Modern people have a busy life and work, and computers are widely used. Mothers are prone to stretch, lift, pain and numbness when cooking and doing housework. What should we do?
Improper or excessive hand force may cause wrist and shoulder injuries, leading to diseases such as fifty shoulders, maternal hands, tennis elbows, carpal tunnel syndrome (also known as mouse hands) and trigger fingers. He Yuchun, an attending physician in the Department of Rehabilitation, Hsinchu Branch of National Taiwan University Hospital, said that proper rest and treatment will help to restore health as soon as possible.
Fifty shoulders-a 50-year-old man can't raise his hand and turn around.
The medical name of Fifty Shoulders is "sticky shoulder cystitis", also known as "frozen shoulder", which mostly occurs in middle-aged people around 50 years old. Because the inflammation of the shoulder joint capsule leads to stickiness, which leads to shoulder pain and decreased mobility. The more painful, the more rigid, and the more vicious.
Patients with fifty shoulders can't raise their hands high or look back. It is difficult for them to comb their hair and wear underwear, and their daily life is limited. According to clinical statistics, the prevalence rate of 50 shoulders is about 2-5%, mostly women aged 40-60, mostly occurring in the unused shoulders, and 6-7% will occur on the other side within 5 years. The course of the disease may last for 2-3 years, or even for life, without medication.
Most of the fifty shoulders have no special reasons, and some are caused by ligament or tendon injury around the shoulder joint, joint dislocation or dislocation, and fracture. Patients with stroke hemiplegia, thoracic surgery and breast cancer surgery are also more likely to have fifty shoulders.
Hyperthermia, electrotherapy and joint mobilization.
In diagnosis, the diagnosis can be made through physical examination. Ordinary people can raise their hands to 180 degrees and rotate them 90 degrees, so they should be able to meet back to back in the future. As long as their functions are limited, it is difficult for their hands to rotate up, out or back, and their joints feel tense. They can be called fifty shoulders. Other causes can be ruled out by ultrasonic examination.
Treatment has the following three ways:
Drug treatment: oral.
Injection of anti-inflammatory drugs, muscle relaxants or intra-articular steroids.
Physical therapy: hyperthermia, electrotherapy, joint mobilization.
Rehabilitation exercise therapy: improve the mobility and function of shoulder joint.
Move and your hand will swing again.
Pendulum movement: the body bends forward, hands naturally droop, shoulders are driven by body shaking, and the body swings clockwise and counterclockwise.
Towel movement: pull one end of the towel with both hands, and pull the affected hand up and down and left and right with a good hand. Or stretch the shoulder joint with a towel, put the affected hand behind your back, and lift the affected hand to the opposite scapula with a good hand.
Climb the wall: face the wall, straighten your arms, climb up along the wall with your fingers, and then climb down.
"Family Adjustment Nursing Diet"
Hold the pot or heavy object alternately with both hands, not with one hand.
Use 3C products such as computers in a correct posture, and get up at least every 50 minutes 10 minutes.
Take a bath to relax your muscles.
Mom's hands-thumb and wrist can't exert force.
The medical name of mother's hand is "stenosing tenosynovitis", and the tendons of extensor longus and extensor brevis located on the back of thumb are inflamed, resulting in persistent pain and swelling near the wrist of thumb, and even inability to exert force. It may also be accompanied by superficial radial nerve compression, leading to numbness.
"Mother hand" is common in women aged 30-50. Pregnant women are prone to get sick due to hormonal changes, improper force of novice mothers when milking or holding babies, excessive bending of wrists and excessive abduction of thumbs. The peak incidence is 4-6 weeks after delivery.
Mother's hands are not exclusive to women, but often happen to men. If you need to use your thumb repeatedly for a long time at work, you will easily get this disease. For example, computer clerks and restaurant waiters are all high-risk groups. There are also some people who exercise too much or do sports with inappropriate strength: for example, golf and badminton are also particularly easy to develop.
Hyperthermia, electrotherapy and ultrasonic diathermy
In the diagnosis, holding the thumb tightly with four fingers after physical examination, bending and pulling down will cause pain and discomfort. Or by ultrasonic examination of soft tissue.
Treatment has the following four ways:
In case of acute attack, let your hands rest properly. Wear auxiliary wood to rest the affected area.
Oral anti-inflammatory drugs.
After the inflammation subsided, physical therapy: hyperthermia, electrotherapy and ultrasonic diathermy.
If it still hurts, you can consider injecting steroids into the affected area with ultrasound, and the effect is very good.
[Method 2 for Relieving Pain] Cutting hands and turning wrists can relax tendons and activate collaterals.
Move your wrist more, gently shake it up and down, or turn your wrist more to avoid keeping the same posture for too long. Doing more stretching and relaxing exercises all over the body also helps to relax.
"Family Adjustment Nursing Diet"
When holding the baby, try to put your fingers together, palm and wrist level, and share the baby's weight equally.
Don't milk for too long, or use an electric milking machine to help avoid overusing your thumb.
Avoid repeating thumb movements frequently for a long time in daily life or work.
Tennis elbow-swelling and pain in the lateral joint of elbow.
Tennis elbow, as its name implies, is often caused by sports injury. Among tennis players, 65,438+00% suffer from this disease, which is medically called "lateral epicondylitis". It is caused by repetitive work or activities on the forearm and wrist, leading to inflammatory reaction and tendon degeneration.
The location of pain is usually on the outside of the elbow joint. Whenever the patient's fingers, wrists or arms exert force, the forearm muscles will be sore and the affected area will be swollen. Some patients have difficulty in exerting force on their wrists, even feel weak when holding bowls or chopsticks, and can't ride motorcycles or turn doorknobs.
The prevalence rate of tennis elbow is about 1 ~ 3%, which is related to smoking, obesity, working with hands for more than 2 hours every day or lifting heavy objects of more than 20 kilograms frequently. According to statistics, people aged 45-54 account for the majority, especially chefs, teachers, typists, painters, cement workers and athletes (tennis, table tennis, badminton, golf, etc. ).
Pain relieving methods 1 > Hot compress, electrotherapy, ultrasonic diathermy, laser or shock wave therapy.
In the diagnosis, if there is a tender point near the attachment point of the lateral tendon of the elbow joint of the hand, or if the wrist bends upward and pulls downward, it will feel pain near the lateral elbow, which is tennis elbow.
Treatment has the following ways:
A: Acute stage: rest, ice compress, tennis elbow belt at work, oral anti-inflammatory drugs, and steroid injection in the affected area if the situation is serious.
B: after subacute stage:
Physical instrument therapy: hot compress, electrotherapy, ultrasonic diathermy, laser therapy.
Exercise therapy: including wrist extensor traction, transverse tendon, muscle strength training, intramuscular effect application, etc.
Hyperplasia treatment or shock wave treatment: * * Hyperplasia of affected blood vessels, strengthening tendons, and achieving curative effect.
Method 2: Wrist stretching and upper limb muscle strength training.
Wrist stretching action: the wrist is straight, the palm is facing down, and the other hand bends the wrist downwards until the muscles are tight, and then slowly relaxes after 5 ~ 10 seconds.
Upper limb muscle strength training: Hold a heavy object (bottle or dumbbell filled with water or sand) with both hands, lift it hard, stop 10 second, and then slowly put it down.
"Family Adjustment Nursing Diet"
Avoid repetitive wrist movements and wear elbow pads if necessary.
When housewives buy food, they try to use trolleys, rarely carry baskets, especially not hanging them on their wrists.
Pay attention to posture when doing housework, and reduce hand exertion. For example, bend your legs slightly when mopping the floor, and use your waist and legs to drive your shoulders and arms, not just your hands.
Carpal tunnel syndrome is caused by narrowing or increasing pressure of carpal tunnel and compressing median nerve. Wrist pain is usually caused by inflammation or degeneration of the tendon at the wrist, dislocation of wrist fracture or compression of the median nerve of the wrist caused by fluid retention during pregnancy.
The thumb, index finger, middle finger and ring finger have numbness, tingling and burning sensation on the radial side, and sometimes all five fingers have symptoms. Some people will wake up numb at night, some people will be sore and numb when riding a motorcycle, and it will be effective for a short time when they cut their hands slightly. If it is aggravated, the numbness will be aggravated, and they will easily fall off when they take things, and the muscles on the palm of their thumb will be atrophied and weak.
The incidence of carpal tunnel syndrome is 1 ~ 5%, which is more common in women, three times that of men. Risk factors are related to obesity, diabetes, pregnancy, rheumatoid arthritis, hypothyroidism, connective tissue diseases, and occupations that often repeat hand movements, such as carpenters, construction workers, electronics factory technicians, etc. And people who often use computers often happen, so it is also called "mouse hand".
Methods to relieve pain 1 > Hot compress, electrotherapy, laser, wearing auxiliary wood.
During diagnosis, according to the patient's self-reported finger tingling, numbness and tingling, check whether the wrist is swollen; Tap the patient's median nerve with finger or mallet, whether the patient will feel numb; Or do the ethics test, the patient's hands are relatively flexed for 60 seconds to check whether it causes hand numbness; Nerve conduction and electromyography are also used to confirm the diagnosis.
Treatment has the following five ways:
Oral anti-inflammatory drugs.
Physical therapy: hot compress, electrotherapy, laser.
Wear auxiliary wood (wrist fixing bracket, dorsiflexion 10 ~ 20 degrees).
Ultrasound guided injection therapy.
If the treatment is ineffective for one and a half months, decompression surgery can be considered.
< Method 2 for Relieving Pain > Wrist and fist-clenching exercises, and wrist and finger movements.
Wrist movement: the wrist rotates up and down, swings up and down, keeps posture for 5 ~ 10 seconds and then relaxes.
Fist-making action: relax after fingers are clenched for 5 ~ 10 seconds, or swing in circles up and down, left and right after fist-making.
"Family Adjustment Nursing Diet"
Let the wrist muscles relax every hour.
Choose an ergonomic mouse to avoid putting your wrist on the mouse for a long time.
Put on your wrist guard.
Causes finger pain, and the joints are difficult to straighten.
The medical name of trigger refers to "tenosynovitis of flexor tendon of finger". Fingers are often stuck in a flexed position and cannot be straightened. Straightening hard will pop up like a trigger. Normal hand function depends on the smooth sliding of tendon, but when the flexor tendon sheath or annular band is swollen and narrow, it causes finger pain, and it is difficult to straighten the finger joints, thus causing the symptoms of finger trigger. Sometimes you can find the tender points at the metacarpophalangeal joints with your hands, or you can touch the nodules.
The prevalence of trigger finger is about 2%, which can occur in one or more fingers. Its causes are related to acute injury, repeated injury in work or exercise, infection and inflammation, diabetes and so on. In severe cases, it may even lead to flexion contracture of knuckles.
In diagnosis, the diagnosis can be made by clinical examination and ultrasound, and X-ray examination or other blood tests are not needed.
Treatment has the following four ways:
Rest: reduce hand movements and wear auxiliary wood.
Oral or injectable drugs: when oral anti-inflammatory drugs are ineffective after 4 ~ 6 weeks of treatment, steroid injection under ultrasound guidance can be considered, and the effect is very good.
Physical therapy: wax therapy, hot compress, electrotherapy, ultrasonic diathermy or laser.
If two injections of steroids fail, consider surgical treatment.
[Method 2 for Relieving Pain] Finger stretching and pulling back restore finger bending and straightening.
Finger stretching exercise: put your fingers together, then stretch hard, open to the maximum, and then relax.
Finger pull back: put your hands together with the other hand, help the whole palm (together with your thumb) to pull back, gently until it hurts, and practice several times.
"Family Adjustment Nursing Diet"
Soak your hands in warm water to relax your fingers.
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