Experts from Yunnan Provincial Hospital of Traditional Chinese Medicine reminded: Hand numbness is a veal tunnel syndrome

Ms. Gou suddenly had symptoms of hand tingling, and she thought it was a problem with the cervical spine. After going to the hospital for examination, the doctor informed that it was not cervical spondylosis, but a veal tunnel syndrome. Hearing this term, Ms. Gou was strange. What exactly is a veal tunnel syndrome? On July 29, the reporter interviewed Yang Yan, director of the Department of Brain Diseases at Yunnan Provincial Hospital of Traditional Chinese Medicine.

"Relax of the tunnel syndrome is actually a very common disease. The incidence rate is 88/100,000 to 125/100,000. Middle -aged women are more common. The cause of the disease is the stuck pressure in the wrist tubes in the wrist." According to Yang Yan, the fibrous -fibrous pipes composed of the wrist bone and the horizontal ligament of the wrist. The wrist canal contains 9 tendons. The middle nerve is located at the shallow layer and is directly under the horizontal ligament of the wrist. The middle nerve will be oppressed due to various reasons, which will cause the wrist tunnel syndrome.

Why does the wrist tunnel syndrome cause hand numbness? It is understood that this is because the middle nerves are dominated by the upper half of the thumb, index finger, middle finger, and ring finger. After the middle nerve is oppressed, it will cause nerve symptoms such as numbness and weakness of the fingers. The index finger is weak to the finger, and the fingers cannot be separated and closer.

Because women's bones are smaller than men, the pallets of the hands are thinner than men, and the middle nerves in the wrist are more vulnerable to compressive damage. As a result, the incidence of women is higher than men, and it is about three times the incidence of men.

Patients with very serious symptoms of wrist tunnel syndrome need surgical treatment, but many patients choose conservative therapy. At present, the Department of Brain Diseases of Yunnan Provincial Hospital of Traditional Chinese Medicine is played by the characteristics of Chinese medicine. Patients with Chinese medicine that nourish blood, strengthen the spleen, nourish the kidneys, and promote blood circulation, and cooperate with acupuncture and traditional Chinese medicine physiotherapy. ease. Yang Yan reminded that if you want to solve the vessel syndrome by conservative treatment, the patient needs a good compliance. It is necessary to "remove the root" and solve the "external cause" of compressed nerves.

The radius or wrist bone fractures will be pressed to the middle nerve; suffering from rheumatism or rheumatoid arthritis, the tendon slid membrane is thickened, resulting in smaller the vessel lumen; soft tissue tissue in the wrist tube such as tendon sheath cysts, lipoma, etc. Living habits, such as rock climbing, heavy physical labor, piano, embroidery cross stitch, etc., the pressure in the wrist tubes will continue to change, and it will also increase the compression of the middle nerve. Correspondingly, the treatment of fist tunnel syndrome must be relieved of these factors that compress the middle nerve in order to relieve symptoms.

"Many diseases can cause hand numbness, such as diabetes, long -term contact with toxic and harmful substances, intracranial tumors, multiple sclerosis, nerve root cervical spondylosis, cervical marrow cavity, thoracic export syndrome, peripheral nerve tumor, etc." Yang Yan introduced, If the symptoms of weakness in hand linen, patients should be diagnosed with relevant departments such as neurology, orthopedics and other related departments to give accurate treatment. Whether it is a veal syndrome requires a doctor's assessment. Generally, the neuropsychiatric examination of the upper limbs will be performed first, and then combined with X -ray, CT, or MRI to perform a differential diagnosis. In addition, the long -term compression of the nerve will cause the hand muscle atrophy, so it is particularly important to rehabilitate the rehabilitation of the folder syndrome. Patients can do some simple exercise with fist stretching and alternating fingers to exercise hand muscles. Patients with mild symptoms can also wear forearm branches and wrist joints to reduce wrist activities. At the same time, pay attention to warmth. If the symptoms of weakness in hand linen, patients should be diagnosed with a clear diagnosis in the relevant departments of the hospital (such as neurology, orthopedics) and given precise treatment.

Kunming Daily All Media Reporter: Zhang Xiaoli

Edit: Zhang Jie

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