Dab tsi yog Carpal Tunnel, thiab Puas Yog Koj Cov Kev Ua Haujlwm Kom Ua Phem?

Zoo Siab

• Dab tsi yog Carpal Tunnel Syndrome?
• Dab tsi ua rau Carpal Qhov?
• Yuav Ua Haujlwm Li Cas Ua Rau Carpal Qhov?
• Yuav Xeem Li Cas rau Carpal Qhov
• Yuav Ua Li Cas Kho Carpal Tunnel Syndrome
• Tshuaj xyuas rau

Overhead squats yog ib qho kev tawm dag zog tshaj plaws. Raws li tus kws qhia CrossFit thiab tus neeg tawm dag zog avid, qhov no yog lub toj kuv txaus siab tuag rau. Muaj ib hnub, tom qab qee qhov hnyav tshwj xeeb, txawm tias kuv lub dab teg mob. Thaum kuv hais qhov no rau kuv tus kws qhia, nws hais tias kuv lub dab teg sib tw yuav yog qhov qhia txog qhov teeb meem loj dua. Cue: Sigh hnov ​​ib ncig ntawm lub npov.

Tau kawg, kuv tam sim ntawd mus tsev thiab pib googling kuv cov tsos mob (Kuv paub, rookie yuam kev). Ib zaug ntxiv, Dr. Google qhia kuv tias kuv muaj carpal tunnel syndrome. Thaum a tiag doc paub tseeb tias kuvtsis txhob muaj carpal tunnel syndrome (thiab tias kuv cov leeg hauv pliaj tsuas yog mob), Kuv xav tias: Koj puas tuaj yeem muab koj tus kheej carpal qhov nrog koj cov kev ua haujlwm?

Dab tsi yog Carpal Tunnel Syndrome?

Cias muab, carpal tunnel syndrome yog tshwm sim los ntawm ib tug pinched paj nyob rau hauv dab teg - tab sis rautiag tiag to taub dab tsi carpal qhov yog, koj xav tau me ntsis Anatomy 101.

Tig koj xib teg rau koj thiab ua nrig nrog koj txhais tes. Pom tag nrho cov khoom txav hauv koj lub dab teg? Cov ntawd yog cov leeg. "Lub tes raug kaw los ntawm cuaj leeg uas khiav ntawm lub dab teg thiab tsim ib lub qhov" (lub npe hu ua 'carpal tunnel')," piav qhia Alejandro Badia, MD, board-certified tes, dab teg, thiab sab sauv sab sab orthopedic kws phais nrog Badia Hand to Shoulder Center hauv FL. "Nestled nyob hauv nruab nrab ntawm lub qhov yog qhov nruab nrab cov hlab ntsha, uas khiav los ntawm koj lub caj dab mus rau koj tus ntiv tes xoo thiab feem ntau ntawm koj cov ntiv tes." Nyob ib puag ncig cov leeg yog ib txoj hauv kev hu ua tenosynovium. Thaum qhov no tuab, txoj kab uas hla ntawm qhov av qis, uas tuaj yeem, tig mus, nrawm cov hlab ntsha nruab nrab.

Thiab thaum twg cov paj hlwb nruab nrab tau compressed lossis pinched? Zoo, qhov ntawd yog carpal tunnel syndrome.

Tias yog vim li cas cov tsos mob ntawm carpal tunnel syndrome feem ntau suav nrog tingling lossis loog hauv tes, lossis mob, mob, tsis muaj zog thiab mob hauv lub dab teg thiab txhais tes, hais tias kws kho mob lub cev Holly Herman, DPT, thiab tus sau ntawmYuav Ua Li Cas Rau Cov Me Nyuam Tsis Ua Rau Koj Rov Qab.

Qee lub sij hawm ib qho cim ntawm carpal qhov yog mob hnyav uas nthuav tawm mus rau thawj peb ntiv tes ntawm tes, tab sis lwm lub sijhawm, "cov neeg mob yuav tshaj tawm tias nws zoo li lawv cov ntsis ntiv tes yuav tawg," hais tias Dr. Badia hais. Ntau tus neeg uas muaj carpal qhov tseem ceeb tshaj plaws tau sawv hauv nruab nrab ntawm hmo ntuj los ntawm tingling lossis loog hauv lawv txhais tes.

Dab tsi ua rau Carpal Qhov?

Txhua yam uas ua rau lub cev (tshwj xeeb, cov leeg thiab/lossis tenosynovium) kom swell lossis khaws dej - thiab yog li ntawd, ua rau lub qhov carpal qhov nqaim -tuaj yeem txuas nrog carpal tunnel syndrome.

Hmoov tsis zoo, raws li Dr. Badia, tus naj npawb ib qho kev pheej hmoo ntawm carpal qhov yog koj li poj niam txiv neej (ugh). "Ua poj niam yog ib tus neeg ua txhaum loj tshaj ntawm carpal tunnel syndrome," hais tias Dr. Badia. Qhov tseeb, cov poj niam muaj peb npaug ntau dua yuav muaj carpal qhov tshaj li cov txiv neej, raws li National Institute of Neurological Disorders thiab Stroke. (FYI: Cov poj niam feem ntau yuav rhuav lawv ACLs ib yam nkaus.)

Dab tsi muab? Zoo, tenosynovium tuab ua cov lus teb rau cov kua dej tuav tseg thiab, raws li Dr. Badia piav qhia, "Estrogen tuaj yeem ua rau koj khaws cov dej, uas tuaj yeem ua rau cov leeg thiab tenosynovium o tuaj thiab ua rau lub qhov nqaim nqaim." Tias yog vim li cas carpal tunnel syndrome yog qhov tshwj xeeb tshaj yog thaum cev xeeb tub thiab ua poj niam thaum cov tshuaj estrogen nce. (Muaj feem cuam tshuam: Koj Lub Caij Nyoog Ua Ntej -Piav Qhia).

Cov tshuaj estrogen tsis yog qhov ua txhaum nkaus xwb; txhua yam mob uas ua rau qhov hnyav nce, khaws cov kua dej, lossis mob ua rau muaj kev pheej hmoo ntawm carpal qhov. Tias yog vim li cas "ntshav qab zib, hypothyroidism, autoimmune ntshawv siab, thiab ntshav siab kuj tseem txuas rau tus mob," hais tias Dr. Bandia. Txawm tias muaj cov khoom noj uas muaj sodium ntau (aka dej khaws cia) tuaj yeem ua rau cov tsos mob hnyav dua.

Cov neeg uas tau ntsib yav dhau los ntawm lub dab teg lossis raug mob tes kuj yuav muaj kev pheej hmoo siab dua, ib yam. "Kev raug mob yav dhau los zoo li lub dab teg tawg tuaj yeem hloov kho lub cev ntawm lub dab teg thiab tuaj yeem ua rau koj tsim cov tsos mob carpal," hais tias Dr. Badia.

Yuav Ua Haujlwm Li Cas Ua Rau Carpal Qhov?

Tsis yog! Koj txoj haujlwm tsis tuaj yeem ua rau mob carpal syndrome, hais tias Dr. Badia; Txawm li cas los xij (!) yog tias koj twb muaj cov kab mob carpal tunnel lossis raug mob rau tus mob, tsis tu ncua khoov lossis flexing koj lub dab teg thaum koj ua haujlwm tawm tuaj yeem ua rau lub paj hlwb nruab nrab thiab ua rau cov tsos mob hnyav dua, nws hais. Yog li, kev tawm dag zog zoo li cov phiajcim, thawb-ups, txeeb chaw, nce toj roob hauv pes, burpees, thiab, yep, lub taub hau zaum zaum zaum tuaj yeem ua rau cov tsos mob tsis zoo.

Yog tias koj muaj carpal qhov, koj tus kws kho mob yuav qhia koj kom txiav rov qab rau cov kev tawm dag zog uas muab koj lub dab teg tso rau hauv txoj haujlwm ntawd lossis ua lawv thawj zaug, hais tias Dr. Badia. Pro cov lus qhia: yog tias qhov ntawd ua rau koj tus ntiv tes los yog pob khawm, xav txog kev ntxiv ib lub ab lev los yog cov phuam qhwv hauv qab koj txhais tes kom xis nyob. (Los yog tsuas yog ua cov phiaj xwm ua ntej xwb.)

Dr. Badia sau tseg tias ntau tus neeg caij tsheb kauj vab tuaj rau hauv nws lub chaw ua haujlwm nrog kev tsis txaus siab ntawm dab teg: "Yog tias koj muaj qhov carpal thiab koj tsis tuav koj lub dab teg nruab nrab thaum koj caij tsheb thiab hloov koj lub dab teg mus tas li, nws yuav ua rau cov tsos mob hnyav dua. " Rau qhov no, nws pom zoo kom hnav ib txoj hlua mos (xws li ib qho los yog qhov no) uas ua rau lub dab teg rau hauv qhov chaw nruab nrab thaum koj caij. (Txog: 5 Qhov Kev Ua Phem Loj Koj Yuav Ua Tau Hauv Chav Kawm Spin).

Yuav Xeem Li Cas rau Carpal Qhov

Yog tias koj xav tias koj muaj carpal qhov, hu rau tus kws tshaj lij. Muaj ob peb qhov kev kuaj kab mob carpal lawv tuaj yeem ua rau kuaj koj.

Tinel's Test Yuav tsum tapping sab hauv ntawm lub dab teg ntawm lub hauv paus ntawm tus ntiv tes xoo, piav qhia Dr. Herman. Yog tias qhov mob tua hluav taws tawg mus rau hauv txhais tes, nws yog qhov qhia tias koj yuav muaj kab mob carpal.

The Phalan's Test koom nrog muab nraub qaum ntawm koj txhais tes thiab ntiv tes ua ke nyob rau hauv pem hauv ntej ntawm koj nrog cov ntiv tes taw rau hauv qab 90 vib nas this, hais tias Dr. Herman. Yog tias qhov hnov ​​​​ntawm cov ntiv tes lossis txhais tes hloov, qhov ntawd txhais tau tias koj yuav muaj tus mob carpal tunnel.

Lwm cov ntaub ntawv yuav mus rau txoj cai thib peb: kev kuaj electromyography (lossis EMG). "Qhov no yog tiag tiag li cas koj kuaj mob carpal qhov," hais tias Dr. Bandia. "Peb muab cov electrodes rau ntawm lub hauv pliaj thiab cov ntiv tes thiab tom qab ntawd ntsuas seb cov paj hlwb nruab nrab ua li cas." Yog tias cov hlab ntsha tau raug zawm, cov hlab ntsha ntws yuav raug txo.

Yuav Ua Li Cas Kho Carpal Tunnel Syndrome

Nws yuav zoo li pom tseeb, tab sis yog tias koj tus kws kho mob xav tias muaj mob xws li ntshav qab zib lossis thyroid ua haujlwm tsis zoo, cov no yuav tsum tau kho ua ntej. Dhau qhov ntawd, muaj kev phais thiab tsis yog phais kho mob rau carpal tunnel syndrome.

Feem ntau, thawj kab ntawm kev nqis tes ua yog hnav lub brace thaum lub sijhawm ua haujlwm uas ua rau muaj cov tsos mob (xws li kev caij tsheb kauj vab, yoga, pw tsaug zog, thiab lwm yam) thiab kom tsis txhob phais kom txo tau qhov mob nrog tej yam xws li cov pob khov nab kuab thiab OTC tshuaj tiv thaiv kab mob, hais tias Dr. . Herman. Thaum ntxov heev. Dr. Badia hais tias cov tshuaj vitamin B tuaj yeem pab tau.

Yog tias tsis muaj ib qho "yooj yim" kho ua haujlwm, koj tus kws kho mob yuav pom zoo kom txhaj tshuaj cortisone lossis phais. Kev txhaj tshuaj cortisone yog ib qho tshuaj tiv thaiv kab mob steroid uas thaum txhaj ib ncig ntawm cov hlab ntsha nruab nrab tuaj yeem pab txo qhov o ntawm thaj chaw, thiab yog li ntawd txo qis ntawm cov hlab ntsha - kev tshawb fawb qhia tias nws yog ib qho kev kho mob zoo tshaj plaws. Rau cov xwm txheej tsawg dua, nws tuaj yeem tshem tawm cov tsos mob kom tiav, thaum nyob hauv cov xwm txheej siab dua nws tuaj yeem yooj yim ua rau pom cov tsos mob rau lub sijhawm luv. Rau qhov kev daws teeb meem mus sij hawm ntev, "muaj ib txoj kev phais luv luv uas cuam tshuam nrog kev nthuav dav ntawm cov kwj dej los ntawm kev txiav ib qho ntawm cov ligaments uas ua rau cov hlab ntsha," hais tias Dr. Bandia.

Lwm yam? Tso thiab muab rau peb 20—koj tsis muaj kev zam tsis txhob npaj, thawb, lossis burpee tam sim no.

Tshuaj xyuas rau