PROTOCOLLOESERCIZISINDROMEDELTUNNELCARPALEPazientiintrattamentomanipolativoosteopatico

ClaudioCivitilloDO

2

PROTOCOLLOESERCIZIPERLASINDROMEDELTUNNELCARPALEINPAZIENTIINCURAOSTEOPATICA

TunnelcarpaleStretch[1]•Bracciotesoeilvostrogomitodiritto,conilpalmodellamanorivoltoversoilsoffitto.•Piegareilpolsoinmodocheleditapuntanoversoilpavimento.•Utilizzarel'altramanoatiraredelicatamenteleditadellamanoversodivoi.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

TunnelcarpaleStretch[2]•Bracciotesoeilvostrogomitodiritto,conilpalmodellamanorivoltoversoilsoffitto.•Piegareilpolsoinmodocheleditapuntanoversoilpavimento.•Utilizzarel'altramanoatiraredelicatamenteilpollicedellamanoversodivoi.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #1

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the fingers of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #2

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the thumb of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #3

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #1

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the fingers of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #2

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the thumb of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #3

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

3

TunnelCarpaleStrecth[3]•Sedersicomodamentesuuntavoloponetelamanopiattasultavoloconleditarivolteversodietro.•Assicurarsicheilgomitoèdiritto.•Poggiareilpesodelcorposullamanofinoasentirelatensionesulpolso.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

TunnelcarpaleStretch[4]•Sedersicomodamentesuuntavoloeponetelamanopiattasultavoloconleditarivolteversodietro.•Assicurarsicheilgomitoèdiritto.•Poggiareilpesodelcorposullamanofinoasentirelatensionesulpolso.•Afferrareconl'altramanoilpollicedellamanosultavoloedapriredelicatamenteilpollice.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #1

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the fingers of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #2

! Stand with your arm outstretched and your

elbow straight, with the palm of your hand

facing towards the ceiling.

! Then bend your wrist so that your fingers now

point towards the floor.

! Use your other hand to gently pull the thumb of

your affected hand towards yourself.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #3

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #4

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

! Reach across with your other hand, grasp the thumb of your

affected hand, and gently pull it away from the table.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #5

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Use your other hand to gently pull the fingers

of your affected hand away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #6

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Reach across with your other hand, grasp the

thumb of your affected hand, and gently pull it

away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

4

TunnelcarpaleStretch[5]•Posizionedifronteaunmuro.•Conilgomitodirittoelamanoportataavanti,posizionareilpalmodellamanocontroilmuro,conleditarivolteversoilpavimento.•Spingereleggermenteversoilmurofinoasentirelatensionedeitessutialvostropolso.•Utilizzarel'altramanoetiraredelicatamenteleditadellamanoversodivoi.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

TunnelcarpaleStretch[6]•Posizionedifronteaunmuro.•Conilgomitodirittoelamanoportataavantiposizionareilpalmodellamanocontroilmuro,conleditarivolteversoilpavimento.•Spingereleggermenteversoilmurofinoasentirelatensionedeitessutialvostropolso.•Raggiungereconl'altramano,afferrareilpollicedellamanoedaprirlodelicatamente.PosologiaeModalitàMantenetelaposizioneper_____secondieRilassareilpolso.Effettuare_____volte.Per_____Serieognigiorno.Per1mese/2mesi/3mesi‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #4

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

! Reach across with your other hand, grasp the thumb of your

affected hand, and gently pull it away from the table.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #5

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Use your other hand to gently pull the fingers

of your affected hand away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #6

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Reach across with your other hand, grasp the

thumb of your affected hand, and gently pull it

away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

EXERCISES FOR CARPAL TUNNEL SYNDROME

Carpal Tunnel Stretch #4

! Sit comfortably on a plinth, massage or treatment table and

place your affected hand flat on the table with your fingers

pointing behind you.

! Make sure your elbow is straight.

! Lean on your affected hand slightly until you can feel the

stretch at your wrist.

! Reach across with your other hand, grasp the thumb of your

affected hand, and gently pull it away from the table.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #5

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Use your other hand to gently pull the fingers

of your affected hand away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.

Carpal Tunnel Stretch #6

! Stand facing a wall.

! With your elbow straight, reach forward and

place the palm of your hand against the wall,

with your fingers pointing towards the floor.

! Lean slightly towards the wall until you feel

the tissues at your wrist stretching.

! Reach across with your other hand, grasp the

thumb of your affected hand, and gently pull it

away from the wall.

Hold for _____ seconds. Relax your wrist.

Repeat _____ times. Do _____ sets daily.