Understanding Symptoms: Carpal Tunnel Syndrome

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Grace Walker, Physical and Occupational Therapist & Nutritionist affirms!

Everyone has a carpal tunnel, but not everyone has carpal tunnel syndrome.

Carpals: the eight bones that make up your wrist, and are located at the base of your palm. The joint formed with the forearm hand bones forms the carpal tunnel.

Before learning about what carpal tunnel syndrome is, it is essential to first become acquainted with what the carpal tunnel is, and everyone has a carpal tunnel, but not everyone has carpal tunnel syndrome.

The eight bones that make up your wrist, and are located at the base of your palm are called carpals.  These bones form a joint with the forearm hand bones, and this forms the carpal tunnel.

Inside this tunnel are nine tendons and one nerve.  The tendons are what allow you to flex your fingers.

The median nerve crosses the carpal tunnel and is what causes your muscles to contract.

The median nerve also tells the brain what sensations you experience on the thumb, index, middle, and half of your ring finger.

Now that you are aware of your carpal tunnel, we can discuss Carpal Tunnel Syndrome. Carpal Tunnel Syndrome is caused by the compression of the median nerve, typically from swelling of the tendons around it.

The first symptoms of carpal tunnel syndrome are usually:

  • Numbness and tingling of the thumb, index, and middle finger
  • Pain in that area

Causes of Carpal Tunnel Syndrome

Anything that causes pressure on the carpal tunnel– there is no one cause.  

Do you believe your workplace environment is causing you pain and have symptoms? A physical therapist can work with you to identify  the reason for your symptoms and create a personalized treatment to bring relief.


What are you waiting for?

Call Walker Physical Therapy & Pain Center to schedule an appointment with an expert physical therapist!


1111 W. Town and Country Rd. Ste. 1

Orange, Ca 92868

Click on the link to find out more about carpal tunnel and hand therapy.


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Wrist and Hand Pain Solutions

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According to Grace Walker, PT, DPT, OTD, the risk of wrist and hand injury is high. The wrist and hand consists of small and complex joints. At Walker Physical Therapy & Pain Center,  our therapists are experts in pain relief. We provide gentle, yet effective treatment in a fun and healing environment.

Walker’s Most Common Hand/Wrist Physical Therapy Programs

  • Tendonitis
  • Wrist Sprain/StrainTherapeutic treatment of wrist and hand with kinesio tex tape.
  • Carpal Tunnel Syndrome
  • De Quervain’s Syndrome
  • Arthritis
  • Bursitis
  • Ganglion Cyst
  • Fractures

Wrist and Hand Program Consists of:

  1. Flexibility and Strengthening to increase range of motion of the wrist and hand by use of a variety of exercises.
  2. Soft Tissue and Joint Mobilization to work out spasms, tightness and pain.
  3. Manual Therapy to reduce inflammation and improve range of motion and function.
  4. Kinesio Tape to facilitate the body’s natural healing process and provide stability and support to muscles.
  5. Self Management by educating patients in a home exercise program.
  6. ML830Laser for pain and inflammation.

Success Story: “I experienced etxreme pain in my wrist from playing the drums. I drum professionally so it was important that I get my wrist fixed. Walker Physical Therapy treated me and showed me the necessary exercises to relieve my pain within a matter of a couple of weeks. And I now have the knowledge to keep the pain away for good!”                                                                                ~K. Jackson



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Is Your Smart Phone Causing You Pain???

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We live in a world of information and technology. People of all  ages and backgrounds are clicking away on a Blackberry, PDA, IPhone, Droid, or various other smart imagephones that are popping up everyday. These phones are very useful in helping us manage a calendar, surf the web, check email, text, tweet, blog, and much more. There is something no one is talking about. Using your phone too much can be a source of pain in
your thumbs, wrists, forearms, and even your neck!

Most people work on their smart phones and cell phones with their thumbs (not using their fingers at all) and in a position that’s not natural for the thumb and wrist joints. Therefore, after hours of improper positioning of the hand and wrist, it is not uncommon to feel aches and pains throughout the thumb region, with possible extensions into the wrist, forearms, and even your
neck. As a result, injuries such as “Blackberry thumb”, carpal tunnel syndrome, or elbow pain can occur. In addition, looking down for a prolonged period of time can lead to neck pain.

How can Smart Phones lead to overuse injuries?

The intention of spending 5 minutes checking your email can easily turn into an hour browsing the web on the phone for some individuals. Your thumb, wrist, and neck have been held in the same unnatural position the entire time. Before long, your thumbs have been typing in an awkward position and they start hurting. Your wrists have been bent over and tendinitis can set in. Your neck aches from looking down at your Smart Phone for a long time.

The key here: Listen to your body! If there’s any pain, STOP what you’re doing and rest!

If you’ve already started to feel the effects of excessive blackberry use, call your therapist today. At Walker Physical Therapy & Pain Center, we have excellent Be Free From Pain Programs to help relieve the pain your busy life and smart phone have caused. We also have solutions that will provide
you with the knowledge to avoid Blackberry pain again!

The Aches and Pains of the Blackberry…

If you spend a lot of time on your Smart Phone, you should be aware of the signs of overuse.


  • In the early stages, expect general aches and pains.
  • Tightness in the muscles within and surrounding the joint
    (thumb, wrist, or neck) slowly worsen over time.
  • If not addressed, pain continues to persist and is more
    constant throughout the day.

So, what do you do to prevent any short-term or long-term injury?

  • The number one solution is REST! Rest your thumbs (after all it’s the fingers that are meant to do the typing, not your thumbs).
  • Take frequent breaks while doing a lot of texting or emailing. Your body cannot heal if it is constantly subject to the same activity. So be sure to stretch your hands and wrists frequently.
  • Give your neck a rest by looking up and bending sideways, stretching every 5-10 minutes. Ask your therapist what the best stretches are for your hands, wrists, and neck.

Our team of experts at Walker Physical Therapy & Pain Center can assess your posture and ergonomics and provide you with excellent exercises as well as a demonstration of how you should use your Smart Phone without causing pain and injury.

Preventing The Woes Of The Smart Phone

If you find yourself suffering from the aches and strains after prolonged use of your Smart Phone, our qualified team of experts can help to alleviate some of the related discomfort. In addition to pain relief, we can also teach you the best way to position your thumbs, hands, wrists, and neck to prevent further injury.

Word of Caution:

Prevention is the best medicine. Here are some tips from our team:

  • Take frequent breaks – rest after every 10-15 minutes. Periodically look up, giving your neck a break from looking down
  • Hold your Smart Phone a little higher to decrease the amount of stress on the neck (so you don’t have to look down as much)
  • Write fewer and shorter messages. (This may seem impossible but it will help you.)
  • Try to keep your wrists straight when holding your Smart Phone from both sidesimage
  • Alternate typing between fingers to give your thumbs a  break
  • Make sure that you keep your hands, wrists and arms at the proper angles to prevent other injuries from developing.

Don’t hesitate to call or visit our office before your hands, wrists and neck suffer any further. By now, you probably know that a little human care and intervention from our team is exactly what you need in a increasingly technology-driven society.

Walker Physical Therapy & Pain Center

1111 W. Town & Country Rd. Ste. 1

Orange, Orange County, CA 92868

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