Research Corner - Q&A Carpal Tunnel Syndrome by Steve Rhyan | Date Released : 06 Jun 2001 0 comments Print Close Question: I would like information on helping a client reduce carpel tunnel syndrome. Thank you. Answer: Carpal tunnel syndrome seems to be caused by either repetitive wrist flexion or trauma to the flexors of the wrist. What apparently takes place is the tendon sheath that surrounds the median nerve (carpal tunnel) becomes inflamed. The inflammation causes constriction through swelling and rides on that nerve creating pain. The pain can radiate up into the upper arm and shoulder in severe cases. Numbness, swelling and possible muscle atrophy are other symptoms of this syndrome. There seems to be a variety of recovery theories from surgical release to immobilization. What seems to be effective for some people is staying away from the event that create the problem (wrist flexion) and increase wrist extension strength and range of motion. The stretching you mentioned seems logical. However, too much pressure from the body can aggravate the wrist. Perhaps having them simply pull back the fingers with the other hand may avoid an over aggressive attempt at flexibility and release. I am sure your experience and judgment will be a good guide for this. Other than the above suggestions, you can still use ice and NSAIDS after training to reduce the inflammation caused by exercise. Other places to find information are the references listed and Orthopedic Surgery and Rehabilitation Journal. Be careful of information obtained from the web to make sure it is from a sound source. References: O'Donoghue,D. The Treatment of Injuries to Athletes. 3rd edition. 1986 Loudon,J. et al. The Clinical Orthopedic Assessment Guide. Human Kinetics. 1998 Back to top About the author: Steve Rhyan Steve is a member of: National Strength and Conditioning Association American College of Sports Medicine American Society of Exercise Physiologists. <br><br> Steve has been an athlete, coach, teacher and trainer for over 20 years. Steve received his Undergraduate degree in Physical Education/ Biology and Graduate degree in Physiology of Exercise from San Diego State University, San Diego, CA. He has taught from middle school to college and coached high school, college and professional athletes. <br><br> As an athlete, Steve was a professional moto-cross racer for 10 years. He was California State Champion several times, ranked in the top 10 Nationally and in the top 20 Internationally. Steve has also participated in the Decathlon, numerous Triathlons, several Fitness Challenges and won the Police Heptathlon in San Diego, CA. To better understand "Body-Power," Steve studied Kajukenbo(Hawiian Karate) for several years and received a Black Belt. He is pursuing an education in Kodokan Judo to further understand anaerobic conditioning and the application of strength, power and agility. As a coach he specializes in Moto-Cross Racing, Track & Field, Mountain Bike Racing and Surfing. <br><br> Steve is presently a part time lecturer in Exercise Science at Santa Ana College for the Police and Fire Services and is Director of Strength and Conditioning at Specialized Personal Training(SPT) in Mission Viejo, California. At SPT, he specializes in Sports Medicine and Fitness Training for all ages, but especially people over 40 years of age. One of Steve's clients won the female division of the Navy Seal Fitness Challenge, she is 50 years old! Steve has several articles on training for a Fitness Challenge published in the Journal of Strength and Conditioning. When he is not writing, studying, teaching or training you can find him, with his family, on the beach surfing. Aloha. <br><br> "I learn by going where I have to go." 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