WHAT IS IT? NECK ARTHRITIS
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Compression of the median nerve at the wrist
Signs and symptoms
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Symptoms which affect mainly the thumb, index finger, and middle finger
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Burning discomfort
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Pins and needles (often at night)
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Numbness
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Pain up the arm to the neck
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Weakness of grip
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Clumsiness
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Easing of symptoms by shaking hands
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WHAT CAUSES IT?​
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The median nerve can get compressed in the carpal tunnel.
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In the carpal tunnel the median nerve passes between the tendons of flexor muscles of the wrist.
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If the muscles are tight or there is swelling, compression can occur.
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More common in diabetics and pregnant females
HOW TO SELF MANAGE
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R.I.C.E protocol
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Anti–inflammatory medication to reduce the swelling
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Use of a wrist splint to provide protection and enforce rest
PROGNOSIS
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Corticosteroid injection if conservative management is unsuccessful.
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Surgery may also be indicated following an unsuccessful cortisone injection.
HOW PHYSIO HELPS?
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Assessment to establish if symptoms are positive with Tinel’s test
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Soft tissue massage to release tight muscles, and to shift swelling
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Electrical therapies to reduce swelling
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Nerve mobilisation to reduced tension of the median nerve
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Provision of stretches and home exercises for rehabilitation
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Provision of splint if required
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Review of workplace/sporting ergonomics
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