrome? The most common form of compression-ischemic neuropathy. Amumulation of the stiffness of the median nerve in the wrist with navkolishny tissues.

Tunnel syndrome of the wrist: lіkuvannya folk zasob

Carpal tunnel syndrome appears on early stages can be carried out independently in home minds, vikoristovuyu available and viprobuvani zoby. Їх dia is straightened to the weakening of the ignition process, swelling, which, as a result, leads to a decrease in the grip on the middle nerve.

The pathological process in the ICD-10 (international classification of ailments) is marked with the G56.0 code.

Most often women suffer from mental illness in the wrist of the natural wrist. The ailment vvazhaєte professionally at the handlers and meat workers, computers and musicians, armchairs, warehouses. For statistics carpal tunnel syndrome salary is about 3-6% of older adults.

Yaki zasobi vikoristovuvati for usunenny zapalennya

take ignition process in the hand of the hand can be helped by the nast_y of the marsh bagna (Bolotnikov) on the apple otst_. Slid to take 1 part of Bolotnikov and 3 parts of otstu, vitrimati 7 days. Rub in the affected area three / day.

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For pain relief people zasobi:

1. ... Sprinkle a teaspoon of fine herbs (dry or fresh) with 0.5 cups of sprinkles, rub 10 chilins on a small water. Drink 1-2 tablespoons of vrantsi before bedtime.
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2. : In front, birch and burdock leaves, hop cone, elderberry and verbena leaves. All the components are in the rural areas, detailed. Brew in a thermos 3 tbsp. spoons of sum_sh_ 1 liter of sprinkle. In 2-3 years, you will be ready for the sale. Take 150 ml of chotiri razi / dobu.
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3. Llyana oliya... Drink 1 hour for 15 days. A spoonful of butter oil a day.
4. Vitamin group B... At the same time, include leafy greens, bananas, vivsyana, rice and greek porridge, peas, dried fruits, potatoes, sprouted wheat grains, dormouse, sesame, hanging, chicken meat.
5. ... Dilute the powder (sold in pharmacies) with water until it becomes porridge. Transfer to a gauze tampon, apply until the ugly dish.
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6. harbuzovy compress... Consume the garbuz on drіbnіy tertsі (siru or baked), apply on the wrists, wrap with cellophane (grubby pudding).
7. Oblipikhovy (Gorobinovy) vidvar... Rose berries, pour a small amount of water, go ahead. Steam the pens (up to litters) 10-15 chilines. To dry the session with a towel, pull on the gloves.
8. ... Cover 100 g of black pepper with 1 liter of roselin oil, show in a water bath 25-30 khvili. Rub butter into the dish 2-3 times / day warmly.
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Hurry up for the neuralgia in your home minds with an alcoholic compress: take alcohol with cold water (1: 2). Turn the picture back at night. "Yak likuvati nezduzhannya, why shouldn't you let me fall asleep?" - Most food on the forums. Mix in 1 liter of water 10 ml of ammonia, 10 ml camphor alcoholі 1 tbsp. l. salt (more beautiful than sea). Rub the rose into the ailment 15-20 minutes before bedtime.

Get some for usunennya nabrya

To know the growth and vgamuvati bіl in the slopes, folk medicine proposes speedily with the present from the visolist company. A couple of st. brew spoons of herb in 400 ml of sprinkle. After 2 years, filter nast_y. Drink half a cup of three / day.

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Protinabryakov diyu nada:

• rosemary,
• Vedmezhi vushka,
• lingonberry,
• lovage
• polish horsetail,
• birch brunks and leaves,
• ship.

From them you can getuvati vidvari, present. Vikoristovuvati і okremo, і in sums (ob'yazkovo with urahuvannymi individual portability).

Symptoms of carpal tunnel pathology, similarity with other disabilities

Oskilki middle nerve innervuє (without a connection from the central nervous system), a larger part of the hand (from the side of the great finger), then in the great finger and two double fingers, half of the ring finger will be generated, In the area of ​​the wrist, there is a possibility of seeing scooter and printing.

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Lyudin can spend a lot of power in the hands. Determine the folds from the clenched fist, the flooding of other objects. There is a problem of simple operation: the stuttering of the goodies, the appearance of the dance of the miner, the lacing of the whirling and the in. Years later, an individual can reduce the temperature of objects in a better way, or not feel light dots. Basically, a pinched median nerve manifests itself on the right side of the brain in right-handers, on the left - in left-handed people.

We often self-consciously put our own diagnosis and struggle with the uncomfortable "work" with recipes from comrades in service, who know them. Why isn't it varto robiti? Illness is often similar to other pathologies, for example:

• diabetic polyneuropathy (lesion of peripheral nerves);
• arthritis (inflamed) of the corner of the thumb;
• radiculopathy shiinoi (duck of nerve roots);
• lateral epіkondіlita (ignition process in the lіktyovy zoneі);
• exchange of palatal periarthritis on aphids of arthrosis, ostearthrosis (lesion of the slopes).

Probably a little bit of visibility in the ailments. So, diabetic polyneuropathy, in the main, is a bilateral process, in both cases and in nerves (not only the middle ones). With carpal and scapular periarthrosis, there is a specific deformity of the slopes, the unwillingness of walking, or getting a hand behind the back, cephalgic syndrome.

Likewise, wrist ailment may be associated with lesions of ankylosing spondyloarthritis (Bekhterov's ailment), disabilities (with rejected injuries), myelopathy (pathological spinal cord).

It is not easy to trivialize the pressure of the median nerve to the point where it is not just fingers, but widens along the entire upper edge, hunting the shoulder-shoulder area. Navi likari can admit diagnostics pardon, Vvazhayuchi pathology "osteochondrosis shinnym with korintsevym syndrome" - the symptomatology of the disease is quite similar.

Special right for wrist

Zastovoyuchi exercise therapy with neurological illness, it is possible to forget about a painful stagnation. Just right and easy. The head is the regularity of the campaign.

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In case of chronic pain, slide your hands into the pelvis (vidro). hot water, Clench your fists and wrap them around to the left and right. The triviality of the water procedure is 10-15 hilines. Dry your hands for the session and do not immediately cool down - wrap your hands in a new hustle or put on mittens.

For bagatyokh "with a rattle stick" є massage for viscous pain in the hands. There is no need for special skills and knowledge, so you can do it. Masazhuvati is required for the whole picture: calling party dolony and step-by-step to the last side before the plan. Rukhi - lightly emboss, iron, rub.

Marvel at the video with simple and brown right:

Porada : At the same time, if you write exercise therapy, you do not have to wait for the hour, and then again fall on you - sign up for an appointment before the physiotherapist. Win sort out in your specific vypadku, even for pardons, in addition, if you come along, the complex itself is right for you.

Yak likuvati zvoryuvannya pharmaceutical preparations

As a result, neuropathy is susceptible to imminent symptoms and treatment with folk methods does not give results, then consult with doctors. When you are susceptible to the compression of the median nerve to what kind of drug is it? The exact diagnosis can be established by a physician-neurologist.

Most often, physicians recognize pain-free drugs - Pentalgin, Ketonal. Stronger inflammation, in the main, is familiar with injections of corticosteroid drugs without the middle in the area of ​​the slope. When the median nerve is compressed, 3 to 5 blockages every other day. The blockade insisted on a trivial effect (see the patients).

Propagate to look over the video: show the illusion, show how the martyrdom of the lykarskoy speech is carried out:

For the improvement of blood clotting when hands are connected, inject nikotinic acid, Trental or Xanthinol. for complex therapy You can pick up vitamins B6 and B12, C, hourly tablets. Patients with a swivel paresthesia (dislocation of sensitivity) can be recognized likarski zasobi carbamazepine series - Tegretol 2-3 r / day, 200 mg. Recommend diuretics, antidepressants, etc.

Scho robiti, as brushes "vіdvaluyuyutsya", but it is necessary to practice

Yak is often unbearable "tunnel" bіl and nevikonan robots torment one hour. How robiti? It is important to navigate if there is a slight symptomatology. pinch busy, yake provokuvalo nezduzhannya... Go to awkward home help, which allows you to spend time in the canals:

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Use a bandage or a wrist splint. The bandage in case of pastoral syndrome can also be used to tighten the wrist in a calm state (without nagging and vignency). In pharmacies (specialty stores), models of the physical step of the physical, size, color are on sale. Oskilki in such a position, the carpal canal has the maximum capacity, the nerve will get enough space.

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Practical fiksatori: it is easy to pull and know, not to encircle the ruffs of the master, you can practice in them. How to wear a fixator during the day is not handy for whatever reasons, put it on the bottom. Beastly respect, that the fixer is guilty of revenge, a tough, or springy element, but a viconanim from a micro-and-sensitive fabric.

At home minds will change, when:

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More beautifully self-esteem going to the pool. The head is mindful of lіkuvalnogo swimming - the water is guilty of being warm, pokryvat the kintzіvka to the very shoulder. It is also fakhivtsi to encourage you to master yoga. The busy people are taking the development of the slopes and elasticity of the words, taking the psycho-social style.

If you go to the surgical treatment

As long as there is no change in the new option and the conservative treatment does not help, then it is indicated before the operation for this type of neuropathy - resection of the transverse wrist ligament.

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It is carried out both in an open manner and with the aid of an endoscope.

onіміння that ill-feeling to go through the operation at once or by drawing the decal messages. In Moscow clientele, the price of surgery is in the range of 21,000 rubles, in Kiev - 6,800 hryvnia (outpatient) - the rate at the time of writing the statute.

If an operation was performed on the wrist, if a patient had an operation on the wrist, it would cause discomfort (negative messages can be detected on the forums).

The reason may be criticized in the fact that with a protracted compression of the nerve, it is not easy to fail. In such a way, the symptoms of ailment can be reduced by surgery. Arthritis (inflammation of the tendons) or tendovaginitis (inflammation of the tendons) can also be disturbing and bothersome during surgery.

Among other methods of diagnostics, electroneuromyography (ENMG), ultrasound of the nerve, and MRI are especially popular.

Replacing the word about IT specialists

Doctors are in a hurry - in the developmental stage, the pathology is fixed in a skinny person, which is done on a computer. Likuvannya neuropathy (especially, if it appears in the cob phase) will not be necessary if you follow the recommendations:

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Try typing with both hands. It is also noted that one could do it with a re-entangled thumb. Often, when the pressure of the keyboard is pressed, the great finger "pierced" from one hand.

Brutal respect! Visually, the ailment at the early stages is possible, if the til sides of the hands are folded, lower them down. At the same time, the guilt "divides" in the sides, and the wrists are bent at 90 degrees. After 30-60 seconds, pain is detected, but pulling in the hands - then turn up to the neurologist to clarify the diagnosis.

Petrov A.P. (lykar-neurologist, Moscow).

In case of carpal tunnel syndrome to the rajah, the patients are consumed with birch and oval rosters: 1 tbsp. a spoonful of birch (yalitsevy) nirok z'єdnati with 500 ml of a bottle, napolyagati 7 days. Rub the ailment brush before bed.

Anna (Moscow).

They programmed their hands with a load sea ​​silly, Pislya chego rubbed yalitsev oil in them. I don’t remember the problem.

Galina (Yaroslavl region).

Winikla Zakovik with his right hand for the fact that I’ve lived for a long time for myself, and for my partner. Steel nimіty fingers. I robbed a paraffin bath, used a balm of Alpine herbs, rubbed a brush with a little gold. Now everything is in order, ale my hand, I do not overexert myself.

Marya (Tver).

The ailing region was drenched in maze from the sinnya fenugreek (special): it raised the nasinnya (vikoristovuvala kavomolka) with water to a creamy camp.

Pidsumok statty:

Now you know that preschool carpal tunnel syndrome can be carried out independently by folk methods. To help you with presentations, compressions, special rights, massage of ailments. Lykarska therapy you can get it ok, or in the beginning folk likuvannyam... We also saw the symptoms of illness and rose up in some symptoms to go to surgery. Z'yasuvali, yak correctly pratsyuvati at the computer. We got to know the witnesses of people, who successfully fit in with the ills.

Make sure you remember that the smut does not give up і shukati wyhіd, as if there was a breakdown in the body. Good health to you!

Carpal tunnel syndrome is a pathological stun, such as a disease as a result of sedentary office work. A sitting robot can provide a very ill, Zak_nchuyuchi with ailments of the support-roche apparatus.

Torment the problem? Enter in the form "Symptom" or "Name of the ailment" to press Enter and see all the symptoms of the given problem or ailments.

The site has been given information. Adequate diagnostics and detection of ailments can be done with a visual summary of the drug. For any drugs, there is a contraindication. Consultation of a specialist is required, as well as a report of the instruction! ...

Sho take tunnel syndrome

Carpal tunnel syndrome is an extended pathological neurological character.
It is characterized by compression of the median nerve, the appearance of pain and lashes in the wrist.

The most frequent problem with this problem is the people who are bound by routine, monotonous robots, which are tied to the end of the life of the brush.

Qia pathology appears, if the tissue, such as to feel the tendon, swell and tighten the median nerve. Tsі tissues are called synovial membranes. They have a ridin, which oozes the tendon, which lays down and is replaced in the tendons.

Є bureaucrats, how to provoke the development of a fallout:

• Genetic skill;
• Imbalance of hormones;
• Pohiliy vіk;
• The appearance of systemic illnesses, for example, diabetic diabetics;
• profession;
• The appearance of the zvichnykh svikhiv: malignant spirits, kurinnya;
• Injury of the wrist, fracture of the hand;
• The appearance of a new solution to grow in the area of ​​the carpal canal;
• Zayva vaga, obesity.

When these factors are applied and continuously repeated insertion on the brush, it develops chronically fired with a good cloth, get out and show off. One hour the cym changes the number of ridini, which is produced by synovial shells.

Continuously rubbing the complete tissues of the tendon for an hour, loosening the wrist, expanding the crease and producing it until the median nerve is compressed. At the storage nerve there are є fibers, so that the sensitivity of the fingers of the hand and the activity of the great finger are lost.

Adjust the vice between the tendon sheaths to produce venous stasis. As a result of these factors, the blood circulation of the nerve will break down, and the price of the disease will develop.

Manifest carpal syndrome

One of the first signs of the manifestation of the disease is the same in the area of ​​the brush. Symptoms can appear at any hour, but it is not important if there is a man. You can sit at the computer or lie on the couch, trim in your hands, the object is not important.

Have a moment you can show up:

• Feeling sickly in the hand;
• Generation in one or both wrists of different intensity;
• Seeing swelling of fingers;
• Onіminnya hands;
• Periodic "shoots" in the fingers.

Rukh with my hands, or else I will begin to produce a change in symptoms. Show a little bit to the syndrome of sloppiness-swerving, the stench then z'yavayutsya, then to know.

When the hour is over, especially since people do not go to waste for help until they come to life and not live at the same time, the atrophy of the mucus may develop.

In the world of development, the symptoms will be permanent. You can fall asleep, right up to sleeplessness.

Weakness and lack of handiness of provocation of intercourse in the viconnes of the most simple everyday manners. It’s important for people to tie their laces or fasten their jacket. Nadal tse get on robots.

Video

Diagnosis of median nerve compression

Schwidshvidshe sticks to the pathology, it is necessary to turn up to the doctor.
Lykar-neuropathologist performed an examination and an examination.

Prior to advanced methods, the following are included:

• electroneuromyography;
• X-ray of the wrist joint;
• Magnetic resonance tomography.

Infection to a lykar with the first signs of the syndrome of additional help to the disease and disease.

Medication for treating ailments

It takes a lot for an hour to get sick.

To eliminate the causes of carpal tunnel syndrome, there are groups of drugs:

• prototypes;
• protinabryakov;
• zealous;
• Corticosteroids.
• Sechoginnikh for a change of embryos.

Medicines will be supplied for the general use, ale only as far as food is concerned, it will be free. To relieve the carpal tunnel syndrome, except for the disease, it is necessary to change the type of activity.

Yak likuvati zahvoryuvannya folk zasoba

methods folk medicine be good and effective only if the stench will be an addition to the traditional drug therapy.
Without the wishes of the people, you can bring a team hour lodging.

Do not need to engage in self-abuse.
Before zasosuvannym koshty not official medicine, consult your favorite drug.

The number of infusions is more helpful in the diagnosis of pathology

Need a sprinkle of salted ogirkiv and a bottle or medicinal alcohol. Finish the ogirki, pick them up with peppercorns, mix them well. Pour the mass into 500 ml of the burner. Pick up the container in the cold for fourteen days.

Filter by and rub it in the exercise. Cycles of additional assistance to normalization of blood circulation and loss of swelling.

bugno

Fill the hanging of the sprinkles of the roseline with apple otst. Seal the box hermetically and fill it for seven days in a cool, dry environment. Rub the tics on your fingers.

Garbuz is more useful in lykuvanni

Razrіzhte on small shmatochki garmon, sip the syruin in an enamel casserole, fill with water and put on the fire. Bring it to a boil, cool it and zitresh syruvin to a mushy camp.

I am ready to apply the porridge to the urazhenoi dilyanka, wrap it with a compression paper on top and close the bandage behind it. To program the procedure, you need to run it once to do it. The triviality of politics - seven days.

Stagnation of salt and liquid ammonia

spread a spoon kitchen salt in two hundred milliliters of boiled trocha of cold water. Find a range of differences with ammonia and camphor alcohol.

Kindly mix up all the Ingredients and crush the cym in a field exercise before going to sleep. Likki additionally help usunion pain and onimіnnya.

Black pepper and roslinne oil

Pour 100 grams of black ground pepper with a liter of roselin oil. Put the warehouse on fire, daughters boil.

Protomit on a small wagon, stretching out thirty khvili. Cool it down and rub it on your ailing fingers 2 times and do it.

Parsley is very thick

Pick up the parsley root and brew 20g of syruin in three hundred mil. Of boiled water. Pick up a container with a warehouse in the cold for ten years. Take the skin for 2 years.

Preparing koshty sechoginu diyu

Dry and thinned birch leaves, about 15 grams, brew in two hundred mil. Of boiled water. Soak your fill in the dark, cold surroundings for 4 years. Live 1/3 bottle of chotiri infusion for a day.

Promptly involved in pathology

If all the cakes have been controlled and the symptoms have been reduced by marnimis, an operation is performed to lower the grip on the middle nerve.

є kilka new methods on a lowered grip.

But they have one thing - the renewal of the blood supply of the nerve and the polyphenia will become ailing.

The operation is one of the extended and effective ones. In the course of the operative engagement, an anesthetic is used, which provokes a blockage of the nerve of the singing bottle. At the end of the day, there is little growth, as a rule, it does not change five centimeters.

The surgeon can use the palmar fixation to grow. The transverse wrist ligament grows.

It’s just a little crooked, and the end of the ringing becomes awkward. Tse produce a vise on the nerve to change. Proceedingly, the cicatricial tissue space is filled up with two knots of ligament.

Some surgical procedures are carried out on an outpatient basis, and even if the patient is finished, it can be submitted to the home. Operation of the day and even after 3-4 years of age, the patient sees it as soon as possible.

For the operation, it is important not to nag the hand and encircle the vision of the activity, so that you can keep repeating collapses.

As soon as the raptom saw a light shot, or it was the same, you may develop carpal syndrome. At the early stage, the poisoning before the fakhivtsya is allowed to stick to the ailment, not to go to the operation. When it’s out of the way, the inheritance will be deplorable, right up to the end of the day.

specialties of food

From pathology, you can only get used to medication for surgical entitlements... Alle the process of treatment and the process of reabilitation yielded results, but it is necessary to do it correctly.

The carpal canal of sewing on the wrist, which is a great number of bundles of fibrous tissue. The number of bunches is a support function for the corner. And the best for healthy slopes and tendon supplementation with calcium. In the case of carpal tunnel syndrome, the culprit includes products, waste calcium, fresh vegetables and fruits.

rozpovimo approximate list such products:

• Fermented milk (sir, kefir, yogurt, sir, etc.);
• Gravy from the harmelon;
• Riba is not fat;
• Beans, cereal crops, macaroni virobi.

In addition to the frost, in 100 grams of this, up to 200 mg of calcium can be cured in case of such a pathology.

And if we are so sick, we often live pizza with sire and tomatoes, because with such ingredients in the warehouse there is up to 800 mg of the necessary for the slopes of the word.

Kharchuvannya maє buti 4 or 5 times, so that I live in small quantities and often, do not overwhelm the slurry. Now, let me tell you about the approximate ratios:

1. Snidanok - garbuzov porridge, sandwich with sir and cowbas, tea with lemon.
2. Another snidanok is kefir, which is delicious and some kind of fruit.
3. Obid - cabbage soup with fresh green cabbage, cooked pasta with low fat ribs, fresh vegetable salad, compote from dried fruits, 1 orange.
4. Midday - medium fat sire, kefir.
5. Supper - I will make a potato with ribnoy cutlet, cheesecake with a harbor, compote with fresh berries and be-like a fruit.

And forget that with such a problem, you are guilty of revenge yak less soli. Strongly salty, I will damp the water in the body, so that it can be brought up to fillings - and the wrist.

Gymnastics, massage, physiology

Just as people have problems from the wrists of the hand, then a drug, except for a drug treatment or a surgical operation, may indicate a course of exercise therapy, massage or physiotherapy.

At the beginning of such methods, the method includes the renewal of the function of the crumbling of the slope, the addition of strong or atrophied ointments.

Buvaє so, so lykuvalnuyu gymnastics priznachayut at once with electrostimulation. Razpovimo about actions of gymnastic rights of 2 different stages.

First step:

1. Mahmo in his own hand on the table. Probably shy and original and original with all fingers, and then the same, only with a skin finger.
2. Robimo accent his hand on the top of the table. In one position, the proximal phalanx is seen, where the phalanx is with a healthy hand, the distant zginaєmo і rozgin mіzhphalangovy slopes.
3. Robimo accent on the surface of the table with the accent, the hands squeeze at once and go up the hill. It is built and spread by the fingers, and it is not possible to help it with an ailing hand.
4. Use the pads of your fingers to reach the small points of the valley.
5. In the offensive to the right, it is necessary to try with the fingers of the ailing hand to grab a little for the size of the object.
6. With the fingers of the ailments of the hand, kataєmo a small bag on the table in the small sides.

All of them have the right to work, do not keep up, and repeat up to 8 times.

Qiu gymnastics can be poured into the pool, the hand to the very shoulder is guilty of being buried in the water.

Another stage of the gymnastics is to take:

1. Viroblyaєmo clacking with fingers from small objects, for example, on soft pads, wood, ball and distance.
2. Tighten the gumka on the fingers.
3. Kidєmo abo catch a small ball with the fingers of his ailing hand.
4. Pidkidaєmo up the hill of the bag.

And so they rightly gave a shorter result, it is necessary to bandage your hand before going to bed. Tse zabezpechuє shvidke oduzhannya, lodging the labor process until the main renewal of the precededness of the suglob.

And good for an hour to the carpal tunnel syndrome, additional massage of the brush.

Він carried out:

1. Place the hand in a relaxed position on the steel, inner side uphill. To touch with two fingers of a healthy hand to the point, to feel the pulse, and slowly, slowly, and then, at the same time, with a healthy hand and robustly small turns.
2. Mum, in his own hand on the table until the very least, and with the lower rucks stroked, from the last side, and then from the inner side.
3. Let us need a hand from the table to get sick from the table, grab a healthy and robotic circle of hands in their sides.
4. The hand is on the table, with the other side up the hill and robustly with the palpable and middle fingers of a healthy hand.
5. Trima's extended hand in the same position and robustly small pinching on the entire surface of the hand.
6. In the course of the massage, gently stroke the hand from both sides.

And in addition to massage and gymnastics right, an eligible drug is one of the signs of physiotherapy, as it is suitable for a skin-friendly patient, a sick person is sick and the nature of the nerve is damaged.

Such treatment can be carried out by means of magnetotherapy, laser therapy, interference pulse strum, ultrasound, manual therapy... Physiotherapy, zychayno, garniy sposib Take care of such a problem, or not all people can go through, through the inflow into the shkіrіnіh apparatіv, the kids often get allergies.

Treats and acceleration

The ailment does not carry a lot of care for the life of the people. Ale, if people have a pain in their wrists, then it’s worth it to completely waste strength and sensitivity in them.

I only correct lіkuvannya and everyday busyness can improve the function of the hand.

And in the quality of the inheritance of the disease, there can be only stronger damage to the median nerve and damage to the robot.

prevention of pathology

1. Change the height of the work table. The normal height of the table is guilty of taking care of the podlokitnikov style, before the end of the hour, the robot is guilty of lying on the podlokitniki, and not hanging.
2. Create a monitor so that you can read it or write the text of the buv on the eyes. If the monitor will be very low, then you will gradually lower your head, and with a strongly raised monitor, navpaki, lower your head. Tse will be overwhelmingly napruzhuvati m'yazi shia, through which the blood circulation in the shiin region of the ridge will be ruined, the blood circulation in the hands will be ruined.
3. When you are working at a computer, sit so that your back is raised, the backs are stiff, and your shoulders are relaxed. Sit calmly, do not pull your head into your shoulders.
4. Play only with a teddy bear and keyboard. Vibrate the computer bear a little, and you won’t be able to scream with your hand again. And the keyboard is guilty of being given a gift, a keyboard on a new one. Є Selling bears for computers near the joystick, the stench is visible to people with a wrist problem. The bears are calling to want your hand.

5 / 5 ( 7 voices)

Tunnel syndrome is referred to a group of compression-ischemic neuropathies - a disease of peripheral nerves, such as those associated with infectious and vertebrogenic officials. Pinching of the median nerve in the carpal tunnel є a lot of tightening of the nerve fibers or pinching of the navkolishny tendon. The causes of pathology can be mechanical injuries, burning loam, puffiness, endocrinopathy. Pid hour squeezing nerve tissue the blood circulation of the nerve will collapse. Some changes are spared with regular overexertion of some and quiet wrist muscles.

Tunnel syndrome of the wrist is a professional disease of individuals, such as the use of a penny hand in the process of labor activity. Given the pathology, the guardians of the grocery stores, koristuvachi computers, artists, perukars, skripals, miners, obmotuvalnik, gitaristi. Women get sick more often than women, but not among choloviks, which is tied with a relatively small volume of the carpal tunnel. The first major signs of illness occur in 30-45 rocks, and the first peak falls on 50-60 rocks. Tunnel syndrome of the brush is a chronic illness with frequent symptoms of aggravation and remission, which causes pain, paresthesia, and ruptured dysfunction. Dany keynotes mayut rіznu steps bend.

To the whole group of neuropathies, there is a type of tunnel syndrome. injuries lіktyovoy slope to produce up to firing і striations of the tendon arch. Vaughn tovschaє, the channels are sounding. The development of the tunnel syndrome of the lytic nerve in the best world is sick to the individual, as it becomes aware of the persistent healing of the lactic nerve.

the other for widening - liktoviy tunnel syndrome

There are two types of compression-ischemic neuropathies of the hand:

• Primary is an independent pathology, as it does not lie in any of the processes, but it appears in the body. Cite the cause of the primary neuropathy є overexertion of the wrist muscles, as well as trivial and overwhelming action on the joint.
• The second one is a symptom of an acceleration of some kind of ill health. Systemic incapacitation with the resulting tissue, arthrosis, arthritis are manifested by tunnel syndrome.

Carpal tunnel syndrome was diagnosed by surgery from England Paget in 1854. Vin for the first time describing the key signs of ill health and the mechanism of its development. In Denmark, pathology is diagnosed in the edge of the country. There is little pathogenesis and etiology, which means that the tunnel syndrome is disgusting and developing. If you forget about the problem without respect, you can develop negative inheritances.

cause

Tunnel syndrome develops with a change in the size of the carpal tunnel or an increase in the size of the tissue in the middle. The main significance in the development of compression-ischemic neuropathy is the introduction of injuries to the beggar, on the basis of virobnistvі or for an hour to go in for sports.

Reasons for other processes:

1. stretching, vivihi and fractures of the wrist,
2. the vagina and tied with it the thickening of soft fabrics,
3. trivial use of oral contraceptives,
4. lactation period,
5. diabet,
6. dysfunction thyroid gland for you are vivid,
7. obesity,
8. damage to the water balance,
9. hormonal imbalance
10. acromegaly,
11. nirkova lack,
12. razke skudnennya,
13. amiloidosis,
14. rheumatoid arthritis,
15. gout,
16. hematological ailments,
17. chubby, how to deform the wrists,
18. spadkova smartness.

In children of children, neuropathy develops as a result of gostrich Infectious diseases: Visypous abo cranial typhus, tuberculosis, syphilis, brucellosis, herpes. Tunnel syndrome can be caused by vicious pathology. Spasm abo thrombosis of blood vessels to produce up to ischemia tissue, blood clotting їm, filling and compression of the nerve in the canal.

Factors that can take the progression of pathology:

• intensive sports activities,
• bagatorazov is one-man-size,
• hypothermia,
• feverish woman,
• trivial vibration,
• shkіdlivі calls.

The canal, which is stored from hard tissue, supervises the median nerve from exogenous factors. Permanently navantazhennya on one and the same dilyanka to produce up to the last st_ykoy deformation. With a lot of nerve fibers, the trophism of soft tissues is destroyed. The fabrics of the tunnel are tilted, spread out and filled, the canal does not get too wide, the grip on the nerve becomes maximal. At the end of the hour, there are first key signs of the syndrome. Organism is self-absorbed in self-reliance on sickness. Lymph is accumulating in the slopes of the brush and the burning of the clitine. Significantly navantazhennya on the hands to bring to stagnation lіmphi і hardened fired. Slopes fix pains and bumps.

Another reason for the tunnel syndrome is the congestion of nerve fibers, the accumulation of the intoxicating organisms in the backbone of the brain. Deyakі lykarskі drugs, how to become stagnant for a trivial hour and at high doses, the development of pathology. Antibiotics, diuretics, vasodilators are introduced before them.

1. individuals who are of the same type as a penzlem for their kind of work;
2. lіtnі people;
3. ailments from endocrinopathy - dysfunction of the thyroid gland, dehydration, or hypophysis;
4. paciєnti іf thirsty cysts and slopes;
5. people s nevilikovnykh- vasculitis, rheumatism, psoriasis and gout.

Pathology, which has developed into aphids systemic engulfment, To produce until the loss of elasticity of the cartilage of the globules, їkh old, development. With the year of hostilities, the cartilage grows, and the slopes of the surface grow. Additional deformations will damage the anatomical structure of the hand.

symptomatology

Symptoms of the tunnel syndrome of the build-up in the world of the constriction of the nerve stovbur.

• key signs cob stageє inappropriate views and discomfort in the hand, which is caused by a tricky nudge on the tsiu dilyanka tila. It is a pity to skarzhannya trematinnya, sverbіzh and little pokryuvannya in kіntsіvki. At the cob stage, the symptoms are time-consuming. When the hands are rubbed, or when the position of the hands changes, there is an uncomfortable feeling.
• The sound of the channel is manifested we are sick in the brush, you will be able to accept the message. Upper kintzivka at the sick nimin. Be-like a ruff of a hand in a wrist slope behind an unbearable beard. It’s the one, the shake and the heaviness in the hands become unacceptable and drastic. Bil and paresthesia are localized in the area of ​​the first three fingers of the hand. It stinks in the night or it’s early. This is the change in the sensitivity of the film, the relief of the decay.
• Significantly, the ringing of the tunnel is manifested by the stiffness of the urazhenogo slope, hypotonic and hypotrophic myaz fibers. At the same time, they take care and accept. In ailments, there are signs of distress: sleeplessness, dreadfulness, depression. sudomi i lasting bill vibrate from number. Lyudin can't take an important item, dial a number on a mobile phone, start a bear at the computer, drive a car. Deteriorate motor skills, change the color of the shkiri. Patients tend to exhibit weakness in the presence of a small hand, weakness in the first and other fingers, especially the endov phalanges. Significantly decrease the sensitivity of the bottom of the first and other fingers.

Pain syndrome is the main keynote pathology. Patsinti skarzhayutsya on the cookie or pokryuvannya in the brush, winking at night and disrupting sleep. I feel sick, scruff my hands. The flush of blood to the toes changes the blister. In neglected vipadkas, it is not only at night. Vaughn torment the ailments tsіlodobovo, how to be recognized in their nervous-psychic camp and to bring to the destruction of pracezdatnostі. It is often superficial to damage of vegetation and trophism, but it is clinically manifested by a swelling, hyperthermic and hyperemic wrist, hollows and three fingers.

Carpal tunnel syndrome is not safe for life, ale porushu її yakist. The intensity and the triviality of the pain of growth, the incidence of sleeplessness and the painfulness, the development of the malaise of the nervous system.

diagnostics

Neurologists are involved in diagnostics and treatment of tunnel syndrome, as well as medical specialists of general specialties - traumatologists-orthopedists, endocrinologists, surgeons. Diagnosis of tunnel syndrome in polyagus in case of severe illness and illness with similar symptoms.

1. An anamnesis for a history of illness is a development and growth of clinical symptoms. Ailing in detail, talk about the reasons, how they winked about the illness, past injuries, the nature of the pain, ruha, їkh provoke.
2. Inspection - an assessment of the sensitivity of the fingers and force of the hands behind the aid of the hand dynamometer.
3. There are a few functional tests, which allow you to evolve into a nervous system. Before them, the symptom of Tinnel, cuffs, raised hands is mentioned. Tsіdiagnosticheskіnі procedures vіkonuyutsya on a reasonable, altogether mean one і also. Whenever ailments are seen, oniminnya and pokryuvannya dough, it means little tunnel syndrome.
4. Electroneuromyography allows for the exact number of stages and steps of the formation of nerve fibers, the level of the formation of nerve roots, which form a wrist joint. In a relaxed state of health ailments, it is necessary to introduce electrodynamic and rapid activity. At the monitor, there is a tribute of the presenter at the viglyadi of crooked rhythmic amplitude. When the median nerve is pressed, the speed of the conduction is improved.
5. MRI, X-ray and ultrasound are additional techniques that reveal congenital anomalies of the hand, fractures and vivihs with injuries and allow the assessment of tissue changes in the musculoskeletal system.

lykuvannya

The treatment of tunnel syndrome is aimed at the reduction of the greater obstruction of the median nerve. We are averse to carrying out anti-firing and anti-inflammatory therapy, as a result of pain and discomfort. Lіkuvannya of the main ailment, which manifests itself as a tunnel syndrome - obov'yazkova mind, which can lead to frequent relapses and development of acceleration.

When the first signs of pathology appear, it is necessary to fix the wrist. We are ailing recommend to apply cold to the end of the battle. As the cause of the pathology became labor activity, Її it is necessary to change.

Drug treatment

For usunennya symptoms of carpal tunnel syndrome fachivtsi indicate:

physiotherapy

Physiotherapeutic procedures for carpal tunnel syndrome:

1. electrophoresis,
2. ultraphonophoresis,
3. shock-khvilova therapy,
4. reflexology,
5. transcranial electroanalgesia;
6. UHF therapy,
7. magnetotherapy,
8. lіkuvannya laser,
9. ozokerite,
10. muddy kuvannya,
11. neuroelectrostimulation,
12. physical culture.

surgical treatment

Promptly engaging the cleats in the hanging ligaments, which will suppress the median nerve.

• Endoscopic surgery is low-traumatic and does not leave scars. Through a small size in the middle channel, introduce a video camera and a special prism, the distribution of the sound. For the operation on the wrist, put on a gipsov splint.

• Take a look at the clearing at the great vikonannya vzrizu on the valleys of the line of passage of the middle canal. The ligament is developed with a vise on the middle nerve. The lead-in period for the open-ended operation is trivial.

Patients are guilty with their fingers on the coming day of the operation. After 1.5 months, physiotherapy and occupational therapy will be prescribed. In the rehabilitation period, massage and gymnastics are shown. We are sick with the wrap around with brushes, shake the hollows and fingers. If necessary, you can take the disease.

Video: surgery for tunnel syndrome

Right, if it becomes stagnant in case of aggravated tunnel syndrome:

1. Squeezing fingers into a fist.
2. Wrap fists in the hips.
3. Stisnennya dolon, breeding of litters.
4. The grip of one hand on the insha.
5. Stiffening gum ball.

Video: right for the prevention of tunnel syndrome

Pislya normalization of the backward camp of ailments with tunnel syndrome is shown at the sanatorium-resort likuvannya in the Crimea, Krasnodar and Stavropol Territories.

Folk medicine

The treatment of tunnel syndrome in the home mind includes not only medication, medicine, and miscellaneous therapy, but also the use of traditional medicine. Most effective and extended folk recipes:

prophylaxis

Prevent the development of tunnel syndrome to help the offensive rules:

1. respectfully placed to his own health,
2. leading a healthy way of living,
3. abundance physical activity- gymnastics, swimming, walking, yoga,
4. more comfortable in the bedroom and more robustly than ever,
5. periodical change of position,
6. systematic thermal procedures - spa, saunas,
7. not balancing food,
8. reversal and easy treatment of childhood ailments,
9. beating up to a lykar when the first signs of pathology appear.

The treatment of carpal tunnel syndrome is aimed at reducing pain and discomfort, or even at the same time - at eliminating the cause of the pathology. Lіkuvati tunnel syndrome is necessary in a complex way, and it is necessary to avoid any pathology and prevent relapses. Tse of ailments, I really reduce the quality of the life of ailments. Alle the prognosis of pathology in the hour to get involved is friendly. Injury of the peripheral nervous system and the development of mental health, but do not expect to be given a significant reason and make an accurate diagnosis. We are busy with only highly professional faculties. For the rest of the fate, the number of ailments with carpal tunnel syndrome has increased, which has been poured into the minds of the people in the life of the modern people of computer technology.

Video: fakhivtsi about tunnel syndrome