Life Extention Foundation’s page on carpal tunnel Ergonomics Ergonomics is the study of workplace design and how it can be used to decrease human fatigue and discomfort. It can be used in carpal tunnel syndrome prevention. A desk or table used at work should be twenty-seven to twenty-nine inches off the floor and when using a keyboard, elbows should be able to comfortably make a ninety degree angle. In order to make sure these specifications are possible, the chair should have an adjustable height and backrest. Arm rests are also recommended. Simpler ergonomics are helpful as well. Try to use a mouse that keeps the hand flat and try to move it gently without gripping it too tightly. Some mouse pads and keyboards feature a wrist rest. While these feel interesting and are titled with the comforting term “rest,” they are actually more harmful than they are helpful. Wrist rests actually double the pressure within the carpal tunnel. “ 10 Tips for Using a Computer Mouse” by Professor Alan Hedge of Cornell “ Avoiding Carpal Tunnel Syndrom” article from Michigan State University “ Avoiding Carpal Tunnel Syndrome” article by Earth Times Taking Breaks It is difficult to avoid keyboard and mouse use at a job requiring a computer, especially if the employee expects to keep their job. However, it is in the best interest of both parties if the employee does not suffer from carpal tunnel as it will hinder productivity. Taking a break from computer use can help break the muscular monotony and prevent carpal tunnel syndrome. Harvard recommends a one or two minute break for each ten to fifteen minutes of typing. The Office of Women’s Health suggests ten or fifteen minutes for every hour. Good Posture Ergonomics are useless if an individual doesn’t take proper advantage of them. As nice it is to slouch, a worker should sit with their spine against the back of the chair and with their shoulders relaxed. Foot placement is also more important than one might think. Feet should be touching the floor firmly. A person’s computer monitor should be at the same level as their head so they do not have to stretch their neck. Some Yoga stretches and exercises can help to improve posture both in the back and the arms. University of Maryland on carpal tunnel prevention Yoga for Carpal Tunnel Syndrome Musculoskeletal disorders related to the workplace Stretches/Exercises Exercising the hand and fingers not only breaks the monotony of repetitive muscular movements but it also helps prevent stiffness and feels pretty good. Dr. Housang Seradge from the University of Oklahoma Orthopedic & Re-constructive Research Foundation has developed some easy and effective exercises. Parlay International has done so as well. There is also a routine known as nerve-gliding that is relatively popular. Diagrams of “Copy Machine Stretches” (PDF) Carpal Tunnel Syndrome Exercises Basic Carpal Tunnel Syndrome Exercises Treatments Preventing carpal tunnel syndrome isn’t always effective. If someone is to get it, there are plenty of ways to treat it. In addition to the aforementioned Vitamin B6, anti-inflammatory drugs can ease pain. Physical therapy and yoga can help return strength to the wrist and hands. Acupuncture and chiropractic practices can sometimes yield results as well. If the symptoms last through excessive periods of time (six months or longer) one should consider surgery. One of the most common surgical practices in the U.S. is for carpal tunnel syndrome. The general procedure involves an incision on the wrist. The surgeon cuts the tissue that is causing pressure to the nerves. The patient then wears a wrist splint for a two week period. Wrist splints are also a good idea for carpal tunnel treatment even if no surgery occurs. Open surgery that requires a large incision in the palm is necessary is certain situations Carpal Tunnel Syndrome Fact Sheet from the National Institute of Neurologic Disorders and Stroke Information on carpal tunnel from CNN. Includes treatments and drugs. Oregon Health and Science University on carpal tunnel Other Links |
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