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Newsletter January 2009 #3

Have you been waiting for Steven's book, Of Course You Can! to be available in a printed version? Wait no longer! The Second Edition is now available in print . The book is longer, containing additional content to help you build your business.

And while you're there, you can explore some of Steven's digital art works.

Carpal Tunnel Syndrome

Greetings Herbalife Distributors,

I hope you enjoyed our last newsletter on Parkinson's Disease.

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Steven List, Founder
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Facts about Carpal Tunnel Syndrome:

Carpal Tunnel Syndrome (CTS) occurs when the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist. The median nerve controls sensations to the palm side of the thumb and fingers (although not the little finger), as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. The carpal tunnel - a narrow, rigid passageway of ligament and bones at the base of the hand - houses the median nerve and tendons. Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed. The result may be pain, weakness, or numbness in the hand and wrist, radiating up the arm.

CTS is one of the most common conditions affecting the nerves of the hand. It is estimated that almost 5% of women and 3% of men have CTS. Most cases of CTS develop in people who are between 45-64 years of age.

CTS is also common in pregnant women. This may be due to the fluid retention that often occurs during pregnancy placing additional pressure on the carpal tunnel.

Sources:
NHS Choices:
http://www.nhs.uk/Conditions/Carpal-tunnel-syndrome/Pages/Whatisitfinal.aspx?url=Pages/What-is-it.aspx 
National Institute of Neurological Disorders and Stroke:
http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm
 

What are the causes of Carpal Tunnel Syndrome?

Carpal tunnel syndrome is often caused by a combination of factors that increase pressure on the median nerve and tendons in the carpal tunnel, rather than a problem with the nerve itself. Most likely, the disorder is due to a congenital predisposition; the carpal tunnel is simply smaller in some people than in others.

Other contributing factors include trauma or injury to the wrist that cause swelling, such as sprain or fracture; overactivity of the pituitary gland; hypothyroidism; rheumatoid arthritis; mechanical problems in the wrist joint; work stress; repeated use of vibrating hand tools; fluid retention during pregnancy or menopause; or the development of a cyst or tumor in the canal. In some cases no cause can be identified.

There is little clinical data to prove whether repetitive and forceful movements of the hand and wrist during work or leisure activities can cause carpal tunnel syndrome. Repeated motions performed in the course of normal work or other daily activities can result in repetitive motion disorders such as bursitis and tendonitis. Writer's cramp - a condition in which a lack of fine motor skill coordination and ache and pressure in the fingers, wrist, or forearm is brought on by repetitive activity - is not a symptom of carpal tunnel syndrome.

Sources:
eMedTV.com:
http://carpal-tunnel.emedtv.com/carpal-tunnel-syndrome/causes-of-carpal-tunnel-syndrome.html 
National Institute of Neurological Disorders and Stroke:
http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm#115123049


What are the symptoms of Carpal Tunnel Syndrome?

Symptoms usually start gradually, with frequent burning, tingling, or itching numbness in the palm of the hand and the fingers, especially the thumb and the index and middle fingers. Some carpal tunnel sufferers say their fingers feel useless and swollen, even though little or no swelling is apparent. The symptoms often first appear in one or both hands during the night, since many people sleep with flexed wrists. A person with carpal tunnel syndrome may wake up feeling the need to "shake out" the hand or wrist. As symptoms worsen, people might feel tingling during the day. Decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. In chronic and/or untreated cases, the muscles at the base of the thumb may waste away. Some people are unable to tell between hot and cold by touch.

Other common Carpal Tunnel Syndrome symptoms include:

  • Tingling or numbness in your fingers or hand, especially your thumb, index, middle or ring fingers, but not your little finger. This sensation often occurs while driving a vehicle or holding a phone or a newspaper or upon awakening. Many people "shake out" their hands to relieve their symptoms.
  • Pain radiating or extending from your wrist up your arm to your shoulder or down into your palm or fingers, especially after forceful or repetitive use. This usually occurs on palm side of your forearm.
  • A sense of weakness in your hands and a tendency to drop objects.
  • A constant loss of feeling in some fingers. This can occur if the condition is advanced.
  • Sources:
    National Institute of Neurological Disorders and Stroke:
    http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm 
    Mayoclinic:
    http://www.mayoclinic.com/health/carpal-tunnel-syndrome/DS00326/DSECTION=symptoms 
     

    What treatments are available for Carpal Tunnel Syndrome?

    People who are only mildly affected by Parkinson's disease may need no treatment at first. As symptoms progress, various treatment approaches are available.

    Some people with mild symptoms of carpal tunnel syndrome can ease their discomfort by taking more frequent breaks to rest their hands and applying cold packs to reduce occasional swelling. If these techniques don't offer relief, carpal tunnel syndrome treatment options include wrist splinting, medications and surgery.

    Nonsurgical therapy - Most people with carpal tunnel syndrome experience effective treatment with nonsurgical methods, including:

  • Wrist splinting. A splint that holds your wrist still while you sleep can help relieve nighttime symptoms of tingling and numbness. Splinting is more likely to help you if you've had only mild to moderate symptoms for less than a year.
  • Nonsteroidal anti-inflammatory drugs. NSAIDs may help relieve pain from carpal tunnel syndrome if you have an associated inflammatory condition. If no inflammatory condition is involved, NSAIDs are unlikely to help relieve your symptoms.
  • Corticosteroids. Your doctor may inject your carpal tunnel with a corticosteroid, such as cortisone, to relieve your pain. Corticosteroids decrease inflammation, thus relieving pressure on the median nerve. Oral corticosteroids aren't as effective as corticosteroid injections for treating carpal tunnel syndrome.
  • Surgery - Generally, nonsurgical treatments are more effective if you have only mild nerve impairment. When the pain or numbness of carpal tunnel syndrome persists, surgery may be the best option.

    In order to avoid serious and permanent nerve and muscle consequences of carpal tunnel syndrome, surgical treatment is considered. Surgery involves severing the band of tissue around the wrist to reduce pressure on the median nerve. This surgical procedure is called "carpal tunnel release." It can now be performed with a small diameter viewing tube, called an arthroscope, or by open wrist procedure. After carpal tunnel release, patients often undergo exercise rehabilitation. Though it is uncommon, symptoms can recur.

    Sources:
    MedicineNet.com:
    http://www.medicinenet.com/carpal_tunnel_syndrome/page3.htm 
    Mayoclinic:
    http://www.mayoclinic.com/health/carpal-tunnel-syndrome/DS00326/DSECTION=treatments-and-drugs 


    HerbaCall Carpal Tunnel Syndrome Testimonials:

    · Patty Lott tells Herbacall, "My sister was taking B-12 for her carpal tunnel because she thought that would help relieve the water and pressure in her hands. Well the only thing it did was give make her heart race and have a burning sensation in her ears. I started her on Cell-U-Loss and her carpal tunnel has disappeared. She takes is three times a day. She has no more pains in her hand! She is now going to add Joint Support to stay healthy!"

    · Renee said, “I have been on the Herbalife products for just over a month now. I have lost about 15 lbs so far and feel incredible. One of the things that has been really interesting though, is my carpal tunnel...I thought at first it was the Glucosamine (which, probably is helping). But I read another article here that said Cell-U-Loss was the main contributor... and I think they are right. I looked it up and apparently the Cell-U-Loss helps with the swelling of the nerves in the hand - which relieves the pressure and the pain of carpal tunnel. Its amazing... not only am I losing weight for the first time...but my body is getting HEALED FROM THE INSIDE OUT... pesky health problems are a thing of the past!"

    · Sally Carter said proudly, “I weighed 100 pounds in kindergarten. I actually under-ate because I knew I was FAT. Due to the obesity, I developed all kinds of health problems. I had major diabetes, extremely high blood pressure, carpal tunnel; bad headaches, thyroid problems, body pains, and so on...The products saved my life. The total nutrition from the Ultimate Program (Formula 1, 2, and 3, plus Cell-U-Loss, Thermo-bond, Green, Beige, Herbal Concentrate, Yellow, and Aminogen) is what my body needed to work properly. When my body worked properly, I could lose weight, have energy, and feel great too."

    · Want more information and more Herbalife testimonials?


    Visit
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