Ulnar Tunnel Syndrome-
Ulnar Tunnel Syndrome self care will yield the best results if you approach the problem from several different angles. As with all repetitive strain injuries, Ulnar Tunnel Syndrome, also known as Cubital Tunnel Syndrome, is a condition that develops based on how the body is currently being used, its history of previous injury and trauma and the unconscious habits that might be adding to strain along the ulnar nerve pathway. You will accomplish the best results from your self care program if you address each of these aspects and work with them until they are resolved.
Paying attention to how your body is currently being used will often result in a significant reduction of your symptoms. There are several common mistakes people make when it comes to postures and motions that add strain to the ulnar tunnel region of the body. Eliminating those motions or postures as much as possible will help in your effort to restore normal and natural function.
The first common habit that will almost always end in injury to the ulnar nerve and compression of the ulnar tunnel is if you rest your elbow on an armrest or on a table, workbench or desk.
Think about all the furniture you use throughout your day. Become aware of where you are resting your arms while at work or at home. Armrests on your office chair might seem very comfortable, but using them puts pressure on the ulnar tunnel or on the path of the ulnar nerve as it travels through the forearm. Resting your elbow on a tabletop or desk will also compress the ulnar nerve, right at the tunnel itself. Pressure on the ulnar nerve at the same time you are using your hands to type, assemble objects, eat dinner or use your hand actively in any other way will accelerate the development of ulnar tunnel symptoms and adhesions. The safest option is to rest your arms in your lap when you are not using your hands, avoiding armrests and desktops altogether. While working, it is essential that you allow your arms to float over your work surface rather than leaning on your elbows.
Another common mistake people make that can promote Ulnar Tunnel Syndrome is when the arms are held away from and forward of the body. Often, the placement of desktop accessories can force this posture so it is very important to take a new look at the placement of your computer keyboard, mouse, and other equipment on your work surface.
Hairdressers are forced to hold their arms up and away from their bodies while cutting and styling hair. Any job that requires that objects be held or carried forward and away from the body, like movers, truck drivers, etc. can also experience similar stress to their ulnar nerves.
If at all possible, rearrange your work area to minimize reaching forward and away from your body, then do so. Keyboards should be close to the front of the body. The computer mouse should be as close as possible to the side of the keyboard and should be on the same level as the keyboard.
While stressful activities required by your job are not often changeable (there are only so many ways you can lift and carry a box, for example), what you do with your arms between activities becomes extremely important. The best option is to practice a gentle stretch that releases tissue throughout the ulnar nerve pathway. Review the diagram showing the ulnar nerve pathway to see the areas that need to be stretched.
If stretching is not possible, some other options might be acceptable for reducing the effects of Ulnar Tunnel Syndrome. Simply dropping the arms by your sides, letting them hang with their full weight for a few seconds can be very helpful for reducing strain through the ulnar nerve pathway.
You can also figure out how to completely reverse your habitual holding pattern so the tissue is relieved. Let’s look at a hairdresser, for example. His or her arms are normally away and forward of the body as they work. The hands are holding a small object (scissors or comb) with the fingers curled in a pinching motion. The reverse of this would be to open the fingers fully, raise the arms over head and behind the head with the wrists bent away from the palm. Brief stretches of this nature can go a long way to relieving the static strain caused by the posture of haircutting. Experiment to see if you can come up with a reverse posture for your most common hand and arm positions.
Unconscious ways we use our hands and arms can be especially damaging, because we are unaware of what we are doing. This leads to a repetition of the stressful activities any number of times throughout the day. Adhesions will be the result. Not good.
It is very important to try to identify the stressful and unconscious ways that you are using your body. One clue might be if you feel discomfort while doing some activity, or holding your body in a certain way. Check in to see what you are doing with your arms at those times to see if something can be eliminated or changed to produce less stress and discomfort.
You may also find that you adopt stressful holding patterns based on how you use your arms at work. For example, if you have a habit of resting your elbows on a desk, you might discover that you also rest your elbows on the ledge of your car window, or on a high armrest on your sofa at home. Breaking stressful habits at work alone are often not enough. You must also address the other times when your arms might be under stress. Take time to think about how you are using your arms for all of your waking hours and you will be surprised at the number of stressful patterns you discover.
Old injuries and traumas, plus the current ways you use your arms can lead to the development of adhesions, or stuck places, along the ulnar nerve pathway. Adhesions are best reduced or eliminated by gentle stretching along the entire nerve route. This includes around and under the shoulder blades, through the entire armpit area, the upper arms between the biceps and triceps muscles, the elbow, the outer forearm,throughout the wrist and into the hand.
Remember that adhesions are places where the nerve is under unusual and severe stress. You must be careful not to add more stress to the nerve as you stretch. Releasing an adhesion is similar to removing a sticky label from a glass jar. You lift a tiny corner, then go to another place on the label and lift an edge there. You keep working around the label until it finally releases fully. The same thing applies to releasing an adhesion that is trapping a nerve. Essentially, you “tease” the adhesion loose by working around it from all directions. You release a little bit here, then a little bit there, constantly working on all the areas that lead up to the adhesion. With care, the adhesion will fully release, leaving the nerve completely unencumbered and able to function normally.
Careful attention to the current condition of your arms, how you use them and to careful, gentle stretching along the ulnar nerve pathway will lead to ultimate success. Skipping any part of this process will leave certain stressors in place and will reduce the overall effectiveness of your recovery. Be open minded as you explore the use of your body and the sensations that are created as a result. You will be better off for it in the long run. Recovery is possible. Stick with it!
To continue learning about Ulnar Tunnel Syndrome, visit the following sections:
Ulnar Tunnel Syndrome Anatomy
Ulnar Tunnel Syndrome Symptoms
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