Dr. Karam Ilahi

About 70–75% of all salt consumed is hidden in processed foods or other products of the food industry, people add the remaining 25–30% at the table. Take control of your diet, check your salt intake!

🚫🧂🚫

Be aware of hidden salt!

Courtesy:- WHO

TRAPEZIUS MYALGIA

✓✓ Trapezius myalgia (TM)
is the complaint of pain, stiffness, and tightness of the upper trapezius muscle.
• It is characterised by acute or persistent neck-shoulder pain.
•TM is not a medical disorder or disease but rather a symptom of an existing underlying condition.
•Both biomechanical and psychological factor are reason for TM .

✓✓✓✓Typical symptoms of “myalgia” are:

*Sudden onset of pain
*Muscle stiffness and spasm
*Tightness of the neck-shoulder complex
*Heaviness of the head and occipital headache
*Tenderness of the upper trapezius area

Other symptoms:

*Low mood
*Anxiety
*Paresthesia

✓✓✓✓Prevention

Raising awareness for people with

*Repetitive movement jobs
*Sedentary jobs (computer work)
*High work demands
*Work posture (forward head )
*Stress
*Low activity level outside of work
*Gender (women)

✓✓ ✓✓Treatment options

*Exercise therapy
*Manual therapy
*Dry needling /acupuncture

ANKLE SPRAIN 💥
An ankle sprain is a common injury, accounting for approximately 14-30% of all sport related injuries, with lateral ligament injuries accounting for approximately 85% of all ankle sprains. Poor rehabilitation after the initial sprain increases the chances of this injury reoccurring.

Treatment and rehabilitation plans vary between patients based on degree of sprain and other factors.

You have 8 sensory systems:

1. Visual: The visual system is responsible for seeing.
2. Auditory: The auditory system is responsible for hearing.
3. Olfactory (smell) System: The olfactory system is responsible for processing smell. It discriminates among odors, enhancing detection of odors, filtering out many background odors.
4. Gustatory (taste) System: The Gustatory system is responsible for the sense of taste. It allows us to discriminate between safe and harmful foods
5. Tactile System: The tactile system is responsible for processing touch information from the body. The touch system is one of the three foundational systems used in sensory integration treatment.
6. Vestibular System: The vestibular system is a sensory system that is responsible for providiilityng our brain with information about motion, head position, and spatial orientation; it also is involved with motor functions that allow us to keep our balance, stabilize our head and body during movement, and maintain posture.
7. Proprioception: It is the sense that lets us perceive the location, movement, and action of parts of the body.
8. Interoception: It refers to sensations related to the physiological/physical condition of the body. Interoceptors are internal sensors that provide a sense of what our internal organs are feeling. Hunger and thirst are examples of interoception.
So when one or more of these systems are not functioning properly, you can see how it would affect that person. If someone is over or under-responsive to sensory input in ANY of these sensory systems, that is often when sensory processing challenges and difficulties are noticeable.

Spinal disc herniation

is an injury to the cushioning and connective tissue between vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain, pain or sensation in different parts of the body, and physical disability. The most conclusive diagnostic tool for disc herniation is MRI, and treatment may range from painkillers to surgery. Protection from disc herniation is best provided by core strength and an awareness of body mechanics including posture.

When a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings, the disc is said to be herniated.

Disc herniation is frequently associated with age-related degeneration of the outer ring, known as the annulus fibrosus, but is normally triggered by trauma or straining by lifting or twisting. Tears are almost always posterolateral (on the back sides) owing to relative narrowness of the posterior longitudinal ligament relative to the anterior longitudinal ligament. A tear in the disc ring may result in the release of chemicals causing inflammation, which can result in severe pain even in the absence of nerve root compression.

Incredible photo of an embryo from an ectopic pregnancy which is approximately 3 to 4 weeks old from the point of conception (0.5 cm long).

Courtesy: Daily Anatomy

🚫🚫🚫CONSTIPATION: !must read!

Constipation is defined as the inability to pass stool or failure to empty bowels after 72 hours of previous bowel movements.

Therefore, if you have not passed stool after less than 72 hours, it cannot be described as constipation.

The bowels can normally delay:

- When you are fasting.

- When you change your normal environment of defecation.

- When you change your usual time of toileting.

However, when you fail to experience bowel movements after 72 hours, do the following:

1. Avoid fibre and fibrous meals. Why? Because during a traffic jam, you don't add more vehicles.
2. Drink saline water twice daily. Why? To stimulate bowel activity. The bowel is made up of smooth muscles that contract and relax based on the sodium-potassium pump.
3. Eat suerkraut. Why? Because bowel movements stop when bacteria get overwhelmed by huge boluses of food substrate in the bowel. Sauerkraut will stimulate and repopulate the gut bacteria.
4. Avoid antibiotics. Why? Because of number 3 above.
5. Avoid antacids. They are the reason your gut bacteria are ineffective. It is called SIBO (Small Intestinal Bacteria Overgrowth)
6. Get short-chain fatty acids from butter or ghee or another form of shirt chain fatty acid called acetate that is found in Apple Cider Vinegar. So, you can also drink ACV. ( 5 tablespoons in a glass of warm water.)

Bonus:
- You can eat plums or drink milk because of their natural lactulose which pulls water into the colon to loosen the bulky stool.

DO NOT be rushing to buy medicines. 80% of the time, you don't need them

First lets begin with what NEAT actualy is:

NEAT (Non-exercise activity thermogenesis) is the energy expended (calories burned) for everything we do that is not sleeping, eating or sports-like exercise.

Many people when try to loose weight think that only way to do it is by doing endless cardio. But what if I told you it don't have to be this way?🤯

Of course main thing would be to look at our eating patterns, but there are other ways for creating calorie deficit like training and non exercise activity.

You could be surprised how many calories can simplest daily tasks burn. It has been said that this number can average between 15-30% of total daily calories. Taking into account that an average person burn about 1800kcal per day while doing nothing, adding those NEAT % could equal to 270-540 calories😳

Non exercise activity can be anything from the picture, but also many more, like gardening, washing car, walking dog and also simple things like eye blinking, moving your fingers and hands or toes and feet to music etc.

In general, the more active your day is, the more calories you will burn and you will not have to spend hours on the treadmil....

⛑️👉SACROILIITIS 👈⛑️

✨What is sacroiliitis?✨
Sacroiliitis is the inflammation of one or both of your sacroiliac joints. These two joints are located where the sacrum (the triangular last section of the spine) meets the ilium (a part of the pelvis).

Sacroiliitis is a common source of lower back pain or pain in the buttocks or thighs. It is often difficult to diagnose since many other conditions cause pain in the same locations.

⚠️ What causes sacroiliitis?⚠️
Inflammation of the sacroiliac joint causes most of the symptoms of sacroiliitis. Many medical conditions cause inflammation in the sacroiliac joint, including:

🔘 Osteoarthritis -This type of wear-and-tear arthritis can occur in the sacroiliac joints and results from the breakdown of ligaments.

🔘 Ankylosing spondylitis - This is a type of inflammatory arthritis of the joints of the spine. Sacroiliitis is often an early symptom of ankylosing spondylitis.

🔘 Psoriatic arthritis.

🔘 Trauma - A fall, motor vehicle accident, or other injury to the sacroiliac joints or the ligaments supporting or surrounding the sacroiliac joint can cause symptoms.

🔘 Pregnancy - Hormones generated during pregnancy can relax the muscles and ligaments of the pelvis, causing the sacroiliac joint to rotate. The weight of pregnancy can also stress the sacroiliac joint and lead to wearing of the joint.

😵What are the symptoms of sacroiliitis?😵
Common symptoms of sacroiliitis include pain that:
🔘 Occurs in the lower back, buttock, hip, or thigh
🔘 Gets worse after long periods of sitting or standing, or getting out of a chair
🔘 Worsens after rotating your hips
🔘 Feels sharp or stabbing, or dull and achy

🩺How is sacroiliitis treated?🩺
Most people with sacroiliitis benefit from physical therapy. This treatment helps strengthen and stabilise the muscles surrounding your sacroiliac joints. Physical therapy also makes it easier for you to move your sacroiliac joints through full range of motion.

Credit: Pristine Life Care

FESTINATING GAIT

The most typical form of gait pattern in Parkinsonism, which include Parkinson’s disease.

Festinating gait is a walking pattern with rapid, small steps as if the person is going to fall over. It is characterized by the following;

•Taking small, shuffling steps
•Moving more slowly than expected for your age
•Festinating, or when your strides become quicker and shorter than normal, which can make it look like you’re hurrying
•Taking jerky steps
•Moving your arms less when walking
•Falling frequently
•Freezing of gait

People with Parkinson’s disease can sometimes lose the ability to pick up their feet, which makes them “stuck” in place. Freezing of gait can be triggered by environmental factors, such as walking through a narrow doorway, changing directions, or walking through a crowd. It can also be triggered by emotions, especially anxiety or feeling rushed.

Freezing of gait can happen anytime. However, it often occurs when you stand up. You might find that you’re unable to pick up your feet and start moving.

PHYSIOTHERAPY IN DOWN SYNDROME

The intervention of physiotherapy or physical therapist is crucial in the management of a Down syndrome. Countless of symptoms may be presented by a child with Down Syndrome, but the few of them which will need intense physiotherapy care will be important for the child with Down Syndrome to live quality and independent life.

One of the problems many Down syndrome children face is the risk to have developmental delay. This is to mean that some important milestones may not be attained at the time they must be attained. Mostly this is believed to be due to changes in muscle tonicity, loosed joints and a decreased strength.

In this article we are looking at what can be done to help address developmental delay issue in Down Syndrome. However, subsequent post will address other interventions. Stay tuned for those ones.

PHYSIOTHERAPY INTERVENTION FOR DEVELOPMENTAL MILESTONES:

Physical characteristics of the child with DS such as low muscle tone, loose joints and decreased strength may influence the speed of mastery or alter the form of the developmental milestone. Persons with DS generally naturally overcome these challenges through perseverance.

The goal of physiotherapy is not to ‘speed up’ the rate of development. It is simply to facilitate the development of optimal movement patterns. Depending upon capabilities and adaptations made, physical compensations such as pain or inefficient walking patterns may occur. A physiotherapist is to provide the building blocks to develop a solid physical foundation for movement and exercise that your family member can build on for life.

Physiotherapy sessions focusing on developmental milestones should be specifically tailored to each child’s current level of development. This very section is so important and must be understood and treated with all respect. It is always not the best to waste your time on things the child is able to do. It is important to observe the child’s abilities and determine what skills should be learned next. As each person is different, skills should be taught in the way the child learns best. It is important that tasks are broken into smaller parts and practiced using different methods based on individual learning styles and physical make up.

Encouraging the Family to be Involved in this is a crucial part of this part of our therapy.It is important to get family members involved with treatment. Practice at home is essential for mastery, and engaging family participation is key.You can teach the family too.

Tietze Syndrome

🔵 Definition/Description

🔸Tietze syndrome is a benign inflammation of one or more costal cartilages.

🔸 The condition is characterized by tenderness and painful swelling of the anterior (front) chest wall at the costochondral (rib to cartilage), sternocostal (cartilage to sternum), or sternoclavicular (clavicle to sternum) junctions.

🔸Tietze syndrome affects the true ribs and has a predilection for the 2nd and 3rd ribs, commonly affecting only a single joint.

🔸 Local swelling of the involved costal cartilages is visible and patients complain of chest wall pain.

🔸 Tietze's syndrome causes severe pain when coughing and deep breathing.

🔸It's not life-threatening or contagious but it is a fastidious and painful condition

🔵 Symptoms

🔹The most common symptoms of Tietze syndrome are chest pain and swelling.

🔹These can appear suddenly and disappear just as suddenly, or they may develop gradually then come and go for years.

🔹It's also possible for the pain to disappear even while the swelling continues.

🔹The pain of Tietze syndrome sometimes extends to the neck, arms, and shoulders.

🔹The pain can be mild or severe, dull or sharp.

🔹Some say it feels like being stabbed with a knife.

🔹Coughing, sneezing, exercise or other physical activity, breathing deeply, laughing, wearing a seatbelt, hugging someone, or even just lying down might make the pain worse.

🔹One might mistake the pain from Tietze syndrome for a heart attack but there are differences: Tietze syndrome usually only affects a small area of the chest while a heart attack covers the whole chest.

🔹 If you're having a heart attack, you may also be short of breath, nauseous, and sweating.

🔹Tietze’s syndrome leads to a limitation of muscle strength and upper limb range of motion.

🔹Patients with Tietze’s syndrome can be imitated in activities of daily living like: ironing, lifting, combing and brushing hair, but normally the disability of Tietze’s syndrome is minor.

🔵 Causes

◻️The exact cause of Tietze syndrome is unknown. However, researchers believe that it may be the result of small injuries to the ribs.

◻️The injuries may be caused due to Excessive coughing, severe vomiting, upper respiratory tract infections, including sinusitis or laryngitis, strenuous or repetitive physical activities, injuries or trauma

🔵 What are the risk factors?

◼️ The biggest risk factors for Tietze syndrome are age and possibly the time of year.

◼️Beyond that, little is known about factors that may increase your risk.

◼️ What’s known is that: Tietze syndrome mostly affects children and people under age 40.

◼️It’s most common in people who are in their 20s and 30s.

◼️A 2017 study noted that the number of cases was higher in the winter-spring period.

◼️And also, this same study found a higher proportion of women develop Tietze syndrome, but other studies have found that Tietze syndrome affects both women and men equally.

🔵How doe Tietze syndrome and costochondritis both cause chest pain around the ribs, but there are important differences:

▫️ Costochondritis is relatively common and typically affects people over age 40.

▫️Symptoms include pain but not swelling, involves more than one area in at least 90 percent trusted Source of cases and Most often involves the second through fifth ribs.

🔵 Physical Therapy Management

▪️The physiotherapist can:Reassure the patient by explaining the condition.
Instruct a good body position and give exercise advise.

▪️Patients need a good balance between exercise and rest.

▪️It is important that the physiotherapist gives good information about the posture of the patient during sitting and during daily activities.

▪️It’s also important that the patient avoids repetitive movements/ activities.

▪️Exercises in the range of motion should be induced as soon as possible.

▪️The patient may not have pain when he is doing the exercises.

▪️If powerful exercises exacerbate the symptoms, you need to stop and avoid these kinds of exercises.

▪️Teach the patient breathing exercises and ask the patient to cope the pain.

Hand Anatomy

Congenital Hand Deformities

🔵 Congenital anomalies are deformities of the hand that develop in a child before birth.

🔵 Any type of deformity in a newborn can become a challenge for the child as he or she grows.

🔵 Hand deformities can be particularly disabling; as the child learns to interact with the environment through the use of his or her hands.

🔵 The degree of deformity varies from a minor deformity, such as unequal or uneven fingers or thumb deformity to a severe deformity, such as total absence of a bone.

🔵 According to Congenital Malformations Committee of the International Federation of the Societies for Surgery of the Hand, there are currently 7 groups of deformities of the hand.

🔵 Different conditions related to the 7 groups of deformities of the hand

🔵 Problems in formation of the parts

🔸This occurs when parts of the body stop developing while the baby is in the womb.

🔸This causes either a complete absence of a part of the body, such as the hand, or a missing structure, such as part of the arm bone.

🔸 Ex: - Radial clubhand.A radial clubhand is a deformity that involves all of the tissues on the thumb side (radial side) of the forearm and hand. There may be shortening of the bone, a small thumb, or absence of the thumb

🔸Ulnar clubhand.An ulnar clubhand is less common than a radial clubhand. This deformity may involve underdevelopment of the ulnar bone (the bone in the forearm on the side of the little finger), or complete absence of the bone.

🔵 Failure of parts of the hand to separate

🔹With this type of deformity, the parts of the hand, either the bones or the tissues, fail to separate in the womb. The most common type of this classification is syndactyly.

🔹Syndactyly: -Syndactyly is when 2 or more fingers are fused together.

🔹 Syndactyly refers to the soft tissue and/or osseous fusion of adjacent digits in either the upper or lower extremity.

🔹This results in the appearance of "webbed" or "super" digits depending on the extent of the anomaly.

🔹 Syndactyly is described as simple or complex, depending on the presence (complex) or absence (simple) of bony fusion.

🔹 Complete syndactyly extends to the tip of the digits with the inclusion of the nail folds, while incomplete syndactyly does not extend the full length of the digit.

🔹Complicated syndactyly is defined by the presence of abnormal bones. The most prevalent location is between the long and ring finger in the hand.

🔹Ex: Apert syndrome.The hand in Apert syndrome always includes fusion of the middle three digits; the thumb and fifth finger are sometimes also involved. Feeding issue is also common.


🔵 Duplications of fingers

◻️Duplication of fingers is also known as polydactyly.

◻️ The little finger is the finger that is most often affected.

🔵 Undergrowth of fingers.

◼️Underdeveloped fingers may include the following: the finger is small, muscles are missing, bones are underdeveloped or missing, there is complete absence of a finger.

◼️Brachydactyly:-Brachydactyly ("short digits") is a general term that refers to disproportionately short fingers, and forms part of the group of limb malformations characterized by defective formation of bone.

◼️ In isolated brachydactyly, the inheritance is mostly autosomal dominant. Physical therapy may improve the hand function in this condition.

🔵 Overgrowth of fingers.

▫️This causes an abnormally large finger.In this situation, the hand and the forearm may also be involved.

▫️In this rare condition, all parts of the finger (or thumb) are affected;

▫️ however, in most cases, only one finger is involved (usually the index finger).

▫️Macrodactyly:-Macrodactyly is a congenital condition in which a baby is born with abnormally large fingers due to an overgrowth of the underlying bones and soft tissue.

▫️There are two types of growth patterns for macrodactyly:

▫️Static — the enlargement of the fingers is present at birth, and the affected digits grow at the same pace as unaffected fingers or toes.

▫️Progressive — the affected fingers grow at a much faster rate than unaffected digits.

▫️The affected fingers or toes can become enormous and severely impact a child’s ability to perform normal activities
Children with macrodactyly may also have other musculoskeletal differences.

▫️The most common of which is syndactyly, webbed or conjoined fingers.

▫️The cause of macrodactyly remains unknown. Researchers believe the condition is not inherited, but may instead be linked to disruptions in prenatal development.

🔵 Congenital constriction band syndrome

▪️This occurs when a tissue band forms around a finger or arm, causing problems that can affect blood flow and normal growth.

▪️Ring constrictions are congenital (present at birth). The main clinical manifestations of congenital constriction band syndrome are digital amputations in the index, middle, and ring fingers.

🔵 Other generalized problems with the skeletal system

🔸These are rare and complex group of problems in skeletal system.

🔵 Causes for congenital hand deformities

🔹These congenital hand deformities increase with maternal age.

🔹 Mothers older than 40 years are twice as likely to have a child with hand deformity.

🔹These abnormalities may occur sporadically, it may follow a genetic pattern of inheritance, or may occur in the context of a specific syndrome.

🔹Most of congenital anomalies are multifactorial; it depends on multiple factors.

🔹Environmental factors such as diet and infections also can be less commonly cause but causes for some of conditions have remained unknown.

🔵 Specific treatment for congenital hand deformities will be determined based on;

◻️The age, overall health, and medical history

◻️Extent of the condition

◻️Cause of the condition

◻️Patient’s tolerance for specific medications, procedures, or therapies

◻️Expectations for the course of the condition

◻️ Patient’s (or parent’s) opinion or preference

🔵 Physiotherapy management

◼️Physiotherapy involves in limb manipulation (by feeling or moving it with the hand) and stretching to increase the range of motion of limbs.

◼️Shortly after a baby is born, therapists may use support to the affected limb to straighten the hand, stabilize the wrist and to prevent soft tissues from shortening.

◼️In some conditions physiotherapy management needs to start in the neonatal period.

◼️The therapist can also assist the child by helping the family cope with this burden.

What is Strabismus?

This is a misalignment of the eyes. While one eye works properly, there is a deviation in the other eye(unilateral strabismus) and if the eyes takes turn to deviate, it means there is alternating strabismus.

When the eye turns
In - Esotropia
Out-Exotropia
Up- Hypertropia
Down- Hypotropia

Primary visible Signs are eye turn. If the deviation is too small then it can be picked up by either a cover/uncover test or corneal light reflex(hirchberg test).

In Large deviations, there is pretty much no symptoms. Because there is a noticeable misalignement, the brain does bot bother to correct the eye to match the other eye. Therefore if left untreated, it causes an amblyopia(lazy eye) in the affected eye.

In other cases, patients may experience headaches, eye strain, decreased visual performance.

Most child are born with deviations in eye because of the process of vision production. As they grow older, and the vision is restored, there should not be any deviation. However, most cases of strabismus does not disappear as the child grows up. That is why a child needs to have a routine eye test.

Causes of Strabismus.

The misalignments of the eye occurs when one or more of the eye muscles are physically affected or the nerves that controls them. Some cases are also associated with genetics...
Re**us muscles and oblique muscles involved so their alignment important in its treatment.

Myasthenia Gravis

🔵 Myasthenia gravis is one of the most common disorder affecting the signal transmission to skeletal muscles impairing voluntary actions.

🔵 The classic presentation is a fluctuating weakness that is more prominent in the afternoon.

🔵 It usually involves muscles of the eyes, throat, and extremities.

🔵 A wide variety of conditions can precipitate the condition such as infections, immunization, certain surgeries, and drugs.

🔵 It is an autoimmune disorder .It manifests as a ocular or a generalized muscle weakness which can eventually involve the respiratory muscles and lead to a myasthenic crisis, which is a medical emergency.

🔵 There's no cure for myasthenia gravis, but treatment can help relieve signs and symptoms of the disease.

🔵 Symptoms

🔸droopy eyelids.
🔸 double vision.
🔸Difficult to produce facial expressions
🔸 problems in chewing and difficulty in swallowing
🔸 slurred speech
🔸 weakened arms, legs or neck movements
🔸 shortness of breath and occasionally serious breathing
🔸 Many patients complain of pain because of poor posture caused by the myasthenic weakness.
🔸 In myasthenic patients, the risk of myocarditis (inflammation of the heart muscle ) is increased . They complain about Chest pain, Shortness of breath, Feelings of having a fast-beating, fluttering, or a pounding heart

🔵 Causes

🔹Myasthenia gravis is caused by a problem with the signal transmission between the nerves and the muscles.

🔹 It's an autoimmune condition, which means it's the result of the immune system (the body's natural defense against infection) mistakenly attacking a healthy part of the body.

🔵 Risk Factors

◻️Women are more likely to develop MG between the ages of 20-30.
◻️Men are more likely to develop MG between the ages of 60-70.
◻️ People with certain genetic markers are more likely to develop MG.

🔵 Factors that can worsen myasthenia gravis

◼️ Fatigue
◼️Certain bacterial and viral infections
◼️ some Surgeries
◼️Stressful life events
◼️Some drugs or toxins
◼️Pregnancy or delivery
◼️ Menstrual periods
◼️ Hyperthyroidism

🔵 Physiotherapy Management

▫️Patients suffering from Myasthenia Gravis find it difficult to carry out simple routine activities which is why only a few patients are physically active.

▫️The goal of physiotherapy is to restore lost functions or to limit disability. Hence, the rehabilitation programmes for patients with myasthenia gravis should be individually adapted to the needs of the patient .

▫️All current symptoms and the occurrence of disease exacerbations should be taken into account.

▫️ It should also be remembered that the inappropriate speed of motions , high intensity exercises (including running, squats and push ups ) ,high temperature and air humidity, may exacerbate the symptoms of the disease.

▫️Respiratory rehabilitation of Weakened respiratory muscles .

▫️Improves the functional outcome and reduces fatigue in patients........

Foot drop

...is a gait abnormality in which the dropping of the forefoot happens due to weakness, irritation or damage to the deep fibular nerve (deep peroneal), including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg. It is usually a symptom of a greater problem, not a disease in itself. Foot drop is characterized by inability or impaired ability to raise the toes or raise the foot from the ankle (dorsiflexion). Foot drop may be temporary or permanent, depending on the extent of muscle weakness or paralysis and it can occur in one or both feet. In walking, the raised leg is slightly bent at the knee to prevent the foot from dragging along the ground..

CARPAL TUNNEL SYNDROME AND SCENAR THERAPY

Carpal tunnel syndrome is a condition that happens when the median nerve is compressed or squeezed as it passes through the wrist. The compression of the nerve causes it to swell and inflame. The median nerve controls some of the muscles that move the thumb and carries information back to the brain about sensations in your thumb and fingers.
When the nerve is squeezed it can cause tingling, numbness, pain more commonly at the base of the palm in the affected hand. Doing work or hobbies that require you to repeatedly bend your wrist or grip, injury to the wrist, arthritis, being overweight as well as being pregnant and carrying in your arms young babies increases the chance of developing it. A resting splint for your wrist will often help, particularly if your symptoms are worse at night. But leaving with this condition can be debilitating especially as it prevents you from carrying out daily tasks. Scenar therapy offers a rapid pain relief, reduces swelling, regulates inflammation and helps you recover both mobility and sensation without having to resort to steroid injections. Sometimes carpal tunnel syndrome can be mistaken for something else, such as pressure on nerves in the neck due to disc problems or arthritis, which can cause similar symptoms.