{"id":68664,"date":"2023-03-21T13:35:42","date_gmt":"2023-03-21T18:35:42","guid":{"rendered":"https:\/\/pdrehab.com\/bez-kategorii\/take-care-of-your-wrists\/"},"modified":"2025-10-14T10:52:15","modified_gmt":"2025-10-14T15:52:15","slug":"zespol-ciesni-nadgarstka","status":"publish","type":"post","link":"https:\/\/pdrehab.com\/pl\/zespol-ciesni-nadgarstka\/","title":{"rendered":"Zesp\u00f3\u0142 cie\u015bni nadgarstka"},"content":{"rendered":"
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[et_pb_section fb_built=”1″ _builder_version=”3.22″][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.6.0″ text_font_size=”14px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n

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\u00a0<\/h1>\n

Zesp\u00f3\u0142 cie\u015bni nadgarstka \u2013 objawy, przyczyny i leczenie. Rozmowa z fizjoterapeut\u0105 Krzysztofem Krasowskim<\/h1>\n

Dr\u0119twienie lub mrowienie d\u0142oni lub palc\u00f3w, uczucie pora\u017cenia pr\u0105dem, os\u0142abienie r\u0105k \u2013 je\u015bli te objawy brzmi\u0105 znajomo, prawdopodobnie cierpisz na zesp\u00f3\u0142 cie\u015bni nadgarstka (ang. carpal tunnel syndrome). O tej cz\u0119stej, szczeg\u00f3lnie w\u015br\u00f3d kobiet, przypad\u0142o\u015bci rozmawiamy dzisiaj z jednym z terapeut\u00f3w kliniki fizjoterapii PDR Physical Therapy & Wellness Center<\/a>, magistrem Krzysztofem Krasowskim.<\/p>\n

Dlaczego zesp\u00f3\u0142 cie\u015bni nadgarstka dotyka g\u0142\u00f3wnie kobiety?<\/h2>\n

Krzysztof: Wynika to z anatomii. Zesp\u00f3\u0142 cie\u015bni spowodowany jest uciskiem na nerw po\u015brodkowy w tunelu nadgarstka \u2013 w\u0105skim przej\u015bciu od przedramienia do d\u0142oni, kt\u00f3re jest ograniczone ko\u015b\u0107mi i wi\u0119zad\u0142ami. Kiedy nerw po\u015brodkowy jest uciskany, pojawiaj\u0105 si\u0119 takie objawy, jak dr\u0119twienie, mrowienie i os\u0142abienie r\u0105k. U kobiet tunel nadgarstka jest mniejszy ni\u017c u m\u0119\u017cczyzn, wi\u0119c \u0142atwiej o problem.<\/p>\n

Kogo jeszcze dotyka ta przypad\u0142o\u015b\u0107?<\/h2>\n

Krzysztof: Zespo\u0142u cie\u015bni nie nazwa\u0142bym chorob\u0105. W wi\u0119kszo\u015bci wypadk\u00f3w jest to neuropatia uciskowa, co oznacza, \u017ce niekorzystne zmiany w nerwie s\u0105 spowodowane nadmiernym uciskiem mechanicznym. M\u00f3wi\u0105c kr\u00f3tko \u2013 najcz\u0119\u015bciej sami pracujemy na pojawienie si\u0119 problemu. Jeszcze pi\u0119\u0107dziesi\u0105t lat temu przypad\u0142o\u015b\u0107 ta by\u0142a bardzo rzadka. Dzi\u015b stanowi w niekt\u00f3rych krajach przyczyn\u0119 nawet 8 proc. wszystkich zwolnie\u0144 lekarskich.<\/p>\n

Zesp\u00f3\u0142 cie\u015bni cz\u0119sto wi\u0105\u017ce si\u0119 ze specyficznym u\u0142o\u017ceniem d\u0142oni na myszce i klawiaturze komputera oraz d\u0142ugotrwa\u0142ym powtarzaniem tych samych ruch\u00f3w d\u0142oni\u0105. Jest cz\u0119sty w\u015br\u00f3d fryzjerek, kt\u00f3re nie tylko nieustannie pracuj\u0105 d\u0142o\u0144mi, to jeszcze obci\u0105\u017caj\u0105 r\u0119k\u0119 suszark\u0105. W\u015br\u00f3d naszych pacjentek s\u0105 te\u017c pracownice biur, dentystki, laborantki oraz muzycy. Niedawno trafi\u0142a do nas pani Magda, kt\u00f3ra jaki\u015b czas temu z\u0142ama\u0142a nadgarstek w czasie jazdy na nartach. Z\u0142amanie doprowadzi\u0142o do zw\u0119\u017cenia tunelu, pojawi\u0142o si\u0119 podra\u017cnienie nerwu, a potem wszystkie objawy cie\u015bni. Cierpi\u0105 na ni\u0105 r\u00f3wnie\u017c kolarze czy pracownicy fabryk, kt\u00f3rzy przez lata operuj\u0105 \u015brubokr\u0119tem, wykonuj\u0105c powtarzalne ruchy.<\/p>\n

Jakie s\u0105 inne czynniki ryzyka?<\/h2>\n

Krzysztof: S\u0105 to choroby staw\u00f3w, np. reumatoidalne zapalenie staw\u00f3w. Powoduj\u0105 one deformacje ma\u0142ych ko\u015bci nadgarstka, przez co zmniejsza si\u0119 przestrze\u0144 w obr\u0119bie tunelu nadgarstka. Cukrzyca upo\u015bledza funkcjonowanie nerw\u00f3w, wi\u0119c r\u00f3wnie\u017c mo\u017ce odpowiada\u0107 za pojawienie si\u0119 zespo\u0142u cie\u015bni. Innymi czynnikami ryzyka s\u0105 niedoczynno\u015b\u0107 tarczycy, niewydolno\u015b\u0107 nerek i dna moczanowa.<\/p>\n

Problem ten pojawia si\u0119 cz\u0119sto w\u015br\u00f3d os\u00f3b oty\u0142ych oraz kobiet w ci\u0105\u017cy i przechodz\u0105cych menopauz\u0119.\u00a0Zachodz\u0105ce w organizmach kobiet zmiany hormonalne powoduj\u0105 zatrzymywanie p\u0142yn\u00f3w. Zwi\u0119ksza to ci\u015bnienie w obr\u0119bie kana\u0142u nadgarstka, podra\u017cniaj\u0105c nerw po\u015brodkowy. Na szcz\u0119\u015bcie zesp\u00f3\u0142 cie\u015bni nadgarstka zwi\u0105zany z ci\u0105\u017c\u0105 zazwyczaj przechodzi samoistnie po urodzeniu dziecka.<\/p>\n

Jakie s\u0105 objawy zespo\u0142u cie\u015bni nadgarstka?<\/h2>\n

Krzysztof: Symptomy zwykle pojawiaj\u0105 si\u0119 stopniowo. Najpierw od czasu do czasu odczuwamy os\u0142abienie r\u0119ki, mrowienie i dr\u0119twienie w d\u0142oni i palcach. Odczuwamy je g\u0142\u00f3wnie w kciuku, palcu wskazuj\u0105cym i \u015brodkowym, cho\u0107 czasami pora\u017cenie mo\u017ce obj\u0105\u0107 r\u00f3wnie\u017c palec serdeczny.<\/p>\n

Jednak z czasem b\u00f3l pojawia si\u0119 coraz cz\u0119\u015bciej, d\u0142o\u0144 jest os\u0142abiona i trudno zacisn\u0105\u0107 j\u0105 w pi\u0119\u015b\u0107, dr\u0119twieje nawet wtedy, gdy nie siedzimy przy komputerze i nie \u015bpimy. Z czasem mo\u017cemy mie\u0107 problem z wykonywaniem prostych czynno\u015bci, takich jak trzymanie kierownicy. Podnoszenie i trzymanie przedmiot\u00f3w mo\u017ce sprawia\u0107 problemy na skutek os\u0142abienia mi\u0119\u015bni kciuka, kt\u00f3re r\u00f3wnie\u017c kontrolowane s\u0105 przez nerw po\u015brodkowy.<\/p>\n

Jak zapobiec zespo\u0142owi cie\u015bni nadgarstka?<\/h2>\n

Krzysztof: Nasz nerw po\u015brodkowy bardzo nie lubi powtarzania w k\u00f3\u0142ko tych samych ruch\u00f3w. Starajmy si\u0119 wi\u0119c pos\u0142ugiwa\u0107 si\u0119 obiema na zmian\u0119. Jest to szczeg\u00f3lnie wa\u017cne, je\u015bli u\u017cywamy sprz\u0119tu, kt\u00f3ry wibruje lub wymaga u\u017cycia du\u017cej si\u0142y. Nawet kilka minut rozci\u0105gania czy zmiany r\u0105k co godzin\u0119 mog\u0105 zrobi\u0107 r\u00f3\u017cnic\u0119.<\/p>\n

Nale\u017cy unika\u0107 wych\u0142odzenia r\u0105k, dlatego je\u015bli pracujemy na zimnie, trzeba nosi\u0107 r\u0119kawice ochronne. Powinni\u015bmy unika\u0107 te\u017c wyginania nadgarstk\u00f3w w g\u00f3r\u0119 i w d\u00f3\u0142. Pracuj\u0105c przy komputerze, zwr\u00f3\u0107my wi\u0119c uwag\u0119 na po\u0142o\u017cenie klawiatury. Powinna by\u0107 umieszczona na wysoko\u015bci lub poni\u017cej \u0142okci, a blat biurka powinien podpiera\u0107 r\u0119ce w taki spos\u00f3b, \u017ceby nadgarstki nie wisia\u0142y w powietrzu. Wa\u017cne jest r\u00f3wnie\u017c zachowanie prawid\u0142owej postawy cia\u0142a, aby nie pochyla\u0107 bark\u00f3w do przodu. Ma to z\u0142y wp\u0142yw na mi\u0119\u015bnie szyi i ramion, a co za tym idzie \u2013 na nadgarstki, palce i d\u0142onie.<\/p>\n

Jak leczy\u0107 zesp\u00f3\u0142 cie\u015bni nadgarstka?<\/h2>\n

Krzysztof: To wszystko zale\u017cy od przyczyny problemu. Je\u015bli cierpimy na choroby przewlek\u0142e, maj\u0105ce wp\u0142yw na funkcjonowanie nerw\u00f3w, trzeba skonsultowa\u0107 si\u0119 ze specjalist\u0105. Je\u015bli jednak problem wynika ze sposobu trzymania r\u0105k w pracy, uraz\u00f3w czy nieprawid\u0142owej postawy, fizjoterapia jest w stanie zaoferowa\u0107 efektywne leczenie.\u00a0Dzi\u0119ki zastosowaniu zabieg\u00f3w terapii manualnej, zabiegom fizykalnym i odpowiednim \u0107wiczeniom mo\u017cna zmniejszy\u0107 b\u00f3l i inne nieprzyjemne symptomy.<\/p>\n

\n

Um\u00f3w si\u0119 na bezp\u0142atn\u0105 konsultacj\u0119<\/h3>\n

Dowiedz si\u0119, jak fizjoterapia mo\u017ce pom\u00f3c Ci pozby\u0107 si\u0119 b\u00f3lu i dr\u0119twienia r\u0105k. Nasz zesp\u00f3\u0142 specjalist\u00f3w PDR Physical Therapy & Wellness Center w Mount Prospect oferuje nowoczesne i skuteczne metody leczenia zespo\u0142u cie\u015bni nadgarstka<\/a>.<\/p>\n

Zarezerwuj wizyt\u0119 online<\/a> lub zadzwo\u0144: (847) 255-3318<\/a><\/p>\n<\/div>\n<\/div>\n

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Dr\u0119twienie lub mrowienie d\u0142oni lub palc\u00f3w, uczucie pora\u017cenia pr\u0105dem, os\u0142abienie r\u0105k – je\u015bli te objawy brzmi\u0105 znajomo, prawdopodobnie cierpisz na zesp\u00f3\u0142 cie\u015bni nadgarstka (ang. carpal tunnel syndrome). 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