Patients with carpal tunnel syndrome are usually prescribed stretching exercises by medical and chiropractic doctors, as well as physical therapists. In this syndrome, the median nerve is often constricted by a swollen nerve sheath. Malalignment of the wrist bones can also form the hole that the nerve glides through. If there is inflammation or scar tissue, this can add to the constriction. For these reasons, patients are often given specific stretching exercises to help the nerve glide freely through the tunnel.
But which exercises work best, and are there some exercises that can cause more harm than good? If the nerve is severely pinched in the tunnel, a stretching exercise can cause the nerve to be elongated and damaged. If this occurs, it is not good. The idea is to get the nerve to glide more freely without stretching the actual nerve.
Gliding Exercises and Stretching
A team of Australian researchers (J Orthop Res July 2007) looked into this because many patients find their gliding exercises actually provoke symptoms and do not help. They studied wrist motions with and without movement at neighboring joints, such as the elbow. When the wrist was extended and the elbow was also bent, this caused less strain to the actual nerve.
If you are performing exercises that don’t seem to help, this could be an aspect of your condition that is overlooked. Of course, there are a multitude of other factors that may be occurring as well.
Sometimes the nerve is not just constricted at the wrist but is also pinched at the neck where it exits through tiny holes between the vertebrae. When the nerve is compressed at both the neck and wrist, it is referred to as double-crush syndrome.
Your chiropractor can assist you with obtaining an accurate diagnosis of your problem, which may include a detailed neck examination. Good care begins with an accurate diagnosis. Simply covering up your pain with strong medications may not be the most sensible approach over the long term because of common unintended side effects.
