Cervical Spine and Carpal Tunnel Syndrome Rehabilitation - Rehabilitation

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Cervical Spine and Carpal Tunnel Syndrome


Hello, doctor.
I have recently been experiencing cervical spine issues and carpal tunnel syndrome.
I am undergoing rehabilitation in the rehabilitation department.
The numbness in my hand hasn't improved much, but I haven't needed pain medication for my arm pain for a week and a half.
I have a couple of questions:
1.
Recently, during wax therapy, my hand has been experiencing allergic itching and redness, but I'm not sure if there are any wounds.
Would it be problematic to continue with wax therapy under these conditions?
2.
My carpal tunnel syndrome is considered mild, so why haven't I felt any improvement after more than a month of rehabilitation? It seems to fluctuate between better and worse.
What should I do?

Jayen288, 50~59 year old female. Ask Date: 2023/05/22

Dr. Zhang Zhixiang reply Rehabilitation


If you experience itching during the treatment, it is advisable to pause this therapy.
As for the symptoms of carpal tunnel syndrome, if they persist without improvement, it is recommended to visit a hospital and discuss with your physician for further evaluation and management.

Reply Date: 2023/05/22

More Info


Cervical spine issues and carpal tunnel syndrome (CTS) are common conditions that can significantly affect a person's quality of life. Understanding the rehabilitation process for these conditions is crucial for effective management and recovery.


Understanding Cervical Spine Conditions
Cervical spine problems, such as degenerative disc disease and cervical radiculopathy, often arise from age-related changes, trauma, or repetitive strain. Symptoms may include neck pain, shoulder pain, numbness, and weakness in the arms and hands. In your case, the MRI findings indicate degenerative changes and nerve root impingement, which can lead to the symptoms you are experiencing.

Rehabilitation for cervical spine issues typically involves a combination of physical therapy, medication, and sometimes injections or surgery, depending on the severity of the condition. Physical therapy may include exercises to strengthen neck muscles, improve flexibility, and enhance posture. Modalities such as heat, ice, and electrical stimulation can also be beneficial in managing pain and inflammation.


Carpal Tunnel Syndrome Rehabilitation
Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist. Symptoms often include numbness, tingling, and weakness in the hand, particularly in the thumb, index, and middle fingers. Your description of experiencing symptoms intermittently suggests that the condition may be mild but still requires attention.

Rehabilitation for CTS often includes:
1. Wrist Splinting: Wearing a splint at night can help keep the wrist in a neutral position, reducing pressure on the median nerve.


2. Therapeutic Exercises: Specific exercises can help improve wrist and hand function, as well as reduce symptoms. These may include stretching and strengthening exercises for the wrist and fingers.

3. Activity Modification: Identifying and modifying activities that exacerbate symptoms is crucial. Ergonomic adjustments at work or during daily activities can help alleviate pressure on the wrist.

4. Therapies: Modalities such as ultrasound therapy, electrical stimulation, or massage may be used to relieve symptoms.


Addressing Your Concerns
1. Wax Therapy and Skin Reactions: If you are experiencing allergic reactions such as itching and redness after wax therapy, it is essential to inform your therapist or physician. Wax therapy can sometimes cause skin irritation, especially if there are underlying skin conditions or if the wax is too hot. If there are no visible wounds, it may still be wise to avoid further treatments until the reaction subsides. Always prioritize skin health and consult a healthcare provider if symptoms persist.

2. Progress in Rehabilitation: It is not uncommon for rehabilitation to take time, especially for conditions like CTS. The variability in symptoms can be frustrating, but it is essential to remain consistent with your therapy. If you have not noticed significant improvement after a month, consider discussing this with your therapist. They may need to adjust your treatment plan, incorporate different modalities, or refer you to a specialist for further evaluation.


Conclusion
In summary, both cervical spine issues and carpal tunnel syndrome require a comprehensive rehabilitation approach. Consistency in therapy, along with open communication with your healthcare providers, is key to managing symptoms and improving function. If you have concerns about your treatment or symptoms, do not hesitate to reach out to your healthcare team for guidance. They can provide personalized recommendations based on your specific situation and progress.

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