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Treatments for Carpal Tunnel Syndrome

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There are a number of treatments that are currently being used to treat Repetitive Strain injuries and Carpal Tunnel Syndrome. But every techniques that is currently being used falls extremely short of what should be considered a "successful treatment". The best solutions to be considered should combine frequent breaks, job rotation when possible, and a stretching program followed by the immediate use of FLEXTEND.

Preventative stretching and the use of FLEXTEND can help by correcting the muscle strength imbalance that exists between the flexor and extensor muscles of the hand and forearm. Studies have shown that productivity decreases, disability claims and lost time from work are reduced dramatically for individuals who implement an effective exercise program into their daily regimen of activities.

The term "effective" is emphasized because most ergonomic programs and products are not specifically designed to address the actual causes of Carpal Tunnel Syndrome and Repetitive Strain Injuries. These programs and devices are more for the purpose of taking advantage of the medical and retail market, rather than providing a true solution to successfully alleviate the symptoms of these debilitating injuries.



Here is a list of the current treatments, both conservative and radical in nature, which are being used for the prevention and rehabilitation of Carpal Tunnel Syndrome and Repetitive Strain injuries:
CONSERVATIVE TREATMENTS FOR
CARPAL TUNNEL SYNDROME & REPETITIVE STRAIN INJURIES:
  1. Squeezing and Gripping Devices:

    These products tout themselves as the cure-all for CTS and RSI, but they exercise and strengthen the flexor muscle group that is already overdeveloped from performing repetitive activities that require "closing" of the hand. Using gripping and squeezing devices duplicate the exact same motion that caused the muscle imbalance, and will only continue to increase the strength and rigidity of the flexor muscles; exacerbating the injury even further.

  2. Wrist Braces and Splints:

    Wrist braces and splints are not effective in treating carpal tunnel syndrome and repetitive strain injuries, but can assist if worn during night-time only. These devices are meant to keep the wrist from dropping into flexion so that the wrist stays in the straight, neutral position in order to reduce impingement of the carpal tunnel. But instead, wrist braces often increase the symptoms of carpal tunnel syndrome and repetitive strain injuries, especially if worn during the daytime.


      • Daytime use:
        Wrist braces are NOT GOOD to wear while performing daily activities because they hold your own wrist up for you instead of the extensor muscles having to do it. Since the wrist brace is doing all the work in order to hold the wrist in the straight, neutral position, then the extensor muscles atrophy and become even weaker than they already were, and the muscle imbalance between the flexors and extensor becomes even greater.

        Another major problem is that even though the wrist is still held straight, you can still use your fingers to perform repetitive or static flexion, such as typing, writing, etc., which again, will contribute to the muscle imbalance even more.

      • Night-time use:
        Wrist braces and splints are MORE APPROPRIATE for night use in order to keep the wrist in the straight, neutral position. This is a key factor, because most people make a "fist" or "curl" their wrist into flexion while they sleep. Sleeping with the hands in this position causes the flexor muscle group to become even tighter and shorter; causing further impingement and damage to the carpal tunnel.
  3. Massage:

    It is good to have the flexor muscles massaged and stretched-out, but unless followed immediately with strengthening exercises for the extensor muscles that extend the fingers, elbow and wrist, and the abductor muscles of the fingers, it will have little effect on correcting the muscle imbalance that causes carpal tunnel syndrome and repetitive strain injuries.

    Massaging and stretching the stronger, shorter and tighter flexor muscles will only result in temporary relief because the longer and weaker extensor muscles have not been shortened and strengthened through extension exercises which will ultimately hold the stretching and lengthening of the flexor muscles in place.

    EXAMPLE:

    If your flexor muscles that close your hand are 6-inches long on one side and they are normally 8-inches,( but they've shortened in their relaxation state from overuse), and your extensor muscles on the back-side of the hand and forearm are10-inces long and they are normally 8-inches, but they have lengthened because of no direct stimulus through exercise and movement), than a muscle imbalance has been created.

    Now if you stretch the flexor muscles which were 6-inches to the point where they are now the normal 8-inches long that they should be, and the extensor muscle have not been strengthened so they remain 10-inches long, the flexor muscles will just tighten right back to their original position because there is nothing to hold them in their stretched position. Now, if the 6-inch flexor muscles were stretched to where they were 8-inches long, and the extensor muscles were strengthened and shortened to where they are 8-inches instead of the 10-inches they had been, than you now have equal pull on both sides of the joint. Both muscle groups are now 8-inches long, and the extensor muscles can now provide enough counteractive support to keep the stronger, tighter flexor muscles from narrowing the carpal tunnel and impinging the structures within.

  4. Ultrasound:

    Ultrasound is ok if used in conjunction with a treatment program that includes soft-tissue work, stretching of the flexor muscle group, and the strengthening of the extensor muscle group. Ultrasound can help reduce inflammation in an acute case of tendonitis, carpal tunnel syndrome, or other form of injury, but does no good when used alone.

  5. Extension Exercise Devices:

    EXTENSION EXERCISES ARE THE KEYSTONE TO RECOVERY. There are a number of extension exercise devices on the market that ALMOST provide the correct motion in order to treat the dysfunction of Carpal Tunnel Syndrome and Repetitive Strain Injuries. But they all fail in providing the correct bio-mechanical hand, wrist and elbow movements, and varied resistance levels, that will result in the successful treatment of these injuries.

    This is because most of the exercise devices on the market:

    Do not allow a complete range of motion of the fingers, wrist and elbow joints from flexion into full extension, and full abduction (splaying) of the fingers, which is absolutely critical in effectively rehabilitating carpal tunnel syndrome and repetitive strain injuries.

    Provide finger extension of only 1-5 of the digits, and with most of the emphasis on the Metaphalangeal joint (most proximal finger joint). This means that there is only one joint being exercised, while the others stay stiff and are only affected by isometric, (non-moving) exercises.

    Provide only wrist extension without finger extension and finger abduction!

    Do not include finger, wrist and elbow extension, along with full abduction (splaying) of the fingers, all in one exercise motion, without any type of gripping or squeezing action required.

    IT IS THIS COMBINATION OF MOVEMENTS TOGETHER THAT CORRECTS THE MUSCLE IMBALANCE AND ALLEVIATES ALL SYMPTOMS OF CARPAL TUNNEL SYNDROME AND REPETITIVE STRAIN INJURIES!
  • THERE IS ONLY ONE PRODUCT ON THE MARKET THAT MEETS ALL OF THESE REQUIREMENTS: FLEXTEND

NON-CONSERVATIVE TREATMENTS FOR CARPAL TUNNEL SYNDROME & REPETITIVE STRAIN INJURIES:

  1. Wrist Splints and Anti-Inflammmatory Medication:

    This approach to treating carpal tunnel syndrome and repetitive strain injuries has a very poor success rate. The FAILURE RATE for total alleviation of all symptoms is about 82.6%.

  2. Iontophoresis and Splinting:

    This procedure is also very ineffective and reveals that only 11 subjects out of 19 experienced relief.

  3. Steroid Injection:

    The FAILURE RATE for total alleviation after a one-year follow-up is about 75.6% of all patients.

  4. Surgery:

    The average failure rate, which is very conservative, is 57% after following the patient from 1-day to 6-years. At least one of the following symptoms re-occurred during this time; pain, numbness, and tingling sensations. After 6-years, the onset of at least one of these symptoms can reach higher than 90%. Most of these individuals will have surgery more than once, and patients have been known to have as many as 5-8 surgeries on just one hand!