It’s Not Always Carpal Tunnel !

Posted by Dr. Podesta on March 17, 2011 with 1,634 Comments

Pain, numbness and weakness in a drummer’s hand or wrist can arise from many different sources. These complaints are most commonly due to carpal tunnel syndrome (DRUM ? issue). However, not all symptoms in the hand are due to this common nerve compression at the wrist.

The ulnar nerve is another nerve that can affect the hand and wrist. It originates in the spinal neck and passes through the arm, forearm and wrist into the hand. Due to its superficial position at the elbow, it is often injured by excessive pressure either by leaning on the inside part of the elbow or by repetitive bending and straightening of the elbow. A second common area of compression of the ulnar nerve is in the wrist as it passes though a tunnel on the pinky side of the wrist called Guyon’s Canal. Injury can be due to direct repetitive pressure overt he palm of the hand (hand percussion) or after a fracture of the wrist. Whether an injury of the ulnar nerve occurs at the elbow or wrist, the end results can severely affect hand function and be devastating or worse career ending to a drummer.

The ulnar nerve functions to provide sensation to the pinky finger and half (pinky side) of the ring finger. It controls most of the small or intrinsic muscles in the hand that provide fine movements in addition to some of the larger forearm muscles that provide a strong grip.
Symptoms of ulnar nerve entrapment or compression frequently begin with a sensation of the hand ring finger and pinky finger ” falling asleep “, which worsens when the elbow and or wrist are bent. Carpal tunnel syndrome has similar symptoms, but involves a different nerve and typically causes numbness and tingling in the thumb, index finger, and middle fingers. Numbness and tingling in the ring finger and pinky finger are common symptoms of ulnar nerve injury. These symptoms can come and go and can occur more often when the elbow is bent. Numbness and tingling in the hand will frequently awaken people sleeping with their elbows bent at night. Aching pain often develops on the inside of the elbow or on the pinky side of the wrist. With a longer standing compression, it may become difficult moving the fingers or manipulating objects. Weakening of the grip and difficulty with finger coordination can occur with more advanced or prolonged ulnar nerve compression. Permanent injury to the hand muscles causing muscle wasting or atrophy is the end result of severe or prolonged compression.

The diagnosis of ulnar nerve compression is suspected when a number of clinical findings are found by your physician such as a positive Tinel’s sign, an electrical shock sensation over the inside part the elbow (funny bone area) or over the pinky side of the wrist, numbness and tingling in the pinky side of the ring finger or in the pinky finger with wrist or elbow flexion. However, the definitive diagnosis is made by performing a nerve conduction/electromyography test (NCV/EMG), which is an electrical test to evaluate, nerve and muscle function

Treatment of ulnar nerve injuries begins with identification and elimination of the cause of the injury. Anti-inflammatory medicine can help reduce swelling around the nerve. Therapy with exercises to help the nerve slide through the tunnels can also help to improve symptoms. Bracing to prevent the elbow from bending at night (night extension splints) and elbow pad worn during the day to minimize direct pressure on the nerve has also been helpful diminishing symptoms. In severe cases however, surgical treatment to relieve compression from the nerve around the elbow and or wrist is necessary.

Drummers are not immune to nerve injuries. It is imperative that we take proper precautions such as warming up and cooling down before and after playing, avoid leaning on the elbow as well as maintaining an ergonomic set-up of our drum kits limiting excessive degrees of elbow flexion for prolonged periods of time. An ounce of prevention is worth a pound of cure.

Filed Under: Articles, Drum Magazine

Comments

  1. rabbit ears vibrator…

    [...]Here is an excellent Blog You might Find Intriguing that we Encourage You[...]…

  2. best paying work from home jobs…

    [...]just beneath, are many absolutely not connected websites to ours, even so, they may be surely worth going over[...]…

  3. adult g spot vibrators…

    [...]we came across a cool internet site that you simply may possibly enjoy. Take a look in case you want[...]…

  4. oral sex toys…

    [...]below you will obtain the link to some internet sites that we think you need to visit[...]…

  5. unboxing review…

    [...]please stop by the internet sites we adhere to, including this a single, because it represents our picks through the web[...]…

  6. auto taxi says:

    auto taxi…

    [...]here are some links to web-sites that we link to for the reason that we assume they’re really worth visiting[...]…

  7. vibrators for women…

    [...]the time to study or go to the material or web sites we have linked to below the[...]…

  8. outdoor garden shed…

    [...]check below, are some completely unrelated web-sites to ours, even so, they may be most trustworthy sources that we use[...]…

  9. hawaii top news…

    [...]although websites we backlink to beneath are considerably not related to ours, we really feel they may be essentially really worth a go by means of, so possess a look[...]…

  10. Steuerberatung…

    [...]Wonderful story, reckoned we could combine a couple of unrelated information, nonetheless seriously worth taking a search, whoa did 1 understand about Mid East has got a lot more problerms at the same time [...]…

  11. pure kona coffees…

    [...]Here is a good Blog You might Locate Fascinating that we Encourage You[...]…

  12. فال says:

    فال…

    Great submit! We will be linking to this fantastic put up on our website. Maintain up the excellent producing….

  13. مه پاش…

    What’s up it’s me, I am also checking out this site on a normal basis, this internet site is genuinely nice and the viewers are really sharing very good feelings….

  14. pure gourmet coffee…

    [...]below you will find the link to some web sites that we feel you should visit[...]…

  15. interracial porn…

    [...]Wonderful story, reckoned we could combine a handful of unrelated data, nevertheless genuinely really worth taking a appear, whoa did a single master about Mid East has got far more problerms at the same time [...]…

  16. Play Yard says:

    Play Yard…

    [...]that could be the finish of this report. Here you will locate some web pages that we believe you’ll value, just click the hyperlinks over[...]…

  17. Freemason says:

    Freemason…

    [...]Every when inside a when we pick out blogs that we read. Listed below are the most recent websites that we decide on [...]…

  18. campervans campervans…

    [...]Here is an excellent Blog You might Obtain Exciting that we Encourage You[...]…

  19. Laboratory glassware…

    [...]usually posts some incredibly intriguing stuff like this. If you are new to this site[...]…

  20. veterinär says:

    veterinär…

    [...]The information talked about in the report are some of the most effective out there [...]…

  21. Kindergarten through 8th Grade…

    [...]one of our guests not long ago advised the following website[...]…

  22. deep penetration with sex toys…

    [...]Sites of interest we’ve a link to[...]…

  23. Magic Wand Review…

    [...]check beneath, are some absolutely unrelated web sites to ours, however, they may be most trustworthy sources that we use[...]…

  24. Best Penis Pump…

    [...]Here is a great Blog You may Locate Fascinating that we Encourage You[...]…

  25. Sex Swing Review…

    [...]please go to the internet sites we follow, which includes this a single, as it represents our picks in the web[...]…

  26. Best Butt Plug…

    [...]one of our guests recently recommended the following website[...]…

  27. plus size strap on…

    [...]one of our guests lately recommended the following website[...]…

  28. Best Anal Lube…

    [...]Wonderful story, reckoned we could combine a few unrelated information, nevertheless genuinely worth taking a appear, whoa did one master about Mid East has got a lot more problerms at the same time [...]…

  29. stimulating gel for women…

    [...]The details mentioned inside the article are some of the best out there [...]…

  30. politicheskie slovari…

    [...]usually posts some really fascinating stuff like this. If you are new to this site[...]…

  31. دانلود آهنگ ایرانی…

    [...]Wonderful story, reckoned we could combine a number of unrelated information, nonetheless definitely worth taking a search, whoa did 1 understand about Mid East has got extra problerms too [...]…

  32. buy samsung wholesale…

    [...]Every the moment inside a even though we pick out blogs that we read. Listed beneath would be the most recent sites that we select [...]…

  33. emotional support animal letter…

    [...]usually posts some really intriguing stuff like this. If you’re new to this site[...]…

  34. [...] упитанную брюнетку порно брюнетки в контакте секс волосатыми брюнетками видео смотреть порно [...]

Leave a Reply

You must be logged in to post a comment.