Carpal Tunnel Syndrome is caused by compression
of the median nerve that passes through the carpal
tunnel in the wrist. Along with the diagnosis
of Carpal Tunnel Syndrome comes considerable
pain and impairment along with numbness, paresthesia
(pins and needles) and loss of hand strength,
coordination, and pincer grasp. This impairment
is problematic for almost any profession; however,
it can be entirely disabling for musicians.
The most widely diagnosed nerve entrapment disorder,
carpal tunnel syndrome, is characterized by pain,
swelling, numbness, and tingling in the hand
and wrist. The disorder stems from excessive
stress and strain placed on the arm, wrist, and
hand that result from repetitive and/or static
(non-moving) flexion of the fingers and wrist.
This unidirectional strain causes a muscle imbalance
in the hand and forearm, resulting in the stronger,
shorter flexor muscles that close the hand to
compress the underlying median nerve within the
carpal tunnel, which is central to hand, and
wrist movement.
The median nerve actually begins in the neck
and travels through the shoulder joint through
the Brachial Plexus down to the elbow and eventually
to the carpal tunnel joint in the wrist. With
repetitive unidirectional motions / activities
being performed on a regular basis, the imbalanced
muscles in the hand and forearm can cause the
carpal bones that form the carpal tunnel to become
misaligned, creating pressure and pain in the
wrist as the bones compress the median nerve
within. Critically, it is not only carpal tunnel
syndrome that can result from an existing muscle
imbalance in the hand and arm, but also other
repetitive strain injuries that involve the ulnar
and radial nerves at the wrist or elbow junctions.
Thus, effective treatment must address muscle
length and strength imbalances that may be present
in the entire upper extremity region.
For musicians, carpal tunnel syndrome can be
akin to a death sentence. Incapacitated through
the hand and forearm, musicians may have to modify
practice and performance routines. It is impossible
to play the piano, strum the guitar, or manipulate
the bow of a cello without superb dexterity and
responsiveness in the fingers and wrist. Rest
is often the first-line recommendation for treating
carpal tunnel syndrome, but it is an option that
few professionals can afford to take.
Thankfully, there are effective treatments that
can protect against the development of carpal
tunnel syndrome in musicians and that can curb
the impact of symptoms as soon as they emerge.
Strategically designed exercises that target
specific muscles and groups of muscles in the
hand and forearm have been shown to reduce symptoms
of carpal tunnel syndrome with 90 percent effectiveness.
If anyone recommends gripping, squeezing, pinching
or finger-walking exercises, run the other direction,
as these are the exercises / movements that musicians
perform too much of in the first place and are
the muscles that are already overused on a daily
basis. Musicians need to strengthen the opposite
muscles that they overuse. It is that simple.
Keeping muscle groups with 25% strength of each
other will reduce muscle and joint imbalance,
reducing the possibility of musicians becoming
afflicted with carpal tunnel syndrome or other
finger, hand, wrist, elbow or shoulder injuries.
Balance is the key.
It is important to consult with a physician
or healthcare professional before beginning any
type of exercises program for the treatment of
injuries.
For More Information Visit
www.repetitive-strain.com or
Call 1-888-274-5444 to learn more about what you
can do to safely treat carpal tunnel syndrome.