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OUR HEALTH That Pain In Your Wrist: Could It Be Carpal Tunnel Syndrome? by Ihor Magun, M.D. The carpal tunnel is a narrow passage formed by the bones of the wrist and a ligament. Passing through this tunnel are tendons and the median nerve. This nerve travels through the tunnel and then divides into a sensory branch that provides the hand with its sense of touch and a motor branch which provides control to the thumb muscles. Continuous or periodic compression on a nerve can cause damage over time. Carpal Tunnel Syndrome is compression of the median nerve against the ligament. This produces numbness, weakness, and pain. The numbness can be associated with the "pins and needles" feeling we have all experienced at some time. The pain may occur at night, and may be severe enough to wake you. In the early stages, pain can be relieved simply by shaking the hand. If the condition persists, the problem intensifies. Increased pressure on the nerve decreases blood flow. This alteration in blood flow contributes to nerve damage. Carpal tunnel syndrome is the most common hand disorder. It can be caused by repetitive motions like typing, playing certain instruments, or doing needlepoint, all of which put pressure on the wrist. It can also be caused by systemic disorders, such as rheumatoid arthritis, diabetes, or an underactive thyroid. Other factors are swelling due to any type of injury, wrist fractures, inherited small bones, or pregnancy. Management goals are to relieve and decrease pressure on the wrist. Carpal Tunnel Syndrome is most manageable when diagnosed early, before irreversible nerve damage has occurred. In severe cases, the only management available is surgical. Non-surgical intervention is obviously preferred. This includes limiting use of the hands at work, keyboard work that is more ergonomically correct, resting the hands, or wearing a wrist-splint to relieve pressure. The wrist-splint actually places the hand in a neutral position, that is, a position with the least amount of nerve compression. Anti-inflammatory medications such as ibuprofen can be helpful. Occasionally, localized steroid injections are used. If a systemic disorder is a possible cause, treatment is aimed at that disease. Some individuals get relief with vitamin B6. There is a take home message. If the type of work one does predisposes one to Carpal Tunnel Syndrome, early modification of work habits is crucial. Prevention is paramount. If early symptoms do occur, modification of wrist activity and use of recommended treatment modalities are advised. cooky’s comer 1-1/2 cups butter Vi cup sugar 4 cups flour 2 tablespoons sour cream 1 teaspoon baking powder 1 teaspoon vanilla 2-1/2 pounds apples Vi pound dried apricots granulated sugar bread crumbs Apple Apricot Sheet Cake Cream butter and sugar. Add flour, sour cream, baking powder and vanilla and combine into soft dough. Divide dough into two equal parts. Chill slightly for easier handling. Peel, core, and slice apples. Rinse apricots in boiling water, drain, and let stand in colander until cooled. Apricots may be cut into strips if desired. Grease and sprinkle 9X13 inch baking pan with bread crumbs. Roll one part of dough and fit into pan. Sprinkle lightly with bread crumbs and cover with apples and apricots. Cover with other part of dough. Bake 40 to 45 minutes at 350 degrees. This recipe was re-printed with permission of UNWLA Branch 12 of Parma, Ohio. It was previously published in Selected Ukrainian Recipes, a book of recipes compiled by Branch 12 members, edited by Daria Horodysky and illustrated by Neonila Wynarsky. Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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