The conduction of stimuli from the brain and spinal cord to the involved muscles is through the nerves. The nerves we can simulate for a thin electric cable are responsible for the transmission of sensations as well as movement.
Under normal conditions, the senses and the movement in a harmonious manner, all the movements of the arms, legs, hands and feet are performed perfectly and do not lead to any complaints. However, in some cases, the nerves going to the muscles of the hands and feet may pass through the thin channels and the pressure and nerve compression may occur.
It is known as "Carpal Tunnel Syndrome" most commonly seen in nerve compression and affects the fingers with the wrist.
This disturbance, caused by the compression of the wrist of the median nerve leading to the first four fingers, is frequently seen in occupational handicapped and housewives.
The most important symptom is the nighttime sleep-waking hand-numbing. Sometimes pain may also be present. These complaints repeat over time the strength of the fingers of the hand is reduced, and the hand-held items begin to fall. A similar situation develops especially in sharp toe, high-heeled shoes and heavy-duty workers in the ankle and toe and is called "Tarsal Tunnel Syndrome". Similar complaints occur on the ankle and toe.
In the case of both nerve stenosis, definite diagnosis must first be made. After the initial examination, nerve conduction should be measured with a sensitive system called EMG. As a result of this examination, physical therapies are used with medical treatments in cases that have not progressed much and have not yet developed loss of strength. A suitable splint for elbow rest is given and in some cases injection therapy can be applied. Physical therapy can be used to relieve the nervous region and accelerate the healing process.
The most common physical therapy tools are water treatment, ultrasound, paraffin, laser and magnetic field treatments. Later on, with proper exercises, the muscles are strengthened and the elasticity is increased. Surgical methods are used in advanced cases. The passage of the nerve is relieved by the surgery performed on the hand or ankle. After surgery, a 15-20 session physical therapy and rehabilitation program is applied to remove joint stiffness and strengthen muscles. Later on, the occupational factors are tried to be corrected in order not to repeat the same discomfort, training and exercises are done to correct the mistakes related to the use of the hand and foot.