Carpal Tunnel Syndrome - Pain in the Wrist

Tunnel syndrome or carpal tunnel syndrome - it's a pain in the hands, especially in the right hand due to long work at the computer. It gained the status of occupational disease geek (programmers, operators and people who are constantly working on the computer).

Wrist - a relatively small joint, around which focused a lot of delicate tissues: ligament, interconnecting the carpal bones, and tendons that connect the muscles of the forearm to the fingers. It is these tendons can become a cause overvoltage tunnel syndrome, which causes pain in the wrist.

Reasons of tunnel syndrome

 
The cause of the pain of carpal tunnel syndrome is a pinched nerve in the carpal tunnel. Trapping may be caused by swelling of the tendon extending in close proximity to the nerve, as well as swelling of the nerve. The reason of a pinched nerve in carpal tunnel syndrome is a constant static load on the same muscle, which can be caused by repetitive movements of a large number (for example, when working with a computer mouse) or uncomfortable position of hands, while working with a keyboard, in which the wrist is in constant voltage.
 

Tunnel Syndrome Symptoms

With the development of tunnel syndrome there is a constant pain and discomfort in the wrists, weakening and numbness of the hands , especially the palms. It should be noted that the pain in his hands can be caused not only by jamming carpal nerve, but also damage to the spine (low back pain, herniated disc) in which damaged nerve that goes from the spinal cord.

Inspection in carpal tunnel syndrome

Diagnosis is made by clinical examination by a neurologist. Of instrumental methods used electromyography, with which you can set the degree of damage to the muscles of the forearm.

Tunnel Syndrome Treatment

 
In acute pain, severe inflammation and severe tunnel syndrome conducted medication. It includes an introduction to the wrist area of corticosteroids (prednisolone, dexamethasone), the use of improving blood circulation (vasoactive) drugs (Trental, nicotinic acid), anti-inflammatory drugs (ibuprofen).  

 

This medication is prescribed by a doctor.

On the background of proper nutrition and adequate supply of all essential vitamins , trace elements and biologically active substances tunnel syndrome treatment becomes more effective, faster recovery and rehabilitation period and rehabilitation reduced. In the absence of effect of drug therapy tunnel syndrome there are indications for surgical treatment (endoscopic or open pit).

Prevention tunnel syndrome
 

For prevention tunnel syndrome should take care about the convenience of the workplace. When using the keyboard , hand bending angle at the elbow should be straight (90 °).  When working with a mouse brush should be straight and lie on the table as far as possible from the edge. Elbow thus should be on the table.

Desirable to have special support for the wrist ( mouse pad, keyboard or a specially shaped computer desk with special silicone pads , etc.). Chair or chair should have armrests.

Exercises for prevention tunnel syndrome.

-  Interrupt the process to perform a small set of exercises for hands :
-  Shake hands .
- Compress your fingers into fists (about 10 times )
- Rotate fists around its axis.
- Press down with one hand on the fingers of the other hand with the palm , as if twisting the wrist and palm outward.

These exercises you improve blood circulation in the muscles of the wrist and contribute to their tension, which is an important element in preventing tunnel syndrome.

Yoga for prevention tunnel syndrome.

In yoga, the most important exercise is wrist extension (adduction). If you sit up straight , hands on the chair arms , palms down, and then slowly raise the palm up, never taking his arm from the armrest - it will be adduction. Joint can perform the full range of motion only if these movements are performed regularly. Unfortunately, the adduction is performed less often. That is why there are problems , leading to the development tunnel syndrome.
 

Many yoga asanas need to completely straighten the wrist. But always do it gradually. In order to carefully develop a " stale " wrist joint and prevent the emergence tunnel syndrome exists following exercise: your palms in front of chest and slowly and gently lowered them down toward the waist. Fingers while looking up. Do not let the base of the palm to the sides. Regular performance of this exercise for 2-3 minutes to help prevent the development of tunnel syndrome.

Food for the prevention tunnel syndrome
 

Effective impact on the joints provides proper nutrition. In addition , it is necessary to help the body get rid of harmful substances in the body glows and leading to disruption of joints.
Providing the body vital for healthy joints substances - one of the most important prevention of tunnel syndrome.

Gallbladder disease : Symptoms And Features

Feature of gallbladder disease is chronic. Cholecystitis - it is always a slow-growing disease , it never occurs spontaneously, often goes hidden, but occasionally on the stage of deterioration, makes itself felt.

Symptoms of cholecystitis

Usually all patients experience nausea , morning vomiting of bile , bitterness appears in the mouth, discomfort in the right upper quadrant. Diagnose and identify the disease in this case should be a gastroenterologist. The clinic usually has modern equipment, which will allow for a full examination of the liver and gall bladder disease, and to identify at an early stage. If you do not start preventive treatment cholecystitis time, very likely to develop acute form.

Aggravation of gallbladder disease that causes the patient strong, excruciating pain in the epigastric region. Pain usually cutting, unbearable, can go to the region of the right shoulder blade, neck, shoulder, abdomen. When the location on the right side or during deep breath unpleasant feeling always intensifies.

As an exacerbation of cholecystitis may be nausea and vomiting of bile, not facilitating the patient's condition. Skin becomes pale yellow tint. In the right hypochondrium skin is inactive, palpation, tenderness, hypersensitivity can occur muscle contractions. Language dryish, with yellow -brown patina.

Differential diagnosis of gallbladder disease

Cholecystitis diagnosis is often difficult, as similar symptoms observed in patients with ischemic heart disease. The only difference may be moving pain in heart disease in the left arm, which is not typical for cholecystitis. Indirectly determine the cause of pain can be examining information about the origin and development of the disease. As a rule, increased gallbladder disease occurs after violation diet: eating fatty fried foods, smoked foods, alcohol, etc. The attack heart failure most often triggered by a stressful situation, trauma, strong nervous tension. Periholetsistit ( cholelithiasis ) can worsen after certain physical activities: bike rides, horseback riding, drive on rough roads, potholes. Paid gastroenterologist during the inspection will determine the exact cause of the pain and take urgent measures to eliminate it.

Cholelithiasis

Development of jaundice after passing attack is characteristic of cholelithiasis. A similar phenomenon can also occur in patients with dyskinesia hypermotor. The appearance of the stool with a white- gray color, is a consequence of breach of the outflow of bile.

As for the pain attacks, the uncomplicated gallstone disease, they tend to have an abrupt onset and a sudden ending. After another flash, just a day later, the patient feels quite well.

Features of the course of diseases of biliary tract

If biliary tract diseases occur in the chronic form, it is often the standard symptoms characteristic of the disease, supplemented by unpleasant sensations that the patient is forced to endure:

    pain in the heart ;
    general weakness and fatigue ;
    digestive problems ;
    slight fever, characterized by resistance ( low-grade fever ).

Patient self difficult to understand that his anxious symptoms are a consequence of sluggish occurring in the body diseases such as dyskinesia, cholelithiasis or cholecystitis. The clinic does not always have enough competent doctors to conduct a comprehensive diagnosis and properly analyze the data . Often in such cases erroneously determined gastritis, rheumatism, cardiopsychoneurosis . The correct diagnosis in such symptoms can put only good gastroenterologist , who has extensive experience .

Hypertensive dyskinesia in most cases are mild and blunt pain in the right hypochondrium. Often accompanies such feelings nausea caused by eating , bad taste and odor of food intolerance. In old age may reduce the sensitivity . This leads to the fact that cholecystitis occurs without symptoms of pain.

In chronic diseases of biliary tract problem and can affect the stomach. In such cases, patients complain of a bitter taste in the mouth, belching, nausea, heartburn, as well as violations of the chair.