Female office workers with desk jobs who are incapacitated by pain and tingling in the hands and fingers are often diagnosed by physicians as « repetitive stress injury » (RSI) or « carpal tunnel syndrome » (CTS).
These patients usually have poor posture with their head and neck stooped forward and shoulders rounded ; upon palpation, they have pain and tendemess at the spinous processes CS-T1 and the medial angle of the scapula.
In 35 such patients we focused the treatment primarily at the posterior neck area and not the wrists and hands.
A low level laser (100 mW) was used and directed at the tips of the spinous processes CS-T1.
The laser rapidly alleviated the pain and tingling in the arms, hands and fingers, and diminished tenderness at the involved spinous processes.
Thereby, it has become apparent that many patients labelled as having RSI or CTS have predominantly cervical radicular dysfunction resulting in pain to the upper extremities which can be managed by low level laser.
Successful long-term management involves treating the soft tissue lesions in the neck combined with correcting the abnormal head, neck and shoulder posture by taping, cervical collars, and clavicle harnesses as well as improved work ergonomics.
Mots-clés Pascal : Puissance faible, Laser, Muscle strié, Canal carpien syndrome, Rhumatologie, Relâchement musculaire, Homme, Femelle, Bureau, Travail, Médecine travail, Traitement, Compression, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Low power, Laser, Striated muscle, Carpal tunnel syndrome, Rheumatology, Muscular relaxation, Human, Female, Office, Labour, Occupational medicine, Treatment, Compression, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0249589
Code Inist : 002B26H. Création : 01/03/1996.