Sunday, October 2, 2022

How To Sleep With Carpal Tunnel Syndrome

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How Is Carpal Tunnel Syndrome Diagnosed

Best Sleeping Position for Shoulder, Arm, Wrist Pain & Carpal Tunnel Syndrome

Your provider will check your medical history and give you a physical exam. He or she may recommend that you have electrodiagnostic tests on your nerves. These tests are the best way to diagnose carpal tunnel syndrome. Electrodiagnostic tests stimulate the muscles and nerves in your hand to see how well they work.

Carpal Tunnel Syndrome Surgery

If your CTS is getting worse and other treatments have not worked, the GP might refer you to a specialist to discuss surgery.

Surgery usually cures CTS. You and your specialist will decide together if it’s the right treatment for you.

An injection numbs your wrist so you do not feel pain and a small cut is made in your hand. The carpal tunnel inside your wrist is cut so it no longer puts pressure on the nerve.

The operation takes around 20 minutes and you do not have to stay in hospital overnight.

It can take a month after the operation to get back to normal activities.

Treatment For Carpal Tunnel Syndrome

Thankfully, carpal tunnel syndrome is very treatable. Itâs important to see a doctor for an exam, to rule out other issues and to learn what you can do to comply with treatments. While a doctor may prescribe pain relievers, administer cortisone shots, or even recommend surgery, there are many complementary steps that you can take to help ease discomfort as you heal. Whether the root cause is rheumatoid arthritis, diabetes, or something else, thereâs a lot you can do to help relieve the symptoms of carpal tunnel syndrome.

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Sleep Positions To Avoid:

The Fetal Position

This position not only increases the risk of Carpal Tunnel Syndrome, but also increases the risk of other nerve compression injuries at the elbow, shoulder and cervical spine. It also does not provide adequate back and hip support.

On Your Stomach

This position increases the risk of Carpal Tunnel Syndrome by putting increased pressure onto the wrists. It also increases the risk of other nerve compression injuries at the elbow and shoulder as well as possible irritation to the neck, back and spine.

Tips To Reduce Numbness In Hands When Sleeping

Physical Therapy Woodbury: Sleep and Carpal Tunnel

Depending on the cause, you may be able to reduce numbness in your hands while sleeping a few ways. First, it may help to have a pillow and mattress that are supportive yet soft, so pressure points are less likely to develop in your neck or shoulders. Supporting the neck and spine is an important step to getting good rest. You can also try the following:

  • Wear a wrist brace to bed to help stabilize your wrist during sleep.
  • Try a new sleeping position, particularly on your side.
  • Avoid laying on your arms under your pillow, which can compress nerves. Make sure your wrists remain unflexed, since flexing can lead to tingling.
  • If you often sleep on your back with your arms overhead, try keeping them next to you to reduce nerve pinching.
  • Try stretching your hands and wrists before going to sleep.
  • Rule out any other underlying disorders with your doctor.

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What Are The Symptoms Of Carpal Tunnel Syndrome In Pregnancy

The severity of carpal tunnel syndrome symptoms ranges from minor discomfort and occasional ache to severe pain. You may experience

  • Numb hands
  • Tingling pain such as pins and needles
  • Pain in one or both wrists that may worsen at night
  • Weakness such as loss of grip strength and dexterity
  • Pain in the fingers, thumb, and hand
  • Burning sensations in the fingers
  • Pain radiating into the arm and shoulder

These signs and symptoms may disrupt your daily activities and sleep and may worsen with :

  • Repeated hand movements
  • Flexed or bent wrists while sleeping

Mobilize Your Wrists To Improve Blood Flow

Performing light wrist mobilization exercises before bed can help to increase blood flow, reduce fluid build-up, and lessen the pressure that is causing your carpal tunnel pain.

Practicing wrist movements right before you fall asleep can relieve the pressure and significantly improve the blood flow through your arm.

This reduces the inflammation, distributes the fluid buildup, and alleviates the pain and discomfort.

You can also do these movements if you wake up in the middle of the night with numbness as a result of carpal tunnel syndrome.

See the video above for the best wrist mobility exercises for carpal tunnel syndrome to perform before bed.

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Apply Cold/heat To Reduce Swelling Before Sleep

Since carpal tunnel isnt an injury you may not have thought to use cold or heat to reduce the pain. However, applying cold or heat can provide major relief and help you relax enough to fall asleep.

You need to speak with your healthcare provider and do some testing to find out whether heat or cold helps the most. Some people like to alternate cold and heat to reduce swelling to find pain relief.

You can use an inexpensive cold and hot therapy wrap on your pained wrist for about an hour before bed. This will help reduce the swelling and pain and allow you to drift off to sleep.

How Is Carpal Tunnel Syndrome Diagnosed During Pregnancy

How to Prevent Carpal Tunnel Syndrome

Your healthcare provider may diagnose carpal tunnel syndrome based on your medical history and symptoms. However, it is often a misdiagnosed condition. Therefore, if you have significant symptoms, your doctor may recommend the following tests to confirm the diagnosis and examine your nerve functioning: :

  • Nerve conduction velocity test: An electrodiagnostic study where the doctor places small electrode stickers on the affected hand and arm and uses low-level electrical stimulation to measure nerve activity
  • Electromyography : An electrodiagnostic procedure where the doctor uses a small needle to examine muscle activity in various areas of the affected arm and hand

While these tests may be uncomfortable, they do not cause adverse perinatal outcomes and lasting pain.

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Carpal Tunnel Syndrome Diagnosis And Tests

Your doctor may tap the palm side of your wrist, a test called Tinel sign, or fully flex your wrist with your arms extended. They might also do tests including:

  • Imaging tests. X-rays, ultrasounds, or MRI exams can let your doctor look at your bones and tissues.
  • Electromyogram. Your doctor puts a thin electrode into a muscle to measure its electrical activity.
  • Nerve conduction studies. Your doctor tapes electrodes to your skin to measure the signals in the nerves of your hand and arm.

You Can’t Manually Stretch All Day The Carpal Solution Stretches For You

How it works
1APPLIES TENSION TO 3 KEY AREAS

The carpal solution gently stretches three key areas around the carpal tunnel. This restores blood circulation, disperses trapped inflammation, and restore flexibility to injured soft tissue.

2WORKS WHILE YOU SLEEP

The medical grade adhesive will keep the necessary tension to relieve the pressure on the median nerve in the carpal tunnel throughout the entire night.

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Ways To Improve Sleep

1. Wear A Brace While Sleeping

If you have any signs and symptoms of carpal tunnel syndrome, consider wearing a wrist brace while sleeping to help keep the wrist in a neutral position. Pressure in the carpal tunnel is reported to be the lowest when the wrist is in a near-neutral position.

2. Sleeping On Your Side

While sleeping on your side, placing a pillow in between the legs is beneficial as it supports the hip and spine alignment. Ensure that you have proper neck support that helps to keep your cervical spine in a neutral position.

3. Support Your Arms While You Sleep

The placement of your arms while sleeping is important while suffering from carpal tunnel syndrome. Avoid placing your arm underneath you or your pillow as it may worsen the symptoms of carpal tunnel syndrome.

4. Propping Your Arms Up

Consider propping your arms up on pillows while sleeping as it helps reduce tension and eases the pain. While sleeping on your side, ensure that the side affected by carpal tunnel syndrome is on top. Also, place a pillow in front of you in the most comfortable position to rest the affected hand on the pillow.

5. Keep Your Arm Straight

Bending your elbow may worsen the symptoms as it increases the compression on your nerve. Try to keep your elbow straight as much as possible throughout the night. You can wrap a towel around your elbow that makes it difficult to bend. This helps to train yourself to have your arm straight at night.

Why Do These Symptoms Happen

4 Ways to Sleep with Carpal Tunnel Syndrome

The painful or numb hands while sleeping associated with carpal tunnel syndrome is easily explained. But to do so, you must understand that the problem starts deep inside your wrist joint.

It’s there that one of the main nerves to the hand passes through to provide nerve endings in the areas illustrated in the diagram. In addition, your flexor tendons also run along side the median nerve deep within the wrist.

With rapid and repetitive finger movement, for instance, the tendons in some people inflame and swell. That swelling pushes against the adjacent median nerve. The result is that the nerve is crushed. And that’s what gives you all of the symptoms of carpal tunnel syndrome.

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About Carpal Tunnel Wrist Pain

If you suffer from carpal tunnel syndrome in your wrist, this is caused by nerve damage. In this case, the median nerve that runs from the upper cervical spine in the neck through the upper arms and down through each wrist into your hands. This will cause wrist pain and discomfort. You can have carpal tunnel syndrome in both wrists. However, this is rare since the condition is the result of a pinched or pressed median nerve.

Treatment Of Carpal Tunnel Syndrome

Your health care provider will figure out the best treatment for you based on:

  • Your age

  • Your overall health and medical history

  • How bad your wrist is right now

  • How well you tolerate specific medications, procedures, or therapies

  • How bad the disease is expected to get

  • Your opinion or preference

Treatment may include:

  • Splinting your hand. This helps keep your wrist from moving. It also eases the compression of the nerves inside the tunnel.

  • Anti-inflammatory medication. These may be oral or injected into the carpal tunnel space. These reduce the swelling.

  • Surgery. This eases compression on the nerves in the carpal tunnel.

  • Worksite changes. Changing position of your computer keyboard or making other ergonomic changes can help ease symptoms.

  • Exercise. Stretching and strengthening exercises can be helpful in people whose symptoms have gotten better. These exercises may be supervised by a physical or occupational therapist.

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Exercise Your Fingers & Hand

This is a BIG help. Therapists instruct patients to use 4 core stretching exercises for carpal tunnel syndrome. They work to relieve this disorder because the stretches are designed toloosen adhesionson flexor tendons and alsolubricate them.

Best of all, these 4 core stretching exercises take onlya minute to complete in total!Therefore, perform them at leastevery houryou work with your hands:

  • Prayer Stretch
  • Stop Stretch
  • Finger Interlace Stretch
  • Thumb Stretch
  • What Are The Alternative Therapies For Carpal Tunnel Syndrome During Pregnancy

    Sleep with Carpal Tunnel Syndrome While Pregnant

    Complementary and alternative medicine or therapy is useful for relieving carpal tunnel syndrome symptoms. However, seek the advice of a qualified and registered complementary therapist who is skilled in treating pregnant women. Some CAM methods that are safe during pregnancy are listed below :

    • Acupuncture and acupressure: Carpal tunnel syndrome can be relieved by applying pressure to a specific point on the wrist, pericardium point six, at regular intervals. According to some studies, it is more effective than using wrist splints.
    • Aromatherapy: It includes using compresses soaked in warm or cool water with essential oils, such as cypress and lemon. However, not all essential oils are safe for use in pregnancy. For example, juniper berry oil may affect your kidney.
    • Osteopathy: It is a part of chiropractic care that focuses on realigning the muscles, bones, joints, and ligaments. While it may not treat carpal tunnel syndrome, it can help relieve pressure in your wrists, hands, and fingers.
    • Reflexology: It involves applying pressure to certain points on your foot to relieve wrist pain. While there is no conclusive evidence that reflexology helps with carpal tunnel syndrome, it can be a calming treatment.

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    Developing Healthy Sleep Habits

  • 1Improve your sleep habits. During your pregnancy, it may become difficult for you to get the rest you need for reasons beyond your control. Your typical sleep habits and routines may need some attention during this time to help you fall asleep and stay asleep longer.XResearch source
  • Avoid eating snacks or heavy meals close to bedtime and cut back on the fluids you drink in the late afternoon and evening. Stay away from caffeine in the afternoon and evening, and throughout the entire day unless your doctor has approved some caffeine.
  • Limit your naps during the day. Keep nap times short and do not nap within four hours of bedtime.
  • Keep to a regular schedule. Go to bed at the same time every night, and get up at the same time each morning.
  • 2Control your environment. Do what you can to make your bedroom and bed as comfortable as possible. Take steps to add pillows, curtains, or adjust the temperature, so you can fall asleep easier and stay asleep as long as possible.XResearch source
  • Make your bedroom as dark as possible. The darkness tells your brain it is time to sleep.
  • Turn down the temperature so the bedroom is cool.
  • If you are having nasal congestion or problems with sinuses during the night, consider adding a small room humidifier to your bedroom.
  • Dont watch television, play video games, use your laptop, or any screened device, in your bedroom or just prior to bed. Keep your bedroom for sleep and sex only.
  • Drink your tea warmed and about an hour before bedtime.
  • Sleep Positioning And Carpal Tunnel Syndrome

    Sleep plays an important role in our daily function. It helps to rejuvenate and restore our bodies from the wear and tear our daily activities put on integral structures. It specifically plays an intricate part in helping us repair and grow tissue, like nerve, muscle and bone. For all of these reasons, sleep can be the most important part of your day.

    Unfortunately some individuals find restful sleep difficult to achieve. They lay in bed trying to sleep and notice they have pain in their arms and hands or their fingers feel numb and tingly. Sometimes they finally fall asleep, but wake up with those same symptoms and think What is going on?

    Does this sound like you or someone you know? Maybe it is time to ask yourself some more questions. How are you sleeping? What is your positioning like when you sleep? Are your symptoms worst at night? These are all questions I ask patients who have complaints of pain, numbness or tingling into the finger tips which may be associated with a nerve compression issue called Carpal Tunnel Syndrome. See below for more details on this common syndrome.

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    Drug Treatment And Surgery

    In addition to wearing splints and other comfort measures, prescription medications or injections are available.

    Oral corticosteroid medication may decrease inflammation and swelling, which might help to reduce pressure on the median nerve. Corticosteroid medication is also available as an injection into the wrist. Injections seem to be more effective than oral corticosteroids for CTS.

    No significant evidence supports the use of non-steroidal anti-inflammatory drugs to treat CTS.

    Conventional treatments for CTS should take place under the guidance of a doctor.

    If CTS relates to an underlying condition, such as diabetes, arthritis, or hypothyroidism, try to control the condition and symptoms should reduce.

    For people who develop CTS during pregnancy, symptoms usually resolve 6 to 12 weeks after giving birth. Some specialists recommend putting a splint on the wrist while sleeping.

    Sometimes, if severe compression is occurring on the median nerve, it may be causing nerve damage or muscle wasting that requires further treatment.

    The treating doctor may recommend surgery if CTS is severe and if non-surgical treatments do not help. Surgical treatment of CTS does appear to have the best outcome. Studies have shown that 6 to 12 months after surgery, CTS improves more than it would with just a splint or some other non-surgical treatment.

    The two types of surgery available for CTS are:

    Talk To Your Supervisor

    Sleep Positioning and Carpal Tunnel Syndrome

    If your work triggers your symptoms, ask you manager about changing up your work space. You may be able to alter anything from your workstation setup to tool handles to how tasks get done to see if it helps your symptoms. You might also be able to trade off with co-workers so you can avoid the same task over and over.

    If you work at a computer, try these things:

    • Adjust your keyboard position so you donât have to bend your wrists when you type.
    • Keep your elbows close to your side as you type.

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    Which Carpal Tunnel Brace For Sleeping Is Best

    Sleeping presents its own set of challenges when dealing with the pain caused by carpal tunnel syndrome. A carpal tunnel brace for sleeping can take pressure off the wrists by placing them in a neutral position. While the list of benefits for using a carpal tunnel brace while sleeping are long, the process of finding the right brace can be daunting. Our top choice for a palmer splint with soft fabric is the ACE Night Wrist Sleep Support, although there are a variety of other braces to consider since designs vary by manufacturer.

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